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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11 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... CPAP - Continuous ... exacerbation (cardiogenic pulmonary ... #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
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... ), Cardiogenic pulmonary ... airway / remove mask ... Nasal Modes: β€’ CPAP ... #diagnosis #management
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
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
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
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... through a nasal, mask ... breathing by improving pulmonary ... CPAP - Continuous ... #management #pulmonary
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
Remove airway devices ... oxygen and face mask ... Continued airway and ventilation ... negative-pressure pulmonary ... Checklist #Diagnosis #Management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
unavailable, disposable cap ... using BVM: Hold mask ... cuff prior to ventilation ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... Organ failure β€” device ... #HeartFailure #Cardiology ... #Management