13 results
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 ... Consider Indication ... #criticalcare # ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
ETT depth may be predicted based on the patient’s height.  This has been validated among
A height-based algorithm ... by attaching a table ... aspects of post-intubation ... #Management #CriticalCare ... #Intubation #Airway
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... exacerbation (cardiogenic pulmonary ... Pt is DNI with indication ... #criticalcare # ... management
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... : 1) Indications ... for Intubation ... #pulmonary #criticalcare
COVID-19 AIRWAY MANAGEMENT ALGORITHM
1. PREPARATION
2. PRE-CHECK & PRE-BRIEF
3. PROCEDURE
4. POST CHECKS
5. DEBRIEF

Michigan Medicine @umichmedicine

#COVID19 #AIRWAY #Intubation
COVID-19 AIRWAY ... MANAGEMENT ALGORITHM ... #AIRWAY #Intubation ... #MANAGEMENT #ALGORITHM ... #Coronavirus #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... VV-ECMO • indicatons ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... #Intubation #Checklist ... #SARSCoV2 #Management ... #CriticalCare #
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology ... #indications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management