14 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 ... #management #schema ... #criticalcare # ... hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... Pre-Brief Checklist - COVID19 ... MEDS & EQUIPMENT ... #CriticalCare # ... Management
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Setting up for extubation ... , overfeeding, etc ... long lasting pain meds ... #CriticalCare # ... Management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... dose paralytic (e.g ... #Intubation #Checklist ... #SARSCoV2 #Management ... #CriticalCare #
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... pre-existing heart failure ... esp in work-up/management ... will also get an EKG ... diagnosis #workup #criticalcare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... changes (especially QT ... - Severe renal failure ... #Hypokalemia #Management ... #CriticalCare
Post-Intubation Pre-Departure Checklist - COVID19
1. If intubated, CONFIRM ETT PLACEMENT -> EtCO2
   - If
Post-Intubation ... Pre-Departure Checklist - COVID19 ... CONFIRM MEDS & equipment ... #CriticalCare # ... Management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Intubation ... oral secretions (e.g ... subjective dyspnea, etc ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
bradycardia. renal/liver failure ... to facilitate extubation ... SE: prolonged QTC ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management