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covid19 diagnosis failure hypoxia respiratory support cardiology fibrillation noninvasive bipap bpap contraindications cpap differential evaluation guidelines nippv niv perioperative positivepressure
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 Management ... Indication for ... CONSIDER: a trial ... #schema #criticalcare ... hypoxia #failure #algorithm
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Fibrillation #Cardiology #Management ... #Algorithm
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... (< 5% pts with afibb ... Absolute warfarin indications ... #diagnosis #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... Neuromuscular disease ... #criticalcare # ... management #indications
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for ... VV-ECMO • indicatons ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... with COVID lung disease ... the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... neuromuscular disease ... exacerbation (cardiogenic pulmonary ... #criticalcare # ... management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
, Severe Valve Disease ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... the type of and indication ... days before Pulmonary ... medical and surgical management
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