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management diagnosis differential hypoxia respiratory support cardiology coronavirus sarscov2 acidosis anticoagulation causes ecmo empiric lactate lactic allocation basics blockade bradi
Graded Oxygen Administration in COVID-19 #respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
in COVID-19 ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #coronavirus
COVID-19 Hypoxia Management Indication for endotracheal intubation? Tolerating supplemental oxygen? Consider HFNC Not tolerating HFNC or HFNC is not available? Consider
Tolerating supplemental oxygen ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
fail” low flow oxygen ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Possible Ventilator Allocation Protocol BLUE (Exclusion criterion or SOFA > 11) - No Ventilator Provided - Use
Ventilator Allocation Protocol ... or Single organ failure ... significant organ failure ... Ventilator #Allocation #Protocol ... #COVID19 #CriticalCare
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for ... patients with COVID ... #criticalcare # ... hypoxia #failure ... #algorithm
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Hyperkalemia • Reduced oxygen ... Bradycardia • Renal failure ... • Myocardial ischemia ... • Sotalol • Propofol ... Dysautonomia • Failure
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
, - regional ischemia ... • Increased Oxygen ... • Decreased Oxygen ... Reduced Arterial Oxygen ... - Cyanide - Propofol
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Hypoxemia, Regional Ischemia ... Drugs/Toxins: - Propofol ... Systemic liver Failure ... , Renal failure, ... Differential #Diagnosis #criticalcare
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... VV- & VA-ECMO OXYGEN ... institutional protocol ... management #pulmonary #criticalcare
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
- Myocardial ischemia ... type-II myocardial ischemia ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
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