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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Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Support: -The role ... support is generally ... support isn't to ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... β€’ Other acute respiratory ... Pt is DNI with indication ... #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 ... Neuromuscular disease - Respiratory ... #Algorithm #criticalcare ... #management #indications
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 ... #support #COVID19 ... #criticalcare # ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for respiratory ... support in patients ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... Indications: β€’ ... hypoxemia/mixed respiratorv ... arrest, overdose, massive ... Oxygenation #diagnosis #management
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Resuscitation & respiratory ... support - Fluid ... only if other indication ... Influenza #Checklist #Management ... #CriticalCare