8 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
us believe that intubation ... #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
COVID-19 Hypoxia ... Management Indication ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart Failure ... Valvular Disease, Mechanical ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Consider BiPAP (vS intubation ... present Rx 6 — Mechanical ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Decompensated CHF ... • Obstructive: Pulmonary ... #algorithm #treatment ... #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
ideal) Invasive Mechanical ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... with presence of pulmonary ... #differential #algorithm ... #heartfailure #chf ... #criticalcare #