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
the patient's work ... -BiPAP should never ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation
β–Ί
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 ... #mechanical #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... status β€’ Won't Work ... #NIPPV #CPAP #BPAP ... #indications #criticalcare ... #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 #
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
pressures β€’ Decreases work ... Supports oxygenation BIPAP ... β€’ Should monitor ... for barotrauma (eg ... #management #pulmonary
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... volume, low/no PEEP ventilation ... Plan definitive management ... generally toward left shoulder ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
neuroprotection techniques should ... positive pressure ventilation ... Obtain 12-lead ECG ... and discuss with cardiology ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
You should rapidly ... bag moving OR ventilator ... consider: o Cardiac ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
from start to end should ... airway device should ... blood gas, 12-lead ECG ... ) β†’ 3-12 o Cardiac ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Tachycardia should ... bag moving OR ventilator ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... #Workup