16 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 ... #management #schema ... criticalcare #hypoxia #failure
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Pressure Ventilation Indications ... exacerbation (↓ intubation ... of respiratory failure ... Ventilation #diagnosis #management ... #indications #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
acute respiratory failure ... Chronic respiratory failure ... Pt is DNI with indication ... for intubation ... #criticalcare #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... us believe that intubation ... #management #schema ... criticalcare #hypoxia #failure
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... Pre-Brief Checklist - COVID19 ... MEDS & EQUIPMENT ... #Checklist #COVID19 ... #CriticalCare #Management
Bronchiolitis - Lower respiratory tract (bronchioles) 

Microbiology 
 • Respiratory syncytial virus (RSV) (most commonl
pneumonia, Respiratory failure ... Management ... • Endotracheal intubation ... Bronchiolitis #Diagnosis #Management ... #Peds #Pediatrics
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... VV-ECMO • indicatons ... respiratory #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... serotoninergic medications ... serotoninergic meds ... instability: • Intubation ... Serotonin #Syndrome #Management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... Care @iBookCC #COVID19 ... #Intubation #Checklist ... #SARSCoV2 #Management
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... decompensated heart failure ... Fibrillation #AFib #RVR #Medications ... #management #treatment ... #comparison #table