22 results
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... in more severe hypoxemia ... • (Helmet interface ... COVID19 #management #schema ... #failure #algorithm
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... head/neck surgery Interfaces ... Spontaneous Time (a.k.a BiLevel ... Positive #Pressure #Ventilation ... indications #pulmonary #interfaces
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Diagnosis Algorithm ... V/Q Mismatch: ↓Ventilation ... #Hypoxia #Differential ... #Diagnosis #Algorithm
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Ventilation/perfusion ... #Hypoxia #Differential ... #Diagnosis #Algorithm
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
COVID19 #management #schema ... #criticalcare #hypoxia ... #failure #algorithm
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Abnormality • Hypoxia ... Hypercapnea • Hyper/HypoNa ... • Hyper/HypoCa ... Hemorrhage • Ischemia ... diagnosis #workup #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the mechanical ventilation ... COVID19 #management #schema ... #criticalcare #hypoxia ... #failure #algorithm
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
capillary-alveolar interface ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... direction leads to hypoxemia ... Respiratory #Failure #hypoxia
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... Bronchodilators/Steroids Hypoxemia ... hyperinflation, Ischemia ... Residents @mghmedres #Ventilator ... pulmonary #mechanical #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 ... COVID19 #management #schema ... #criticalcare #hypoxia ... #failure #algorithm