10 results
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
, overfeeding, etc ... consider draining pleural ... effusions • Improve ... Algorithm #Extubation #CriticalCare ... #Management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... and mechanically ventilated ... lung disease are ... #management #schema ... #criticalcare #
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
failure • Adjust ventilator ... oxygenator • Assess perfusion ... (eg, NIRS, SVO2 ... #ECMO #Basics #management ... #pulmonary #criticalcare
#pocus in a ventilated patient with #covid showing:
Row 1: bilateral, diffuse ground glass (lung) rockets with
#pocus in a ventilated ... patient with #covid ... ground glass (lung ... fragmented/irregular pleural ... #criticalcare
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
more info about ventilator ... unilateral* • POCUS ... numerous B-lines, pleural ... Cheatsheet #Diagnosis #Management ... #Coronavirus #CriticalCare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ensure adequate ventilation ... , traction for long ... #Shock #Management ... #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... dose paralytic (e.g ... Care @iBookCC #COVID19 ... Checklist #SARSCoV2 #Management ... #CriticalCare #
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
this post will focus ... electroneutrality in both compartments ... blood flow and perfusion ... #foamed #criticalcare ... #management #diagnosis
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
Abdominal Compartment ... APP (Abdominal Perfusion ... Abdominal Compartment ... CO) and impedes lung ... POCUS) and function
Neuromuscular Blockade (Paralytics) and Monitoring

Neuromuscular blockade caring for patients with severe ARDS and may reduce mortality.
• Improved ventilator ... patient induced lung ... by continuous infusion ... Monitoring #neurology #criticalcare ... #ARDS #management