9 results
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 Indication ... CONSIDER: a trial ... respiratory #support #COVID19 ... #management #schema
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... light-headedness, dizziness, dyspnea ... Decompensated HF • New ischemia ... Anticoagulation ... #Cardiology #Management
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
-2, 2019 Novel Coronavirus ... worldwide numbers) • Incubation ... illness) • 20-40% dyspnea ... Cheatsheet #Diagnosis #Management ... #Summary #SARSCoV2
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
(A-Fib) Summary ... light-headedness, dizziness, dyspnea ... Decompensated HF • New ischemia ... β-blocker or CCB Anticoagulation ... AFib #diagnosis #management
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
approach to empiric anticoagulation ... in COVID-19 ... #COVID19 #management ... #schema #criticalcare ... algorithm #SARSCOV2 #Coronavirus
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... iBookCC #empiric #anticoagulation ... #COVID19 #management ... #schema #criticalcare ... algorithm #SARSCOV2 #Coronavirus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Libman Sacks) • Atrial ... Heart Failure • Dyspnea ... cause + Systemic anticoagulation ... Endocarditis #diagnosis #management
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
Cryofibrinogenemia Summary ... Infections including coronavirus ... disease 2019 (COVID ... limb and bowel ischemia ... including retinal arterial
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary ... typical HF sx: dyspnea ... Management during ... suggest prophylactic anticoagulation ... Serial TTE and close