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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Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Approach to Selecting ... the patient's work ... #Management #CriticalCare ... #Noninvasive #Ventilation ... #Algorithm #PulmCrit
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
failure • Adjust ventilator ... allowing for lung rest ... minimizing further ventilator-induced ... clearance (ie, ventilation ... #ECMO #Basics #management
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
Adaptive Pressure Ventilation ... pressure is constant Best ... patients - The more work ... does the less support ... #management #pulmonary
Tailoring Vasopressors to a Patient's Physiology

Overall, norepinephrine, epinephrine, and vasopressin are all supported by evidence as
vasopressin are all supported ... possible that the best ... physiology #Management ... #Vasopressor #Selection ... #Algorithm #FirstLine
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
for respiratory support ... filter • N95 mask ... #respiratory #support ... #COVID19 #management ... hypoxia #failure #algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
mellitus; EF, ejection ... with preserved ejection ... mechanical circulatory support ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary
Basic Set Parameters:
  1) Pressure Support (PS)
Ventilation Summary ... do some of the work ... means the patient ↑work ... . 0/6 = CPAP Best ... #mechanical #Ventilation
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... the mechanical ventilation ... #respiratory #support ... #COVID19 #management
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Check pregnancy test ... affects diagnostic workup ... choices AND management ... #Workup #Endocrinology
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
through a nasal, mask ... pressures • Decreases work ... trapping • Bilevel support ... • Supports oxygenation ... #management #pulmonary