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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23 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Could also use CPAP ... breathing (equal to iPAP-ePAP ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CPAP - Continuous ... exacerbation (cardiogenic pulmonary ... Ventilation #NIPPV #CPAP ... #criticalcare # ... management
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
sealed systems (CPAP ... /BPAP/ventilator ... NRB) β€’ Venturi Mask ... Flow #Comparison #management ... #criticalcare
CPAP Troubleshooting Tips
1. Wrong size/style mask β†’ try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... forced air β†’ use device ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management ... #problems #pulmonary
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   β†’ Positive pharyngeal transmural pressure
Mandibular advancement devices ... improvement to PAP ... refractory to CPAP ... SleepApnea #Treatment #management ... #pulmonary
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Devices Simple ... Mask: β€’ Flow ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... #criticalcare # ... pulmonary #Hypoxia
Oxygen Delivery Devices - Comparison
Low Flow:
 β€’ Nasal cannula (1-6L, 24-40% FiO2)
 β€’ Face mask (5-10L,
Oxygen Delivery Devices ... FiO2) β€’ Face mask ... Oxygen #Delivery #Devices ... Comparison #table #pulmonary ... #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... airway / remove mask ... Nasal Modes: β€’ CPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... lung collapse, or pulmonary ... the hypoxemia defines ... Hg with PEEP or CPAP ... Criteria #Diagnosis #CriticalCare