Archive

Tag: NIV

I Love Me Some High-Dose NTG and NIV for SCAPE

Background: Hypertensive acute heart failure is a subgroup of acute congestive heart failure (CHF) patients.  Physiologically there is increased afterload and decreased venous capacitance both leading to fluid shifts resulting in pulmonary vascular congestion.  Sympathetic crashing acute pulmonary edema (SCAPE) …

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Cardiovascular

COVID-19 NIV: Helmet vs Mask

Background: Over the past few weeks there has been a shift in the management of critically ill COVID-19 patients.  Many seem to have moved away from an intubate early strategy to the use of high flow nasal cannula (HFNC) and …

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Thoracic and Respiratory

Is All Oxygen Created Equal?

Background: Oxygen therapy is frequently used in the emergency department for the treatment of hypoxia and respiratory failure and can be delivered in a variety of ways. Conventional oxygen therapy (COT) via nasal cannula is often a first line treatment, …

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Thoracic and Respiratory

REBEL Cast Ep 46a – Respiratory Failure and NIV with Haney Mallemat

Imagine you have a patient in respiratory failure sitting right in front of you. The patient has an increased work of breathing and obviously in distress.  Monitors are beeping, nurses are asking you what you want to do, and if …

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Thoracic and Respiratory

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