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CPAP and non-invasive ventilation (NIV)

…pressure and thereby increases ventilation and lowers the carbon dioxide. Pulmonary oedema calls for the former, a COPD exacerbation with carbon dioxide retention for the…

Acute exacerbation of COPD: quick reference

…patient with COPD. Pneumonia, heart failure, pulmonary embolism, pneumothorax and acute coronary syndrome must be actively considered [1]. Do the following early: 1. Assess airway…

🟠 Calculating Shunt Fraction (Qp/Qs) Using Echocardiography

…The shunt fraction (Qp/Qs) is a critical hemodynamic parameter used to quantify the ratio of pulmonary blood flow (Qp) to systemic blood flow (Qs)…

Coronary CT Angiography and CAD-RADS Reporting

…Myocardial ischemia and infarction Definition and Clinical Role Coronary computed tomographic angiography (CCTA) is a non invasive anatomical examination that depicts the coronary arterial lumen…

Indications and contraindications for myocardial perfusion imaging

…patients with a high to very high risk of CAD, invasive coronary angiography is the first line option. Coronary computerized tomography angiography (CCTA) is currently…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…target Doses in venous thromboembolism Treatment doses in deep vein thrombosis and pulmonary embolism differ from the atrial fibrillation doses and include an initial high…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…severe right sided failure and cardiogenic shock. The haemodynamic disturbance results from impaired right ventricular contraction and reduced forward flow through the pulmonary circulation. Consequently…

Urinary alkalinisation

…Heart failure, pulmonary oedema and other conditions with a high risk of fluid overload — a relative contraindication requiring invasive monitoring and slower administration. Significant metabolic…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…with HFpEF, acute hypertension is a frequent trigger of decompensation and may produce abrupt pulmonary oedema, sometimes requiring non invasive ventilation or intubation. Aortic disease…

Pulmonary Hypertension: Classification and Treatment Principles

…PH is defined invasively by a mean pulmonary arterial pressure (mPAP) greater than 20 mmHg. The haemodynamic phenotype is then determined using pulmonary arterial wedge…

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