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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BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... pressure supports the work ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... patient's diagnosis (e.g ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel
β–Ί
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... patients (ie., CHF ... status β€’ Won't Work ... #indications #criticalcare ... #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... lungs - Consider BiPAP ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
dose paralytic (e.g ... Stuff β€’ Video ... include: β€’ BiPΓ…P ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... early HFNC or BiPAP ... oral secretions (e.g ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
May have typical HF ... Management during ... Contraception counseling should ... started, patients should ... #cardiology #treatment
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Bradycardia in theatre should ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
pressures β€’ Decreases work ... Supports oxygenation BIPAP ... ventilation β€’ Should ... for barotrauma (eg ... #Ventilation #management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
neuroprotection techniques should ... Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... #Workup