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

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... Inspiratory Positive Airway ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management
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
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
less impaired - Airway ... application - Pulmonary ... Skin breakdown/ sores ... highflownasalcannula #NIV #NIPPV ... #comparison #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 ... Monitor closely short ... support #COVID19 #management ... #schema #criticalcare
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP

Peak Inspiratory Pressure (PIP): Dynamic pressure needed
of the lung) Airway ... unless excessive airway ... #PPlat #PEEP #CriticalCare ... Diagnosis #Balloon #Pathophysiology ... #Pulmonary
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... achieve high mean airway ... Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare #
The ARDSnet ideal body weight/tidal volume chart takes all of the calculations and guesswork out of
a copy on your airway ... tidal volume #Management ... #CriticalCare # ... GrepMed Recommended Text
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management