16 results
Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Protocol Acute Respiratory ... Distress Syndrome ... NIH NHLBI ARDS Clinical ... Network #Management ... #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
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
maneuver on the ventilator ... effort to trigger a ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm ... the mechanical ventilation ... Also, a low threshold ... support #COVID19 #management ... #schema #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... blow off” CO2 in a ... #Management #CriticalCare ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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 ... hypoxia #failure #algorithm
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... known clinical insult ... consistent with pulmonary ... #Distress #Syndrome ... Criteria #Diagnosis #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Distress Syndrome ... – ARDS: Clinical ... <300mmHg with a ... #CriticalCare
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 ... Society of Critical ... Guidelines #respiratory ... #schema #criticalcare ... hypoxia #failure #algorithm
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
meningococcal, H1N1) Clinical ... Onset: Few days to a ... Guillain-Barre Clinical ... patients) • Respiratory ... #diagnosis #management