29 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Driving pressure supports ... driving pressure #BiPAP ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... -The choice of BiPAP ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... exacerbation (cardiogenic pulmonary ... secretions, altered mental ... #indications #criticalcare ... #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... 1M Epi, ± Solu-Medrol ... #treatment #criticalcare
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
main issues to sort ... from Scotland #Management ... #CriticalCare # ... VAPORS #Mnemonic #Checklist
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
-19 Intubation Checklist ... on exhalation port ... include: • BiPÅP ... #SARSCoV2 #Management ... #CriticalCare #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... lungs - Consider BiPAP ... #HeartFailure #Cardiology ... #Management
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
application - Pulmonary ... pressure - Extra pulmonary ... Skin breakdown/ sores ... #NIV #NIPPV #bipap ... #comparison #management
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
• Assess for Pulmonary ... Operability → Pulmonary ... • Targeted Medical ... karanpdesai #cteph #management ... #algorithm #cardiology
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare