14 results
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... in High Intracranial ... - Post-intubation ... #Ventilation #High ... #pulmonary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... in high risk patients ... #criticalcare # ... management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Summary High PIP ... DDx: Mainstem intubation ... vent: - DDx: Pain ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... & lower ICU mortality ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... Optimize mechanics - sit ... reduce long lasting pain ... #CriticalCare # ... Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Lactate > 1.5 High ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
• Delivers a set ... match their pre-intubation ... with ARDS (or at high ... #AC #criticalcare ... #pulmonary
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... ETT depth • High ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Awakening Trial (SAT ... Breathing Trial (SBT ... to facilitate extubation ... #CriticalCare # ... diagnosis #management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
- Indications ... indication) - High-risk ... - 2% risk of ICH ... Treatment #AcutePE #Management ... #CriticalCare