14 results
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... CONSIDER: a trial ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... Also, a low threshold ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... look for focal a-lines ... diagnostics as clinically ... indicated (e.g. echocardiogram ... #algorithm #schema
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Proning is a ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Pulmonary Embolism in COVID-19- Clot in Transit

57 year old COVID PUI  with massive RA thrombus
Pulmonary Embolism ... complicated by RV failure ... DrAmirKaki #Pulmonary ... ClotinTransit #POCUS #Echocardiogram ... #A4C #Clinical
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
needed to cause a ... - Pulmonary edema ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... leading to increased pulmonary ... <300mmHg with a ... overload with heart failure ... Diagnosis #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... acute respiratory failure ... initiate breath, Anatomic ... hair) • Risk Of Clinical ... #indications #criticalcare
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
heart strain (pulmonary ... might even see a ... Short #Axis #PSAX #echocardiogram ... #clinical #cardiology ... POCUS #labeled #anatomy
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... clinical diagnosis ... with presence of pulmonary ... #differential #algorithm ... heartfailure #chf #criticalcare