15 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 ... Guidelines #respiratory ... #schema #criticalcare ... #algorithm #survivingsepsis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Hypoventilation Syndrome ... Left Shunt - Anatomic ... Hepatopulmonary Syndrome ... #Hypoxia #hypoxemia
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Onset: Few days to a ... Clinical Features ... patients) • Respiratory ... #management #treatment
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm ... Also, a low threshold ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... • Proning is a ... support #COVID19 #management ... #schema #criticalcare ... #algorithm
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... known clinical insult ... consistent with pulmonary ... severity of the hypoxemia ... Criteria #Diagnosis #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... – ARDS: Clinical ... congestion with hypoxemia ... <300mmHg with a ... #CriticalCare
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
positional dyspnea and hypoxemia ... observe how the respiratory ... #PhysicalExam #clinical ... video #breathing #respiratory ... #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... initiate breath, Anatomic ... hair) • Risk Of Clinical ... #indications #criticalcare ... #management
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... transplantation CLINICAL ... extremity, facial, respiratory ... #Syndrome #diagnosis ... #management #neurology