8 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... of respiratory failure ... head/neck surgery Interfaces ... Spontaneous Time (a.k.a BiLevel ... Positive #Pressure #Ventilation
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
HFNC may be made ... pneumonia vs. heart failure ... #HFNC #HighFlow ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... mask, or helmet interface ... air trapping • Bilevel ... oxygenation BIPAP - Bilevel ... pneumomediastinum) HHFNC
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Consider HFNC Not ... tolerating HFNC ... or HFNC is not ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... Invasive Mechanical Ventilation ... lung-protective ventilation ... criticalcare #hypoxia #failure ... #algorithm
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory Failure ... capillary-alveolar interface ... hypoxemic respiratory failure ... perfusion (Q) and ventilation ... #Respiratory #Failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the mechanical ventilation ... criticalcare #hypoxia #failure ... #algorithm
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
PROSEVA trial (figure ... stabilization on the ventilator ... ARDS #PseudoARDS #Algorithm