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ventilation diagnosis noninvasive treatment bilevel covid19 differential hypoxia indications respiratory schema support asthma bpap cardiology chf clinical cpap delivery devices
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 ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... of respiratory failure ... Extubation to NIPPV ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... #Management #CriticalCare ... #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
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 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
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
Prednisone • NIPPV ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
BiPAP Initiation Algorithm Screen for contraindications: • Obtundation (unarousable) • Inability to wear a mask (wounds) •
BiPAP Initiation ... Algorithm Screen ... • Inability to wear ... hemoptysis, Copious pulmonary ... #management
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
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