30 results
Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm ... draft of a PROPOSED ... and giving them a ... #COVID19 #Hypoxia ... Respiratory #Support #Management
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Diagnosis Algorithm ... #Hypoxia #Differential ... #Diagnosis #Algorithm ... #pulmonary #Aa
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 ... Management Indication ... CONSIDER: a trial ... Society of Critical ... #failure #algorithm
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Algorithm Stridor ... #Hypoxia #differential ... #Algorithm #rapid ... #pulmonary
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
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Left Shunt - Anatomic ... Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary ... #Hypoxia #hypoxemia ... #differential #
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Proning is a ... Internet Book of Critical ... #management #schema ... #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 ... - CBC with differential ... diagnostics as clinically ... #algorithm #schema
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... Pulmonary arterial ... ALKI (activin A ... disease and/or hypoxia ... Classification #Diagnosis #Differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
defect (Type 1) or anatomic ... shunt (Type 2) Clinical ... upright position • Hypoxemia ... Quantifies degree of hypoxemia ... cirrhosis • Intra-pulmonary