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management diagnosis covid19 coronavirus mechanical sarscov2 ac algorithm anesthesia anesthesiology assessment assistcontrol basics bpap capnography cheatsheet cpap drains ecmo extracorporeal
Ventilator Troubleshooting Summary High PIP, nl Pplat: - DDx: Tubing problem, Bronchospasm, Secretions - Next Steps: Check
DDx: Mainstem intubation ... Next Steps: BS, CXR ... DDx: Obstructive lung ... Steps: Bag, BS, CXR ... diagnosis #management #pulmonary
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 #
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... in obstructive lung ... exacerbation (cardiogenic pulmonary ... excess facial hair ... #indications #criticalcare
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... disposable cap to cover hair ... #Checklist #SARSCoV2 ... #Management #CriticalCare
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... failure • Adjust ventilator ... (pulmonary support ... clearance (ie, ventilation ... #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
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
patients who “fail ... patients with COVID lung ... the mechanical ventilation ... us believe that intubation ... management #schema #criticalcare
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 ... #AC #criticalcare ... #pulmonary
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 ... positive pressure ventilation ... @nickmmark #ChestTube
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
capnography assesses ventilation ... Capnography measures ventilation ... of endotracheal intubation ... Assessing ROSC during CPR ... the heart to the lung
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