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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diagnosis noninvasive ventilation covid19 hypoxia nippv schema support bilevel bpap challenges comparison contraindications cpap differential ecmo extracorporeal fluid guidelines hfnc
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #indications #criticalcare ... #management
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... pneumonia vs. heart failure ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
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 Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... Neuromuscular disease - Respiratory ... #Algorithm #criticalcare ... #management #indications
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Other causes of respiratory ... failure, DNI status ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
COVID-19 Hypoxia Management Indication for endotracheal intubation? Tolerating supplemental oxygen? Consider HFNC Not tolerating HFNC or HFNC is not available? Consider
Indication for ... Guidelines #respiratory ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for respiratory ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
Indications: • ... hypoxemia/mixed respiratorv ... failure used as ... arrest, overdose, massive ... Oxygenation #diagnosis #management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
risk of renal failure ... Pulmonary Artery ... • PULMONARY A ... testing #diagnosis #criticalcare ... comparison #challenges #management
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