18 results
Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Acute Respiratory ... NIH NHLBI ARDS Clinical ... Network #Management ... #CriticalCare # ... #Mechanical #Ventilation
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
of baseline Treatments ... Prednisone • NIPPV ... #Exacerbation #CriticalCare ... #mechanical #management ... #treatment
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
Positive Pressure Ventilation ... Management via ... #COVID19FOAM #clinical ... #treatment #NIPPV ... CPAP #BPAP #HFNC #respiratory
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... hair) • Risk Of Clinical ... #indications #criticalcare ... #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... ventilation, most ... support #COVID19 #management ... #schema #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... and difficult mask ... Parameters • Respiratory ... #Management #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
filter • N95 mask ... ideal) Invasive Mechanical ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial of NIPPV ... Society of Critical ... Guidelines #respiratory ... #schema #criticalcare ... hypoxia #failure #algorithm
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
- Algorithm Setting ... • Optimize mechanics ... steroids & NMB • Respiratory ... #CriticalCare # ... Management