12 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... patients #iSTAR #Algorithm ... ventilation #obese #Management ... #CriticalCare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... intubated and mechanically ... disease and not the mechanical ... support #COVID19 #management ... #schema #criticalcare
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
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 ... CONSIDER: a trial ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
: BiPAP, Brief trial ... Mechanical Ventilation ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... ideal) Invasive Mechanical ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
Approach to ARDS ... on the PROSEVA trial ... Initial management ... #Management #CriticalCare ... #Algorithm #PROSEVA
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Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... stenosis • Mechanical ... AFib #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... ACEi/ARBs - Hold ... medical and surgical management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Management during ... Avoid ARBs • ICD ... Consider early mechanical ... Serial TTE and close