20 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... diseasePulmonary ... Abnormalities #Hypoxemia ... #Hypoxia #Differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Hypoxemia / Hypoxia ... asthma • Pleural disease ... atelectasis • Lung ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia ... - Workup and Management ... Reservoir • High ... #Hyperacute #Hypoxemia ... #Hypoxia #Workup
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
settings • Causes: High ... : Interstitial lung ... diseases, pulmonary ... direction leads to hypoxemia ... Respiratory #Failure #hypoxia
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Pulmonary Arterial ... • Valvular Lung ... Hypoxemia: • COPD ... • Interstitial Lung
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) ... • HypoxiaPulmonary ... hypertension Management ... Diagnosis #ECG #EKG #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
liters/minute High ... in more severe hypoxemia ... for refractory hypoxemia ... #criticalcare #hypoxia ... #failure #algorithm
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Obstructive lung ... disease, Insufficient ... Bronchodilators/Steroids Hypoxemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

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

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... patients with COVID lung ... disease are doing ... support #COVID19 #management ... #criticalcare #hypoxia