18 results
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult mask ventilation ... vs. intubation ... of spontaneous ventilation ... airway #algorithm #Anesthesiology ... #Anesthesia #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation ... CHF, decreases intubation ... intrathoracic procedure ... PositivePressure #Ventilation ... #indications #criticalcare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... Setting up for extubation ... long lasting pain meds ... nickmmark #Weaning #Ventilator ... #CriticalCare #
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... filter, NO manual ventilations ... MEDS & EQUIPMENT ... Protected #Airway #Intubation ... Checklist #COVID19 #CriticalCare
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Video scope, LMA, Ventilator ... /INDUCTION o Position ... Sedation plan o Ventilator ... #checklist #criticalcare ... airway #management #procedure
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Procedure • Most ... cuff prior to ventilation ... Post-procedure ... SARSCoV2 #Management #CriticalCare
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... or to setup the ventilator ... the expected PPE procedures ... Coordinates the post-procedural ... Assignments #Management #CriticalCare
REVISE - Withholding Pantoprazole for Stress Ulcer Prophylaxis in Critically Ill Patients: A Pilot Randomized Clinical
Clinical Trial and Meta-Analysis ... inhibitors on ventilator-associated ... #Prophylaxis #CriticalCare ... VisualAbstract #EBM
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
fried/fatty) and meats ... undergoing Elective Procedures ... Anesthesiology. ... Hours #Timeline #EBM
Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients

JAMA. 2017;317(5):483-493 https://jamanetwork.com/journals/jama/fullarticle/2598718

Conclusions: Among
First-Pass Orotracheal Intubation ... ICU requiring intubation ... Laryngoscopy #Direct #CriticalCare ... #Anesthesiology ... #Success #EBM #