Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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checklist covid19 delivery diagnosis noninvasive oxygen ventilation algorithm anesthesia anesthesiology bpap cardiogenic cardiology chf comparison coronavirus failure flow heartfailure hypoxia
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... Ventilation #NIPPV #CPAP ... #BPAP #indications ... #criticalcare # ... management
Oxygen Delivery Devices 1. Flow is a variable describing the movement of a volume of gas over
variable and fixed - indicating ... sealed systems (CPAP ... NRB) • Venturi Mask ... Flow #Comparison #management ... #criticalcare
CPAP Troubleshooting Tips 1. Wrong size/style mask → try a different mask, nasal pillows 2. Trouble getting used
CPAP Troubleshooting ... forced air → use device ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management ... #problems #pulmonary
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... airway / remove mask ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
the flow rate) CPAP ... • Titrate CPAP ... filter • N95 mask ... support #COVID19 #management ... #schema #criticalcare
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Devices Simple ... Mask: • Flow ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... Organ failure — device ... #HeartFailure #Cardiology ... #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
Remove airway devices ... oxygen and face mask ... • Continue CPAP ... negative-pressure pulmonary ... Checklist #Diagnosis #Management
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
unavailable, disposable cap ... Medications & pre-planned ... using BVM: Hold mask ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
function tests - Ultrasound ... only if other indication ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management ... #CriticalCare
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