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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Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
trial Mechanical Ventilation ... control mode of ventilation ... • Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... #Mechanical #Ventilation ... Elevated #management #pulmonary ... #criticalcare
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
Shifting - Mechanical Ventilation ... is done by the ventilator ... CPAP, with no ventilator ... Troubleshooting #diagnosis #criticalcare ... #pulmonary
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #Noninvasive #Ventilation ... #BiPAP #Algorithm ... #criticalcare #
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... - Algorithm Setting ... nickmmark #Weaning #Ventilator ... #Algorithm #Extubation ... #CriticalCare #
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... difficult mask ventilation ... patients #iSTAR #Algorithm ... obese #Management #CriticalCare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... failure • Adjust ventilator ... Suppots lungs (pulmonary ... clearance (ie, ventilation ... #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
Invasive Mechanical Ventilation ... lung-protective ventilation ... indication for prone ventilation ... management #schema #criticalcare ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the mechanical ventilation ... management #schema #criticalcare ... hypoxia #failure #algorithm
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
Control Mechanical Ventilation ... Lung Protective Ventilation ... initial minute ventilation ... #AC #criticalcare ... #pulmonary