38 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Could also use CPAP ... 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
CPAP - Continuous ... exacerbation (cardiogenic pulmonary ... secretions, altered mental ... #criticalcare # ... management
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery Devices ... sealed systems (CPAP ... /BPAP/ventilator ... #Flow #Comparison ... #management #criticalcare
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Non-Invasive Ventilation (CPAP ... Delivery #Methods #devices ... #respiratory #pulmonary ... #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 ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management ... #problems #pulmonary
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
FiO2: 40 - 60% Device ... respiratory #support #devices ... #management #pulmonary ... #comparison
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
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   → Positive pharyngeal transmural pressure
Mandibular advancement devices ... improvement to PAP ... refractory to CPAP ... SleepApnea #Treatment #management ... #pulmonary
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
pressor pedagogical device ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
Oxygen Delivery Devices ... - Comparison Low ... Oxygen #Delivery #Devices ... #Comparison #table ... #pulmonary #criticalcare