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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Ventilator Basics - Waveforms for Types of Breaths
 - Volume Control
 - Volume Assist
 - Pressure
Ventilator Basics ... Assist - Pressure Support ... #Ventilator #Waveforms ... Breaths #diagnosis #pulmonary ... #mechanical #ventilation
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
- Controlled Mechanical ... patients - The more work ... does the less support ... Confirm the height/ IBW ... #pulmonary
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
↓SpO2 β€’ High work ... with increased work ... , Brief trial Mechanical ... #CriticalCare #pulmonary ... #ventilation #mechanical
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... intubated and mechanically ... ventilation, most ... #respiratory #support
ASV - Adaptive Support Ventilation Summary
Basic Set Parameters:
  1) Target MV (80-120%)
  2) PEEP
ASV - Adaptive Support ... lowest amount of work ... no significant pulmonary ... #Mechanical #Ventilation ... #pulmonary
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
Mechanical Ventilation ... is done by the ventilator ... by the ventilator ... #WorkShifting #Mechanical ... #criticalcare #pulmonary
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary
Basic Set Parameters:
  1) Pressure Support (PS)
Ventilation Summary ... do some of the work ... means the patient ↑work ... #mechanical #Ventilation ... #pulmonary
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
for respiratory support ... ideal) Invasive Mechanical ... Ventilation β€’ ... #respiratory #support ... hypoxia #failure #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... the patient's work ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
β–Ί
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
lung disease (ILD ... stop,nutritional support ... #lungdisease #ILD ... systemicsclerosis #SSc #pulmonary ... management #treatment #algorithm