27 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
lung disease are ... Also, a low threshold ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... septa; (C) heart failure ... due to alveolar syndrome ... fibrotic alveolar syndrome ... #Clinical #Diagnosis
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
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Left Shunt - Anatomic ... Hepatopulmonary Syndrome ... Embolism, Obstructive Lung ... , Interstitial Lung
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... X-ray - Lung ultrasound ... look for focal a-lines ... diagnostics as clinically ... #algorithm #schema
COVID-19 Chest CT - Case 4

Main aspects of the image: multiple opacities in the glass and
COVID-19 Chest CT ... at times with a ... periphery of two lungs ... #SARSCoV2 #CTChest ... #Clinical #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... – ARDS: Clinical ... <300mmHg with a ... overload with heart failure ... Diagnosis #Management #CriticalCare
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
COVID-19 on Lung POCUS

Day 4 after COVID diagnosis. More cough & tiredness (very badly), still no
COVID-19 on Lung ... still no dyspnea/chest ... resolution, Left side a ... #clinical #lung ... #ultrasound #pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... known clinical insult ... chest radiograph ... lobar collapse, lung ... Criteria #Diagnosis #CriticalCare