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Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
Graded Oxygen Administration ... in COVID-19 #respiratory ... support #COVID19 #management ... #schema #criticalcare ... coronavirus #sarscov2 #oxygen
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
Oxygen Delivery ... Device: Face Tent ... Delivery #Systems #respiratory ... support #devices #management ... #pulmonary #comparison
Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Protocol Acute Respiratory ... Clinical Network #Management ... #CriticalCare # ... GrepMed Recommended Text
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 Management ... Tolerating supplemental oxygen ... Guidelines #respiratory ... support #COVID19 #management ... #schema #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... fail” low flow oxygen ... @emupdates #respiratory ... support #COVID19 #management ... #schema #criticalcare
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery ... x RR and Peak Inspiratory ... patient's peak inspiratory ... Devices #Flow #Comparison ... #management #criticalcare
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
Oxygen Delivery ... Devices - Comparison ... FiO2) • Face tent ... iMedEducation #Oxygen ... table #pulmonary #criticalcare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Nasal Oxygen Delivery ... In hypoxemic respiratory ... nickmmark #Nasal #Oxygen ... Delivery #Devices #management ... #pulmonary #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
and controlled oxygen ... Neuromuscular disease - Respiratory ... BiPAP #Algorithm #criticalcare ... #management #indications
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... FiO2 35-50% Face Tent ... small valve to mix oxygen ... Delivery #Devices #management ... #pulmonary #criticalcare