12 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... of respiratory failure ... Extubation to NIPPV ... Inability to protect airway ... Ventilation #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
Simplified Airway Management Algorithm
Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Management Algorithm ... management algorithm ... decompensation and failure ... #Simple #Management ... #CriticalCare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... CONSIDER: a trial of NIPPV ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Therapeutics: Airway ... High Flow • NIPPV ... #treatment #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
Esophageal Intubation
 • Capnography Detection - No trace, Wrong place
 • Prevention and Mitigation
Laryngoscopy - Team ... Esophageal #Intubation #airway ... detection #diagnosis #management ... #criticalcare # ... pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
hypoxemic respiratory failure ... compared to CNC or NIPPV ... Delivery #Devices #management ... #pulmonary #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
ECMO center or team ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm