6 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #indications #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
respiratory support ... pneumonia vs. heart failure ... blow off” CO2 in a ... #Management #CriticalCare ... RespiratorySupport #Selection #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 ... management #schema #criticalcare ... #hypoxia #failure
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 ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
Rapoport-Leubering pathway away ... shifts the oxygen dissociation ... failure. ... the hemoglobin dissociation ... pathophysiology #pulmonary
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Proning is a ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm