33 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
in COVID-19 #respiratory ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #coronavirus
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial ... Guidelines #respiratory ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
A Non-Invasive approach ... to Respiratory ... Settings • CHF / Pulmonary ... #Failure #management ... #hypoxia #NIV
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
Simplified Airway Management Algorithm
Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Algorithm Admittedly ... the critical steps ... assumes imminent respiratory ... decompensation and failure ... #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Proning is a ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
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
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
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
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