27 results
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Hypoxemia and Dyspnea ... Diagnose using hypoxemia ... the underlying cause ... #criticalcare # ... pulmonary #Hypoxia
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Abnormalities #Hypoxemia ... #Hypoxia #Differential ... #Causes #Pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Hypoxemia / Hypoxia ... Algorithm Stridor ... asthma • Pleural disease ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Differential Diagnosis Algorithm ... Pulmonary Arterial ... and/or Hypoxemia ... #Causes
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... • AFib/AFlutter ... #causes
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 ... Society of Critical ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
in more severe hypoxemia ... for refractory hypoxemia ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
Polycythemia - Acquired Causes ... : • Hypoxia-driven ... : Cardiac/pulmonary ... disease, Smoking ... altitude habitat • Hypoxia-independent
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... and/or hypoxia ... pulmonary disease ... , Gaucher disease ... #Differential #Causes