Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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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
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
- Controlled Mechanical ... patients - The more work ... target volume Casey ... Adaptive #Pressure #Mechanical ... #pulmonary
(S)CMV - Synchronized Controlled Mechanical Ventilation Summary
Most Similar to "AC/VC"
Basic Set Parameters:
  1) Rate
Synchronized Controlled Mechanical ... Ventilation Summary ... Casey Albin, MD ... Synchronized #Controlled #Mechanical ... #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
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... Treat underlying cause ... Residents @mghmedres #Ventilator ... diagnosis #management #pulmonary ... #mechanical #ventilation
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 β€’ Delivers a set volume of air with
Assist/Control Mechanical ... Ventilation How ... does this mode work ... assistcontrol #mechanical ... #criticalcare #pulmonary
Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
management Causes ... #Differential #workup ... #algorithm #pulmonary
ASV - Adaptive Support Ventilation Summary
Basic Set Parameters:
  1) Target MV (80-120%)
  2) PEEP
lowest amount of work ... no significant pulmonary ... delivered breaths Casey ... Adaptive #Support #Mechanical ... #Ventilation #pulmonary
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary
Basic Set Parameters:
  1) Pressure Support (PS)
Pressure Support Ventilation ... do some of the work ... Most common cause ... Pressure #Support #mechanical ... #Ventilation #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... bag moving OR ventilator ... switching to hand ventilation ... o Aspiration, pulmonary ... Diagnosis #Management #Workup