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Flowchart for Choosing Respiratory Support - Hypoxia

M. Daniyal Hashmi, MD @MDaniyalHashmi1

#Flowchart #Respiratory #Support #Hypoxia #Management #Algorithm
Support - Hypoxia ... #Flowchart #Respiratory ... #Support #Hypoxia ... #Management #Algorithm ... #Differential #
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
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Algorithm Stridor ... #Hypoxia #differential ... #Algorithm #rapid ... #pulmonary
Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm ... First draft of a ... and giving them a ... #Respiratory #Support ... #Management #SARSCOV2
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
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Left Shunt - Anatomic ... Intracardiac, Pulmonary ... #Hypoxia #hypoxemia ... #differential #
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 ... Society of Critical ... Guidelines #respiratory ... #failure #algorithm
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... , defecation) Respiratory ... : • Pulmonary ... Embolism • Hypoxia
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... • Proning is a ... Internet Book of Critical ... support #COVID19 #management ... #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... Also, a low threshold ... support #COVID19 #management ... #criticalcare #hypoxia