11 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 ... BiPAP titration ... Driving pressure supports ... the work of breathing ... 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 ... #Noninvasive #Ventilation ... #BiPAP #Algorithm ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... and mortality BPAP ... status • Won't Work ... @EmmGeezee #Noninvasive ... #indications #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Heliox, Ketamine, IV ... Prednisone • NIPPV: BiPAP ... #Exacerbation #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
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Hypoglycemia Workup ... Differential Diagnosis Workup ... +hrs - 1mg IV ... Normally, glucose stores ... in liver should
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... early HFNC or BiPAP ... inspiratory force (NIF ... high-dose magnesium, IV ... Checklist #Management #CriticalCare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Beta-Agonists, ↑ work ... Linezolid, Lactulose, HIV ... HIV, Malaria, Late ... testing • Seen in Short ... Differential #Diagnosis #criticalcare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
breakdown of glycogen stores ... hormones that work ... feed them or give IV ... #differential #algorithm ... management #treatment #criticalcare