Dr. Gerald Diaz @GeraldMD
39.3M 14.2K 7.5K
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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21 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... achieve high mean airway ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Inspiratory Positive Airway ... upper & lower airway ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... burns, Fixed upper airway ... #Algorithm #criticalcare ... #management #indications
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Inability to protect airway ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
β–Ί
Awake Tracheal Intubation (ATI)
 β€’ ATI Technique
 β€’ Ergonomics for ATI
 β€’ Managing Procedural Complications
 β€’
Complications β€’ Management ... Adults Difficult Airway ... Intubation #ATI #airway ... #criticalcare # ... algorithm #complications
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
Prednisone β€’ NIPPV: BiPAP ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... Workup β€’ General Management ... β€’ Airway Management ... treatment #workup #pulmonary ... #criticalcare
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... β€’ Assess for Pulmonary ... Operability β†’ Pulmonary ... karanpdesai #cteph #management ... #algorithm #cardiology
BiPAP Initiation Algorithm
Screen for contraindications:
 β€’ Obtundation (unarousable)
 β€’ Inability to wear a mask (wounds)
 β€’
BiPAP Initiation ... Algorithm Screen ... hemoptysis, Copious pulmonary ... amzn.to/3rEtbK8 #BiPAP ... #management