SlideShare a Scribd company logo

Acute Respiratory Failure

•Download as PPT, PDF•
•
Dang Thanh Tuan
Dang Thanh Tuan
Health & Medicine
1 of 57
ACUTE RESPIRATORY FAILURE ,[object Object],[object Object],[object Object],[object Object]
ARF-DEFINITION (Campbell 1960-BRMEDJ. 19651:1451) ,[object Object],[object Object]
ARF-CAUSES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CAUSES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NORMAL GAS EXCHANGE ,[object Object],[object Object],[object Object],[object Object]
 
DECREASED MIXED VENOUS O 2 SATURATION (SvO 2 ) ,[object Object],[object Object]
MIXED VENOUS DESATURATION ,[object Object],[object Object],[object Object]
DIFFUSION ,[object Object],[object Object],[object Object],[object Object],[object Object]
SHUNT ,[object Object],[object Object],[object Object],[object Object],[object Object]
V/Q MISMATCHING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESPIRATORY EXCHANGE RATIO ,[object Object],[object Object],[object Object],[object Object]
A-a O2 DIFFERENCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A-a DIFFERENCE ,[object Object],[object Object],[object Object],[object Object],[object Object]
A-a O2 DIFFERENCE ,[object Object],[object Object]
A-a GRADIENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
RESPIRATORY FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object]
HYPOXEMIC RESPIRATORY FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object]
HYPOXEMIC RESPIRATORY FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPOXEMIC RESPIRATORY FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object]
HYPOXEMIC OR HYPERCAPNEIC (HYPERCARBIC) ,[object Object],[object Object]
IMPAIRED DIFFUSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERCAPNEIC RESPIRATORY FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERCAPNEIC RESPIRATORY FAILURE ,[object Object],[object Object]
HYPERCAPNEIC RESPIRATORY FAILURE (cont) ,[object Object],[object Object],[object Object],[object Object]
HYPERCAPNEA WITH O2 ADMINISTRATION ,[object Object],[object Object],[object Object],[object Object]
HYPOXEMIC & HYPOCAPNEIC RESPIRATORY FAILURE CAN OCCUR TOGETHER ,[object Object],[object Object],[object Object],[object Object]
MAKING THE DX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ABG IMPORTANT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FACTORS AFFECTING ABG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESPIRATORY FAILURE VS. RESPIRATORY INSUFFICIENCY ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARF CAN PRESENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
EARLY RECOGNITION OF ARI CAN AVERT ARF ,[object Object],[object Object],[object Object]
ARF-APPROACH ,[object Object],[object Object],[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object]
INDICATIONS FOR INTUBATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INITIAL VENT SETTINGS ,[object Object],[object Object],[object Object],[object Object]
INITIAL VENT MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
KEY DECISION ,[object Object],[object Object]
EXAMPLE OF USE OF A-a GRADIENT CALCULATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL MODES OF VENTILATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assist/Control
TYPES OF VENTILATORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POSITIVE PRESSURE VENTILATORS ,[object Object],[object Object],[object Object],[object Object],[object Object]
MECHANICAL VENTILATION ,[object Object],[object Object]
TRIGGERING MECHANISM ,[object Object],[object Object],[object Object]
PRESSURE CYCLED ,[object Object],[object Object]
COMPLIANCE ,[object Object],[object Object],[object Object]
Clinical Modes of Ventilation ,[object Object],[object Object],[object Object]
HEMODYNAMIC EFFECTS of Positive Pressure Ventilation ,[object Object],[object Object],[object Object]
TIDAL VOLUMES ,[object Object],[object Object],[object Object]
ELEVATED PEAK PRESSURE ,[object Object],[object Object]
PLATEAU PRESSURE (occlude expiratory port at end inspiration, relaxed PT) ,[object Object]
EFFECTIVE RESPIRATORY COMPLIANCE ,[object Object],[object Object]
NONINVASIVE POSITIVE PRESSURE VENTILATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NONINVASIVE POSITIVE PRESSURE VENTILATION (CONTINUED) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 

Recommended

Management of Respiratory Failure
Management of Respiratory FailureManagement of Respiratory Failure
Management of Respiratory Failure
yuyuricci
 
Ards
ArdsArds
Ards
imran80
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
Dr Spandana Kanaparthi
 
Mech Vent monitoring
Mech Vent monitoringMech Vent monitoring
Mech Vent monitoring
Alric Mondragon
 
Systemic oxygenation
Systemic oxygenationSystemic oxygenation
Systemic oxygenation
Dr fakhir Raza
 
Pathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failurePathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failure
Andrew Ferguson
 
13 respiratory failure
13 respiratory failure13 respiratory failure
13 respiratory failure
internalmed
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
BipulBorthakur
 

Recommended

Management of Respiratory Failure
Management of Respiratory FailureManagement of Respiratory Failure
Management of Respiratory Failure
yuyuricci
 
Ards
ArdsArds
Ards
imran80
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
Dr Spandana Kanaparthi
 
Mech Vent monitoring
Mech Vent monitoringMech Vent monitoring
Mech Vent monitoring
Alric Mondragon
 
Systemic oxygenation
Systemic oxygenationSystemic oxygenation
Systemic oxygenation
Dr fakhir Raza
 
Pathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failurePathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failure
Andrew Ferguson
 
13 respiratory failure
13 respiratory failure13 respiratory failure
13 respiratory failure
internalmed
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
BipulBorthakur
 
Mechanical Ventilation for severe Asthma
Mechanical Ventilation for severe AsthmaMechanical Ventilation for severe Asthma
Mechanical Ventilation for severe Asthma
Dr.Mahmoud Abbas
 
Asthma and anesthesia
Asthma and anesthesiaAsthma and anesthesia
Asthma and anesthesia
Sundas Aftab
 
Weaning from mechanical ventilation
Weaning from mechanical ventilationWeaning from mechanical ventilation
Weaning from mechanical ventilation
alaa eldin elgazzar
 
Patho Physiology And Icu Management Of Septic Shock
Patho Physiology And Icu Management Of Septic ShockPatho Physiology And Icu Management Of Septic Shock
Patho Physiology And Icu Management Of Septic Shock
chandra talur
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic management
Kanika Chaudhary
 
Conv. ventilation physi
Conv. ventilation physiConv. ventilation physi
Conv. ventilation physi
samirelansary
 
hypercarbia
hypercarbia hypercarbia
hypercarbia
drsauravdas1977
 
Capnography
CapnographyCapnography
Capnography
larryide
 
Ards and ventilator management
Ards and ventilator managementArds and ventilator management
Ards and ventilator management
Amr Elsharkawy
 
Ventilation strategies in ards rachmale
Ventilation strategies in ards rachmaleVentilation strategies in ards rachmale
Ventilation strategies in ards rachmale
Dang Thanh Tuan
 
Anaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeriesAnaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeries
Gopan Gopalakrisna Pillai
 
mechanical ventillator weaning
mechanical ventillator weaningmechanical ventillator weaning
mechanical ventillator weaning
KIMRNBSN
 
Prone ventilation
Prone ventilationProne ventilation
Prone ventilation
RamanGhimire3
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
MEEQAT HOSPITAL
 
Oxygen cascade
Oxygen cascadeOxygen cascade
Oxygen cascade
bibpaul
 
Approach to hypoxemia
Approach to hypoxemiaApproach to hypoxemia
Approach to hypoxemia
Dr. Kaliprasanna chatterjee
 
Ventilatory management in obstructive airway diseases
Ventilatory management in obstructive airway diseasesVentilatory management in obstructive airway diseases
Ventilatory management in obstructive airway diseases
Vitrag Shah
 
Raj care laryngospasm ppt
Raj care laryngospasm pptRaj care laryngospasm ppt
Raj care laryngospasm ppt
dr rajkumarr titarmare
 
Acute respiratory distress syndrome
Acute respiratory distress syndromeAcute respiratory distress syndrome
Acute respiratory distress syndrome
Kiran Bikkad
 
Mechanical ventilation of bronchial asthma, is it a real dilemma
Mechanical ventilation of bronchial asthma, is it a real dilemmaMechanical ventilation of bronchial asthma, is it a real dilemma
Mechanical ventilation of bronchial asthma, is it a real dilemma
Mohammad Samak
 
Cerebral malaria
Cerebral malariaCerebral malaria
Cerebral malaria
moses owiti
 
Cerebral malaria
Cerebral malariaCerebral malaria
Cerebral malaria
sankalpgmc8
 

More Related Content

What's hot

Patho Physiology And Icu Management Of Septic Shock
Patho Physiology And Icu Management Of Septic ShockPatho Physiology And Icu Management Of Septic Shock
Patho Physiology And Icu Management Of Septic Shock
chandra talur
 
Ventilation strategies in ards rachmale
Ventilation strategies in ards rachmaleVentilation strategies in ards rachmale
Ventilation strategies in ards rachmale
Dang Thanh Tuan
 

What's hot (20)

Mechanical Ventilation for severe Asthma
Mechanical Ventilation for severe AsthmaMechanical Ventilation for severe Asthma
Mechanical Ventilation for severe Asthma
 
Asthma and anesthesia
Asthma and anesthesiaAsthma and anesthesia
Asthma and anesthesia
 
Weaning from mechanical ventilation
Weaning from mechanical ventilationWeaning from mechanical ventilation
Weaning from mechanical ventilation
 
Patho Physiology And Icu Management Of Septic Shock
Patho Physiology And Icu Management Of Septic ShockPatho Physiology And Icu Management Of Septic Shock
Patho Physiology And Icu Management Of Septic Shock
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic management
 
Conv. ventilation physi
Conv. ventilation physiConv. ventilation physi
Conv. ventilation physi
 
hypercarbia
hypercarbia hypercarbia
hypercarbia
 
Capnography
CapnographyCapnography
Capnography
 
Ards and ventilator management
Ards and ventilator managementArds and ventilator management
Ards and ventilator management
 
Ventilation strategies in ards rachmale
Ventilation strategies in ards rachmaleVentilation strategies in ards rachmale
Ventilation strategies in ards rachmale
 
Anaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeriesAnaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeries
 
mechanical ventillator weaning
mechanical ventillator weaningmechanical ventillator weaning
mechanical ventillator weaning
 
Prone ventilation
Prone ventilationProne ventilation
Prone ventilation
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
 
Oxygen cascade
Oxygen cascadeOxygen cascade
Oxygen cascade
 
Approach to hypoxemia
Approach to hypoxemiaApproach to hypoxemia
Approach to hypoxemia
 
Ventilatory management in obstructive airway diseases
Ventilatory management in obstructive airway diseasesVentilatory management in obstructive airway diseases
Ventilatory management in obstructive airway diseases
 
Raj care laryngospasm ppt
Raj care laryngospasm pptRaj care laryngospasm ppt
Raj care laryngospasm ppt
 
Acute respiratory distress syndrome
Acute respiratory distress syndromeAcute respiratory distress syndrome
Acute respiratory distress syndrome
 
Mechanical ventilation of bronchial asthma, is it a real dilemma
Mechanical ventilation of bronchial asthma, is it a real dilemmaMechanical ventilation of bronchial asthma, is it a real dilemma
Mechanical ventilation of bronchial asthma, is it a real dilemma
 

Viewers also liked

Microalbuminuria
MicroalbuminuriaMicroalbuminuria
Microalbuminuria
mondy19
 

Viewers also liked (13)

Cerebral malaria
Cerebral malariaCerebral malaria
Cerebral malaria
 
Cerebral malaria
Cerebral malariaCerebral malaria
Cerebral malaria
 
Acute Left Ventricular Failure
Acute Left Ventricular FailureAcute Left Ventricular Failure
Acute Left Ventricular Failure
 
Acute respiratory failure
Acute respiratory failureAcute respiratory failure
Acute respiratory failure
 
Cerebral Malaria
Cerebral Malaria Cerebral Malaria
Cerebral Malaria
 
Microalbuminuria
MicroalbuminuriaMicroalbuminuria
Microalbuminuria
 
Angina pectoris
Angina pectorisAngina pectoris
Angina pectoris
 
Left Ventricular Failure: Heart Failure
Left Ventricular Failure: Heart FailureLeft Ventricular Failure: Heart Failure
Left Ventricular Failure: Heart Failure
 
Angina pectoris
Angina pectorisAngina pectoris
Angina pectoris
 
Angina pectoris
Angina pectorisAngina pectoris
Angina pectoris
 
Management of acute lvf
Management of acute lvfManagement of acute lvf
Management of acute lvf
 
Cardiac tamponade
Cardiac tamponade Cardiac tamponade
Cardiac tamponade
 
Acute left ventricular failure
Acute left ventricular failureAcute left ventricular failure
Acute left ventricular failure
 

Similar to Acute Respiratory Failure

Pa O2 How Low Can You Go
Pa O2 How Low Can You GoPa O2 How Low Can You Go
Pa O2 How Low Can You Go
azrifki
 
5)VENTILATORY MANAGEMANT OF ARDS.pptx
5)VENTILATORY MANAGEMANT OF ARDS.pptx5)VENTILATORY MANAGEMANT OF ARDS.pptx
5)VENTILATORY MANAGEMANT OF ARDS.pptx
Raj Kumar
 
Oxygen Therapy 1205496568618301 4
Oxygen Therapy 1205496568618301 4Oxygen Therapy 1205496568618301 4
Oxygen Therapy 1205496568618301 4
Guido Matucci
 
Adjuncts in treatment of ards singh
Adjuncts in treatment of ards singhAdjuncts in treatment of ards singh
Adjuncts in treatment of ards singh
Dang Thanh Tuan
 
Abg By Faruk Cfh
Abg By Faruk CfhAbg By Faruk Cfh
Abg By Faruk Cfh
guest3f4099
 
Mechanical ventilation in COPD Asthma drtrc
Mechanical ventilation in COPD Asthma drtrcMechanical ventilation in COPD Asthma drtrc
Mechanical ventilation in COPD Asthma drtrc
chandra talur
 
Acute respiratory distress syndrome
Acute respiratory distress syndromeAcute respiratory distress syndrome
Acute respiratory distress syndrome
Ahad Lodhi
 

Similar to Acute Respiratory Failure (20)

Pa O2 How Low Can You Go
Pa O2 How Low Can You GoPa O2 How Low Can You Go
Pa O2 How Low Can You Go
 
5)VENTILATORY MANAGEMANT OF ARDS.pptx
5)VENTILATORY MANAGEMANT OF ARDS.pptx5)VENTILATORY MANAGEMANT OF ARDS.pptx
5)VENTILATORY MANAGEMANT OF ARDS.pptx
 
Oxygen Therapy 1205496568618301 4
Oxygen Therapy 1205496568618301 4Oxygen Therapy 1205496568618301 4
Oxygen Therapy 1205496568618301 4
 
ARDS - principles of mechanical ventilation
ARDS - principles of mechanical ventilationARDS - principles of mechanical ventilation
ARDS - principles of mechanical ventilation
 
Part 2 respiratory physiology
Part 2 respiratory physiologyPart 2 respiratory physiology
Part 2 respiratory physiology
 
Respiratory failure in children
Respiratory failure in childrenRespiratory failure in children
Respiratory failure in children
 
Adjuncts in treatment of ards singh
Adjuncts in treatment of ards singhAdjuncts in treatment of ards singh
Adjuncts in treatment of ards singh
 
Ards
ArdsArds
Ards
 
Abg By Faruk Cfh
Abg By Faruk CfhAbg By Faruk Cfh
Abg By Faruk Cfh
 
Acute Respiratory Failure; Pediatrics 2018
Acute Respiratory Failure; Pediatrics 2018Acute Respiratory Failure; Pediatrics 2018
Acute Respiratory Failure; Pediatrics 2018
 
acute respiratory distress syndrome
acute respiratory distress syndromeacute respiratory distress syndrome
acute respiratory distress syndrome
 
Mechanical ventilation in COPD Asthma drtrc
Mechanical ventilation in COPD Asthma drtrcMechanical ventilation in COPD Asthma drtrc
Mechanical ventilation in COPD Asthma drtrc
 
Ards
ArdsArds
Ards
 
PATHOGENESIS AND MANAGEMENT OF ARDS-2.pptx
PATHOGENESIS AND MANAGEMENT OF ARDS-2.pptxPATHOGENESIS AND MANAGEMENT OF ARDS-2.pptx
PATHOGENESIS AND MANAGEMENT OF ARDS-2.pptx
 
Respiratory failure Concepts with sample mcqs
Respiratory failure Concepts with sample mcqs Respiratory failure Concepts with sample mcqs
Respiratory failure Concepts with sample mcqs
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
 
Acute respiratory distress syndrome
Acute respiratory distress syndromeAcute respiratory distress syndrome
Acute respiratory distress syndrome
 
Ards
ArdsArds
Ards
 
Respiratory failure and the acute respiratory distress syndrome (and shock)
Respiratory failure and the acute respiratory distress syndrome (and shock) Respiratory failure and the acute respiratory distress syndrome (and shock)
Respiratory failure and the acute respiratory distress syndrome (and shock)
 
Effects of cpb on lungs
Effects of cpb on lungsEffects of cpb on lungs
Effects of cpb on lungs
 

More from Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnSutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
Dang Thanh Tuan
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnSmoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
Dang Thanh Tuan
 
Skippen chong dong crrt-vn
Skippen chong dong crrt-vnSkippen chong dong crrt-vn
Skippen chong dong crrt-vn
Dang Thanh Tuan
 
Internet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnInternet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
Dang Thanh Tuan
 
Internet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnInternet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
Dang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnInternet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
Dang Thanh Tuan
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnInternet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
Dang Thanh Tuan
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnGoldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
Dang Thanh Tuan
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnGambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
Dang Thanh Tuan
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
Dang Thanh Tuan
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
Dang Thanh Tuan
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
Dang Thanh Tuan
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
Dang Thanh Tuan
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
Dang Thanh Tuan
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
Dang Thanh Tuan
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
Dang Thanh Tuan
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
Dang Thanh Tuan
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
Dang Thanh Tuan
 
12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
Dang Thanh Tuan
 

More from Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnSutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnSmoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
 
Skippen chong dong crrt-vn
Skippen chong dong crrt-vnSkippen chong dong crrt-vn
Skippen chong dong crrt-vn
 
Internet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnInternet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
 
Internet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnInternet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnInternet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnInternet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnGoldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnGambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
 
12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
 

Recently uploaded

Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Inaaya Sharma
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
parulsinha
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
Sheetaleventcompany
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
khalifaescort01
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
chennailover
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Ishani Gupta
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
chandars293
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
GENUINE ESCORT AGENCY
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Sheetaleventcompany
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Anamika Rawat
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
khalifaescort01
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
BhumiSaxena1
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
parulsinha
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
jennyeacort
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
parulsinha
 

Recently uploaded (20)

Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510
 

Acute Respiratory Failure

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.  
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.  
  • 57.