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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Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CPAP - Continuous ... Ventilation #NIPPV #CPAP ... #BPAP #indications ... #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
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   β†’ Positive pharyngeal transmural pressure
Mandibular advancement devices ... improvement to PAP ... effective at reducing respiratory ... refractory to CPAP ... #pulmonary
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
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Other causes of respiratory ... airway / remove mask ... Nasal Modes: β€’ CPAP ... Ventilation #diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
the flow rate) CPAP ... β€’ Titrate CPAP ... filter β€’ N95 mask ... support #COVID19 #management ... #schema #criticalcare
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
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
through a nasal, mask ... breathing by improving pulmonary ... improves ventilation CPAP ... #Ventilation #management ... #pulmonary
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
Remove airway devices ... laryngospasm. ❹ Give CPAP ... β€’ Continue CPAP ... negative-pressure pulmonary ... Checklist #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... lungs - Consider BiPAP ... (no B-lines on ultrasound ... Organ failure β€” device ... #Management