12 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
-19 #respiratory ... #support #COVID19 ... #management #schema ... #criticalcare # ... hypoxia #failure
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 ... Guidelines #respiratory ... #management #schema ... #criticalcare # ... hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... respiratory support ... #management #schema ... #criticalcare # ... hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... @emupdates #respiratory ... #management #schema ... #criticalcare # ... hypoxia #failure
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... oxygenator • Assess ... #Basics #management ... #pulmonary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #indications #criticalcare ... #management
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... blood, pumping it across ... hypoxemia/mixed respiratorv ... failure used as ... Oxygenation #diagnosis #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... leading to increased pulmonary ... overload with heart failure ... assessment“ (e.g. echo ... #CriticalCare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... causing heart failure ... Consider repeat echo ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
New-onset Heart Failure ... Cerebral > Splenic, pulmonary ... cultures • 2D Echo ... Endocarditis #diagnosis #management ... #cardiology