9 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... patients who “fail ... lung disease are ... us believe that intubation ... management #schema #criticalcare
Post-Intubation Package Checklist
Quick Checklist
	Waveform Capnography
	Secure the Tube Well
	Confirm Lung Protective Vent Settings
	Achieve Adequate Analgesia and Sedation
	Raise
Post-Intubation ... Package Checklist ... Well  Confirm Lung ...  Humidify the Air ... #CriticalCare #
Chest Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
Tube Placement Checklist ... Meds o Review Cxr ... ensure that the lung ... @nickmmark #ChestTube ... #Management #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... disposable cap to cover hair ... #Intubation #Checklist ... SARSCoV2 #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... CHF, decreases intubation ... exacerbation (cardiogenic pulmonary ... excess facial hair ... #indications #criticalcare
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
influenza) • CFR ... worldwide numbers) • Incubation ... symptoms Imaging • CXR ... consolidations w/ air ... #Coronavirus #CriticalCare
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... since a prior CXR ... injury to the lung ... large injury to lung ... @nickmmark #ChestTube
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
set volume of air ... for providing Lung ... match their pre-intubation ... ventilation #AC #criticalcare ... #pulmonary
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
data regarding pulmonary ... of endotracheal intubation ... Assessing ROSC during CPR ... the heart to the lung ... output state - Pulmonary