67 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
in COVID-19 #respiratory ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #coronavirus
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Hypoventilation Syndrome ... #Diagnosis #Algorithm ... #Causes #Pulmonary
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
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
Hypophosphatemia and Hypoxia ... shifts the oxygen dissociation ... tissues--> Tissue hypoxia ... the hemoglobin dissociation ... #pulmonary
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 ... Guidelines #respiratory ... management #schema #criticalcare ... #algorithm #survivingsepsis
Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm ... First draft of a ... identify 'happy hypoxic ... and giving them a ... #Respiratory #Support
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Hypoventilation Syndrome ... Intracardiac, Pulmonary ... Hepatopulmonary Syndrome ... #Hypoxia #hypoxemia
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 ... #NonInvasive #Respiratory ... Failure #management #hypoxia
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... consistent with pulmonary ... severity of the hypoxemia ... #Distress #Syndrome ... Criteria #Diagnosis #CriticalCare
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