21 results
COVID-19 - Awake Self-Proning

Physiology of proning:
 - more homogenous ventilation
 - decrease ventral-dorsal transpulmonary pressure difference
COVID-19 - Awake ... difference - decrease lung ... 5 #proning #prone ... #awake #covid19
Step by step approach for diagnosis of pleural effusion by Lung Ultrasound

https://doi.org/10.1007/s12630-018-1062-x

#Diagnosis #POCUS #Lung #Pleural #Effusion
diagnosis of pleural effusion ... by Lung Ultrasound ... Diagnosis #POCUS #Lung ... #Pleural #Effusion ... Instructions #Steps #Algorithm
COVID-19 RESPIRATORY PATHWAY ALGORITHM
Awake proning may help with oxygenation
Permissive hypoxemia, if closely monitored and in the
RESPIRATORY PATHWAY ALGORITHM ... Awake proning ... absence of AMS/poor perfusion ... RESPIRATORY #Support #ALGORITHM
Proposed Pathophysiology of COVID19 Lung Injury

COVID19 Lung Injury model schematic based on 1) ACUTE thrombotic vascular
Pathophysiology of COVID19 Lung ... Injury COVID19 Lung ... accounting for prone ... benefit via perfusion
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Differential Diagnosis Algorithm ... Ventilation/perfusion ... Parenchymal Disease Diffusion ... • Interstitial lung ... Differential #Diagnosis #Algorithm
Awake Proning Instructions for Patients

Try to avoid lying flat on your back, instead lay on your
Awake Proning Instructions ... air into your lungs ... DO, MPH, MS #Awake ... #PatientInfo #Prone
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
the Ventilator - Algorithm ... draining pleural effusions ... Diuresis — Dry lungs ... are happy lungs ... Weaning #Ventilator #Algorithm
Dyspnea - Considerations with Malignancy
Directly Malignancy Related:
 - Lymphangitic spread to lung
 - Malignant pleural effusion
Lymphangitic spread to lung ... Malignant pleural effusion ... Malignant pericardial effusion ... - Lung metastases ... NEJMcps1414168 #dyspnea #algorithm
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural Effusion ... Differential Diagnosis Algorithm ... Pneumonectomy • Trapped lung ... 2LmUODZ #Pleural #Effusion ... Pulmonary #Diagnosis #Algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
useful to allow for lung-protective ... use conventional lung-protective ... Prone positioning ... indication for prone ... hypoxia #failure #algorithm