9 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... Could also use CPAP ... pressure supports the work ... BiPAP #Titration #CHF ... #CriticalCare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... patients (ie., CHF ... #criticalcare # ... management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Differential Diagnosis ... Therapeutics: Airway ... #treatment #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... #Diagnosis #criticalcare ... algorithm #treatment #management
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
inflammatory debris-small airways ... other processes Workup ... workup: ANA, RF ... COP DDX: • CAP ... ILD #diagnosis #management
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
Patients with CHD ... heart to improve pulmonary ... Anxiolysis to improve work ... #Management #Peds ... #Pediatrics #CHD
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
ATRA treatment Pathophysiology ... Imaging: CXR- pulmonary ... initiation • Differential ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... - Oral cavity/Airway ... disease b) CHF ... OSA • Continue CPAP ... medical and surgical management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... #diagnosis #differential ... #algorithm #management ... #heartfailure #chf ... #criticalcare #