15 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... exacerbation (cardiogenic pulmonary ... #BPAP #indications ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Partial Face, Nasal Modes ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
sense, ventilator modes ... determined by the mode ... there are many modes ... #Comparison #management ... #criticalcare
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
of Ventilator Modes ... - Hybrid PC mode ... #Ventilator #Modes ... #Ventilation #CriticalCare ... #Comparison #Management
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
Bundle Checklist ... VENT: mode + settings ... PreRounding #Bundle #Checklist ... #CriticalCare # ... Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... Delirium in the ICU ... - Review the medication ... #Management #Treatment ... #MICU #CriticalCare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV: BiPAP ... Volume control mode ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... • Aggressive management ... #criticalcare # ... diagnosis #management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... - 2% risk of ICH ... Treatment #AcutePE #Management ... #CriticalCare