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management criticalcare delivery diagnosis oxygen respiratory table cardiology covid19 failure hypoxia modes pulmonary schema basics cardiogenic chf clinical dcsi detroit
Oxygen Delivery Systems Nasal Cannula: • Flow: 1 - 6 L/min • FiO2: 25 - 40% (-4%/L
40% (-4%/L of flow ... FiO2: 40 - 60% Device ... #respiratory #support ... #devices #management ... #pulmonary #comparison
Oxygen Delivery Devices 1. Flow is a variable describing the movement of a volume of gas over
Flow is a variable ... Peak Inspiratory Flow ... t, your PIFR (flow ... flow rate does ... #Flow #Comparison
Oxygen Delivery Devices - Comparison Low Flow: • Nasal cannula (1-6L, 24-40% FiO2) • Face mask (5-10L,
Oxygen Delivery Devices ... - Comparison Low ... Flow: • Nasal ... 50% FiO2) High Flow ... FiO2) • High-flow
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... flow oxygen (e.g ... #respiratory #support ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
for respiratory support ... flow nasal cannula ... liters/minute High flow ... Iimitation in the flow ... hypoxia #failure #algorithm
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
or circulatory support ... no circulatory support ... but with lower flow ... & Circulatory Support ... or destination device
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... LAB ACCESS & SUPPORT ... provide TIMI III flow ... obtain TIMI III flow ... Cardiogenic #Shock #Algorithm
What is the difference between ischemic colitis and mesenteric ischemia? A common misnomer. Mesenteric ischemia and ischemic
initial treatment algorithms ... to nonocclusive low ... flow states • ... mesentericischemia #comparison
Mechanical Ventilation: The Basics In the most basic sense, ventilator modes are defined by their control variable
88% Pressure Support ... with pressure to support ... • Flow Cycled ... until flow has ... Basics #Modes #Comparison
Overview of Ventilator Modes VC - Volume Control (a.k.a. assist control volume) - Every breath delivered (mandatory
VC., APV, Auto flow ... PS - Pressure Support ... #CriticalCare #Comparison
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