Dr. Gerald Diaz @GeraldMD
48.6M 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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29 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... exacerbation (cardiogenic pulmonary ... Pt is DNI with indication ... #indications #criticalcare ... #management
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... Indication for ... Consider Indication ... #schema #criticalcare ... hypoxia #failure #algorithm
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
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Pressure Ventilation Indications ... ), Cardiogenic pulmonary ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
Management of interstitial ... Therapeutic indication ... systemicsclerosis #SSc #pulmonary ... #indications #management ... #treatment #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... VV-ECMO β€’ indicatons ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Massive PE (definite indication ... Treatment #AcutePE #Management ... #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... Coagulopathy Initial Management ... : 1) Indications ... #pulmonary #criticalcare