9 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... the patient's work ... -BiPAP should never ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... Driving pressure supports ... the work of breathing ... driving pressure #BiPAP ... CongestiveHeartFailure #Management #CriticalCare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... observation) #NIV #Noninvasive ... #Ventilation #BiPAP ... #Algorithm #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... Pt is DNI with indication ... status • Won't Work ... @EmmGeezee #Noninvasive ... #indications #criticalcare
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... pressures • Decreases work ... oxygenation BIPAP ... ventilation • Should ... close mouth #Noninvasive
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Management Indication ... Consider Indication ... Monitor closely short ... management #schema #criticalcare ... hypoxia #failure #algorithm
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
Medications & pre-planned ... on exhalation port ... include: • BiPÅP ... • If using BiPÅP ... SARSCoV2 #Management #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Total scores >2 ... scenario / sedation indication ... the ICU due to short ... extubation, as it should ... Delirium #PAD #ICU #CriticalCare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
breakdown of glycogen stores ... hormones that work ... #differential #algorithm ... management #treatment #criticalcare