11 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... acute respiratory failure ... intrathoracic procedure ... NIPPV #CPAP #BPAP #indications ... #criticalcare #
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 ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 • Receptors: β1
 • Indications: Rate control of a-fib/a-flutter, Suppression
- Pharmacology Comparison ... Receptors: β1 • Indications ... Suppression of VT ... Post-MI, Heart failure ... : Heart failure
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Insufficiency, Liver Failure ... , Toxins/Medications ... Low CO / High SVR ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Insufficiency, Liver Failure ... , Toxins/Medications ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... Awake o Pre-Medication ... De-nitrogenation o Push medications ... #checklist #criticalcare ... airway #management #procedure
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... Procedure • Most ... Post-procedure ... SARSCoV2 #Management #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Typically set ... VV-ECMO • indicatons ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
(PE, PHTN), LV Failure ... Pipes Problem (↓ SVR ... anesthesia), Liver Failure ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
scenario / sedation indication ... bradycardia. renal/liver failure ... to facilitate extubation ... moderate sedation for procedures ... Delirium #PAD #ICU #CriticalCare