47 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
- Mean airway pressure ... high mean airway pressure ... Could also use CPAP ... 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 ... Ventilation #NIPPV #CPAP ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... airway / remove mask ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Swan Ganz - Pulmonary Artery Catheter Basics

Nick Mark MD @nickmmark

#PA #SwanGanz #Pulmonary #Artery #Catheter #Basics #Diagnosis
Swan Ganz - Pulmonary ... #PA #SwanGanz #Pulmonary ... Basics #Diagnosis #Management ... #CriticalCare # ... ICU #pressures
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
High Intracranial Pressure ... Post-intubation Management ... #Intracranial #Pressure ... ICP #Elevated #management ... #pulmonary #criticalcare
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Nonrebreather Mask ... Non-Invasive Ventilation (CPAP ... BiPAP) • Venturi Mask ... #respiratory #pulmonary ... #management
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... irritation, pressure ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management ... #problems #pulmonary
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   → Positive pharyngeal transmural pressure
Positive airway pressure ... pharyngeal transmural pressure ... refractory to CPAP ... SleepApnea #Treatment #management ... #pulmonary
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... • PH (mean PAP ... INDEX (PAPI) = (SPAP ... - dPAP) / RAP ... Ahmed Ghoneem, MD MSc
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... #criticalcare # ... pulmonary #Hypoxia