28 results
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
A Non-Invasive approach ... to Respiratory Failure ... Settings • CHF / Pulmonary ... • Pneumonia or ARDS ... #management #hypoxia
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
: Clinical Cheat ... congestion with hypoxemia ... <300mmHg with a ... overload with heart failure ... #CriticalCare
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 ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Left Shunt - Anatomic ... Intracardiac, Pulmonary ... : Atelectasis, ARDS ... #Hypoxia #hypoxemia ... #differential #
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
ARDS/VALI progression ... course of 1 week (a) ... structures help in the differential ... oedema due to heart failure ... #Clinical #Radiology
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
known clinical insult ... consistent with pulmonary ... lung collapse, or pulmonary ... severity of the hypoxemia ... Criteria #Diagnosis #CriticalCare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Also, a low threshold ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
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 ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
- PseudoARDS A ... PROSEVA trial (figure ... persistent severe hypoxemia ... #Management #CriticalCare ... #Algorithm #PROSEVA
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... utilization, or a ... types #diagnosis #management ... #criticalcare # ... differential