10 results
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... filter, NO manual ventilations ... , RSI, use VL, discuss ... #CriticalCare # ... Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... dz) • Pt is DNI ... #indications #criticalcare ... #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... the mechanical ventilation ... us believe that intubation ... #management #schema ... #criticalcare #
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Video scope, LMA, Ventilator ... o Approach: RSI ... / DSI / Awake ... MANAGEMENT o ... #checklist #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... Other causes of respiratory ... failure, DNI status ... #diagnosis #management
COVID-19 Patient Intubation Checklist and Supplies

Intubation Equipment List
 • Appropriately sized tracheal tube with subglottic suction
COVID-19 Patient ... Induction drugs for RSI ... punps Rescue Devices ... dr_imranahmad #COVID19 ... #Supplies #CriticalCare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Oxygen Delivery Devices ... In hypoxemic respiratory ... rate of requiring intubation ... #management #pulmonary ... #criticalcare
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... Minimize Exposure Respiratory ... or to setup the ventilator ... #Assignments #Management ... #CriticalCare #
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Video scope, LMA, Ventilator ... o Approach: RSI ... / DSI / Awake ... MANAGEMENT o ... #checklist #criticalcare
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... by either intubation ... Severity Index (PSI ... evidence) • PSI ... #treatment #Pulmonary