Excellent review for cardiologists to learn #IMV in #CICU in #JACCAdvances @JACCJournals
👉 jacc.org/doi/10.1016/j.…
@andishahu @carlosalviar @seanvandiepen
#JACCEarlyCareer #CardiacCriticalCare
👉 jacc.org/doi/10.1016/j.…
@andishahu @carlosalviar @seanvandiepen
#JACCEarlyCareer #CardiacCriticalCare
🏷️ Respiratory insufficiency- primary cause for admission to CICU.
🏷️ Liberation from IMV in CICU- needs careful planning and evaluation
🏷️ Research incorporating unique CICU population will better define optimal treatment paradigms
🏷️ Liberation from IMV in CICU- needs careful planning and evaluation
🏷️ Research incorporating unique CICU population will better define optimal treatment paradigms
🏷️ SBTs physiologically demanding
🔥 prior Volume & BP optimization is key
🏷️ ongoing vasopressor use not a CI
🏷️ ensure arrhythmias quiescent
🏷️ identify respiratory failure signs during SBT
🏷️ common modalities used:
T-piece, CPAP, PS; low level PS most common in #CICU
🔥 prior Volume & BP optimization is key
🏷️ ongoing vasopressor use not a CI
🏷️ ensure arrhythmias quiescent
🏷️ identify respiratory failure signs during SBT
🏷️ common modalities used:
T-piece, CPAP, PS; low level PS most common in #CICU
🏷️ Identify reasons for SBT failure
🏷️ Understand Hemodynamic effects
PPV: ⬇️ LV/RV preload, myocardial O2 demand, LVafterload ⬆️ RV afterload
PPV -> NC: ⬆️ LV/RV preload, myocardial O2 demand, LV afterload ⬇️RV afterload
🏷️Assess Neuro status, cuff leaks, secretions, 😷
🏷️ Understand Hemodynamic effects
PPV: ⬇️ LV/RV preload, myocardial O2 demand, LVafterload ⬆️ RV afterload
PPV -> NC: ⬆️ LV/RV preload, myocardial O2 demand, LV afterload ⬇️RV afterload
🏷️Assess Neuro status, cuff leaks, secretions, 😷
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