27 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... Gradually lower Fi02 ... recruitment • FiO2 ... desaturation prioritise FiO2 ... patients #iSTAR #Algorithm
COVID-19 ARDS - Surviving Sepsis Guidelines 
Mild - Moderate - Severe

Society of Critical Care Medicine -
COVID-19 ARDS - ... Society of Critical ... Guidelines #ARDS ... #COVID19 #management
COVID-19 patient with severe ARDS

Giuseppe Curigliano, MD, PhD @curijoey

Editor Note: Pt likely has severe underlying emphysema

#COVID19
COVID-19 patient ... with severe ARDS ... emphysema #COVID19 ... #ARDS #Severe # ... Clinical #ChestCT
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... week of a known clinical ... severity of the ARDS ... mm Hg < PaO2 / FiO2 ... >= 5cm H2O #ARDS
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... : Clinical Cheat ... or CXR ● PaO2/FiO2 ... sepsis-associated ARDS ... days after dx of ARDS
COVID-19 on Chest XRay

Shown here are chest X-rays from two recent COVID19 patients: one with a
COVID-19 on Chest ... from two recent COVID19 ... + ARDS. ... #CXR #Clinical ... #SARSCoV2 #ARDS
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... patients with PaO2/FiO2 ... Internet Book of Critical ... respiratory #support #COVID19 ... hypoxia #failure #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... Nasopharyngeal PCR for COVID ... diagnostics as clinically ... Care @iBookCC #COVID19 ... #algorithm #schema
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 ... Society of Critical ... respiratory #support #COVID19 ... hypoxia #failure #algorithm
COVID-19 Chest CT - Case 7 - This one looks like full on ARDS

Batch of COVID-19
COVID-19 Chest CT ... looks like full on ARDS ... Batch of COVID ... with fibrosis/ARDS ... SARSCoV2 #CTChest #Clinical