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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BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Could also use CPAP ... pressure supports the work ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... status β€’ Won't Work ... 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
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
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... and Survey 4) Workup ... Tamponade - Pulmonary ... #Summary #criticalcare
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
Remove airway devices ... oxygen and face mask ... negative-pressure pulmonary ... Checklist #Diagnosis #Management ... #Workup
COVID-19 Related Personal Protection Management 

Level I protection 
 β€’ Disposable surgical cap
 β€’ Disposable surgical
Personal Protection Management ... β€’ Work uniform ... (N95) β€’ Work ... respiratory protective devices ... PersonalProtectiveEquipment #Levels #Management
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
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
through a nasal, mask ... pressures β€’ Decreases work ... improves ventilation CPAP ... #Ventilation #management ... #pulmonary