9 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Severe Asthma Exacerbation ... Prednisone • NIPPV ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... acute respiratory failure ... (ie.. asthma exacerbation ... #indications #criticalcare ... #management
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
The 2019 Global Initiative for Asthma (GINA) treatment strategy figure for adults and adolescents, annotated to
Initiative for Asthma ... treatment strategy figure ... #GINA #Asthma #Management ... #Stepwise #Pulmonary ... StepUp #Treatment #Algorithm
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
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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... with presence of pulmonary ... #differential #algorithm ... #management #cardiology ... heartfailure #chf #criticalcare