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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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 ... patients with COVID lung ... criticalcare #hypoxia #failure ... #algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
; HFpEF, heart failure ... hypertension; ICD ... hypertrophy; MCS, mechanical ... circulatory support ... Stages #ACCAHA #Algorithm
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
of interstitial lung ... stop,nutritional support ... #lungdisease #ILD ... systemicsclerosis #SSc #pulmonary ... management #treatment #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
for respiratory support ... ideal) Invasive Mechanical ... #respiratory #support ... criticalcare #hypoxia #failure ... #algorithm
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
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Differential Diagnosis Algorithm ... Congestive Heart Failure ... leaking out of pulmonary ... #Diseases #ILD ... Differential #Diagnosis #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
1 β€” Treat the lungs ... in cardiogenic pulmonary ... or pulmonary hypertension ... present Rx 6 β€” Mechanical ... circulatory support
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary
Basic Set Parameters:
  1) Pressure Support (PS)
do some of the work ... means the patient ↑work ... Marker of lung " ... #mechanical #Ventilation ... #pulmonary
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
Ventilation - Controlled Mechanical ... patients - The more work ... does the less support ... Confirm the height/ IBW ... Ventilation #management #pulmonary