Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Basics of Mechanical Ventilation

M. Daniyal Hashmi, MD @MDaniyalHashmi1

#Ventilator #Modes #Ventilation #CriticalCare #Management #Mechanical #Basics
of Mechanical Ventilation ... MDaniyalHashmi1 #Ventilator ... #Modes #Ventilation ... #CriticalCare # ... Management #Mechanical
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
Modes VC - Volume ... - Hybrid PC mode ... #Modes #Ventilation ... #CriticalCare # ... Comparison #Management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
Volume control mode ... of ventilation ... β€’ Initial ventilator ... #Exacerbation #CriticalCare ... #mechanical #management
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
Mechanical Ventilation ... most basic sense, ventilator ... Pressure Support Ventilation ... #Comparison #management ... #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... lung-protective ventilation ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 β€’ Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... controlled/guarantee modes ... #obese #Management ... #CriticalCare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #BiPAP #Algorithm ... #criticalcare # ... management #indications
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
Weaning from the Ventilator ... - Algorithm Setting ... #Algorithm #Extubation ... #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 ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm