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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diagnosis checklist delivery noninvasive oxygen ventilation comparison covid19 indications acute algorithm anesthesia anesthesiology ards berlin bpap cardiogenic cardiology challenges chf
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
and decreases respiratory ... CPAP - Continuous ... exacerbation (cardiogenic pulmonary ... #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) • Venturi Mask ... Flow #Comparison #management ... #criticalcare
Treatment of Obstructive Sleep Apnea Positive airway pressure therapy → Positive pharyngeal transmural pressure
Mandibular advancement devices ... effective at reducing respiratory ... refractory to CPAP ... SleepApnea #Treatment #management ... #pulmonary
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
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
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Other causes of respiratory ... airway / remove mask ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management
Nasal Oxygen Delivery Devices Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Oxygen Delivery Devices ... In hypoxemic respiratory ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
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
COVID-19 Related Personal Protection Management Level I protection • Disposable surgical cap • Disposable surgical
Personal Protection Management ... • Full-face respiratory ... protective devices ... air-purifying respirator ... PersonalProtectiveEquipment #Levels #Management
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