11 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
#pocus in a ventilated patient with #covid showing:
Row 1: bilateral, diffuse ground glass (lung) rockets with
#pocus in a ventilated ... ground glass (lung ... fragmented/irregular pleural ... dopper flow #foamed ... #criticalcare
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
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 #
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Chest X-ray and lung ... (exclude other lung ... subjective dyspnea, etc ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... and exudative pleural ... effusions • Acute ... Pulmonary #diagnosis #management
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
this post will focus ... The ECF and ICF ... blood flow and perfusion ... #foamed #criticalcare ... #management #diagnosis