31 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... Driving pressure supports ... breathing (equal to iPAP-ePAP ... CongestiveHeartFailure #Management ... #CriticalCare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... secretions, altered mental ... #BPAP #indications ... #criticalcare # ... management
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... it → wear for short ... irritation, pressure sores ... Troubleshooting #Tips #management ... #problems #pulmonary
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
• Assess for Pulmonary ... Operability → Pulmonary ... • Targeted Medical ... Angioplasty (BPA ... karanpdesai #cteph #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 ... Workup #diagnosis #Management ... #treatment #criticalcare
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
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
COPD assessment and classification as proposed by GOLD 2001, 2006, 2011 and 2017 Reports. For further
2011 and 2017 Reports ... mMRC: modified Medical ... #Diagnosis #Pulmonary ... GOLD2017 #History #Comparison
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
application - Pulmonary ... Skin breakdown/ sores ... #NIV #NIPPV #bipap ... #comparison # ... management
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