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Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #coronavirus ... #sarscov2 #oxygen
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 ... Tolerating supplemental oxygen ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... due to: reduced oxygen ... delivery, increased oxygen ... types #diagnosis #management ... #criticalcare #
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... due to: reduced oxygen ... delivery, increased oxygen ... consumption, inadequate oxygen ... Types #diagnosis #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
fail” low flow oxygen ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... or dysregulated oxygen ... -> multiorgan failure ... Classification #diagnosis #management ... #Overview #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... or dysregulated oxygen ... -> multiorgan failure ... Classification #diagnosis #management ... #Overview #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
in more severe hypoxemia ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Nasal Oxygen Delivery ... Devices Nasal ... hypoxemic respiratory failure ... #management #pulmonary ... #criticalcare