24 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... achieve high mean airway ... Could also use CPAP ... CongestiveHeartFailure #Management ... #CriticalCare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
& lower airway ... CPAP - Continuous ... exacerbation (cardiogenic pulmonary ... #criticalcare # ... management
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   → Positive pharyngeal transmural pressure
Apnea Positive airway ... improvement to PAP ... refractory to CPAP ... SleepApnea #Treatment #management ... #pulmonary
ETT depth may be predicted based on the patient’s height.  This has been validated among
by attaching a table ... volume to your airway ... #Management #CriticalCare ... #Intubation #Airway ... #TidalVolumes #Table
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Inability to protect airway ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway ... shield, bouffant cap ... AIRWAY: Intubate ... Checklist #COVID19 #CriticalCare ... #Management
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... different mask, nasal pillows ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management ... #problems #pulmonary
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 ... Therapeutics: Airway ... #treatment #criticalcare
Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
improving) A - Airway ... Oxygenation (O2 stable ... Mnemonic #MASCOTS #criticalcare ... #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare