Dr. Priyanka Teckchandani @DrTeck
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GrepMed Pulmonary and Critical Care Editor - Academic Hospitalist UC Davis Medical Center Internal Medicine, Pulmonary and Critical Care Medicine Fellow UC Irvine ‘22
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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... HRCT = high-resolution ... lung disease; IPF ... pneumonitis #IPF ... #UIP #Algorithm
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Auto-PEEP What ... is Auto-PEEP? ... = intrinsic PEEP ... When does Auto-PEEP ... e.g. asthma), or high
The pathogenesis of idiopathic pulmonary fibrosis. 1 – In an initiating phase, there is lung alveolar
dominates – driven by high ... myofibroblasts that express high ... #IPF #Pathophysiology
Titrating PEEP in ARDS
Key Principles:
1) The ideal PEEP optimizes alveolar recruitment and reduces atelectrauma, while minimizing
Titrating PEEP in ... 1) The ideal PEEP ... to monitor with PEEP ... 4) Optimal PEEP ... frequently 5) High-PEEP
Chattering on ECMO
What is chattering? If you look closely at this video clip, the tubing is
If you look closely ... pressure (which is high