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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Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... failure β€’ Adjust ventilator ... lungs (pulmonary ... clearance (ie, ventilation ... institutional protocol
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
Adaptive Pressure Ventilation ... patients - The more work ... does the less support ... target volume Casey ... #management #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
: Interstitial lung ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... (V) in the lungs ... bypassing the lungs
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary
Basic Set Parameters:
  1) Pressure Support (PS)
Ventilation Summary ... do some of the work ... Marker of lung " ... Most common cause ... #pulmonary
Cavitary Lung Disease - Differential Diagnosis and Workup Algorithm
Acute / Subacute:
 β€’ Acute Infections: Lung abscess,
Cavitary Lung Disease ... Diagnosis and Workup ... Algorithm Acute ... Disease #Diagnosis #Algorithm ... #lesion #pulmonary
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
for respiratory support ... useful to allow for lung-protective ... use conventional lung-protective ... #respiratory #support ... hypoxia #failure #algorithm
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 ... the mechanical ventilation ... #respiratory #support
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... with suspected pulmonary ... ; CLD, chronic lung ... #Hypertension #Workup ... #Algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
pressures β€’ Decreases work ... breathing by improving pulmonary ... trapping β€’ Bilevel support ... β€’ Supports oxygenation ... #management #pulmonary
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 ... delivered breaths Casey ... #pulmonary