1527 results
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
: Interstitial lung ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... (V) in the lungs ... bypassing the lungs
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... useful to allow for lung-protective ... use conventional lung-protective ... ventilation strategies ... Care @iBookCC #respiratory
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
know that the lungs ... relatively spared lung ... protective ventilation ... minimize the risk of Ventilator-Induced ... criticalcare #treatment #respiratory
COVID-19 Phenotypes - Implications for Respiratory Support Management

L Phenotype
 - Low Elastcnce (High Compliance)
 - Low
Implications for Respiratory ... Compliance) - Low Ventilation ... Ratio - Low Lung ... Shunt - High Lung
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... steroids & NMB • Respiratory ... Diuresis — Dry lungs ... are happy lungs ... nickmmark #Weaning #Ventilator
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... patients with COVID lung ... the mechanical ventilation ... @emupdates #respiratory
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... and decreases respiratory ... in obstructive lung ... • Other acute respiratory ... PositivePressure #Ventilation
Voluntary action
Emotion, temperature
Coughing, sneezing, etc.
Physical work
Respiratory center
in brainstem
Coinnervation
Medulla
Rhythm generator
IXth/Xth
nerve
Respiratory drive:
Peripheral
Central
Mechanosensors in locomotor system
Xth
nerve
Respiration
Central chemosensors
个
In CSF:
PC02, pH
Carotid
Physical work Respiratory ... IXth/Xth nerve Respiratory ... respiration Alveolar ventilation ... Mechanosensors in lung ... and respiratory
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
retention • Respiratory ... depression, Obstructive Lung ... Decreased Mechanical Ventilation ... • Respiratory ... Increased Mechanical Ventilation
The biotrauma hypothesis of ventilator-induced lung injury. IL = interleukin; PEEP = positive end-expiratory pressure; Pplat
hypothesis of ventilator-induced ... lung injury. ... = positive end-expiratory ... Injury #Mechanical #Ventilation