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
BiPAP titration ... 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 ... HFNC #HighFlow #NIPPV
β–Ί
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... mortality, LOS NIPPV ... status β€’ Won't Work ... #criticalcare # ... management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
↓SpO2 β€’ High work ... Prednisone β€’ NIPPV ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... ventilation #mechanical #management
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
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 #
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
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
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