9 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
-19 #respiratory ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure ... #algorithm #coronavirus
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... failure (ie.. asthma ... failure (ie OHS ... PositivePressure #Ventilation ... #criticalcare #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Support: -The role ... support is generally ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Noninvasive #Ventilation
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 ... Guidelines #respiratory ... #support #COVID19 ... criticalcare #hypoxia #failure
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... Other causes of respiratory ... failure, DNI status ... a.k.a BiLevel, BiPAP ... #diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
support in patients ... with COVID-19 ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... include: • BiPÅP ... • If using BiPÅP ... #SARSCoV2 #Management ... #CriticalCare #Coronavirus
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... Minimize Exposure Respiratory ... or to setup the ventilator ... equipment or to support ... #Assignments #Management