14 results
MGH Sedation protocol for mechanically ventilated COVID-19 patients

#Sedation #Analgesia #Protocol #COVID19 #CriticalCare #Treatment #MGH #Management #Coronavirus
Sedation protocol for mechanically ... ventilated COVID ... Analgesia #Protocol #COVID19 ... #CriticalCare # ... Treatment #MGH #Management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
intubated and mechanically ... disease and not the mechanical ... #management #schema ... #criticalcare # ... hypoxia #failure
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
Administration in COVID ... respiratory #support #COVID19 ... #management #schema ... #criticalcare # ... hypoxia #failure
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 ... #management #schema ... #criticalcare # ... hypoxia #failure
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... - Severe heart failure ... Obstructive (Mechanical ... DrEricStrong #Shock #Differential ... Classification #Table #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... ideal) Invasive Mechanical ... #management #schema ... #criticalcare # ... hypoxia #failure
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... • Severe heart failure ... ): • Mechanical ... uw_IMresidency #Shock #Differential ... table #comparison #criticalcare
Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
or Single organ failure ... significant organ failure ... Allocation #Protocol #COVID19 ... #CriticalCare # ... Management #Ethics
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
bradyarrhythmias • Mechanical ... hypertension • Mechanical ... types #diagnosis #management ... #criticalcare # ... differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare ... algorithm #treatment #management