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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Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
ARDSNet Mechanical Ventilation ... Protocol Acute ... Clinical Network #Management ... #CriticalCare # ... ARDSNet #Ventilator
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... Post-intubation Management ... #Mechanical #Ventilation ... ICP #Elevated #management ... #pulmonary #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
control mode of ventilation ... β€’ Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
Overview of Ventilator ... @nickmmark #Ventilator ... #Modes #Ventilation ... #CriticalCare # ... Comparison #Management
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute ... Pulmonary Embolism ... #Pulmonary #Embolism ... #POCUS #PSAX #Echocardiogram ... #CriticalCare
β–Ί
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary ... Parasternal Long Axis Acute ... #Pulmonary #Embolism ... #POCUS #PLAX #Echocardiogram ... #CriticalCare
β–Ί
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... failure β€’ Adjust ventilator ... Suppots lungs (pulmonary ... #ECMO #Basics #management ... #pulmonary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... COPD) β€’ Other acute ... #indications #criticalcare ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Cheat Sheet An acute ... leading to increased pulmonary ... consistent with pulmonary ... #CriticalCare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... @nickmmark #Pulmonary ... Embolism #Treatment #AcutePE ... #Management #CriticalCare