11 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... haemodynamic impairment Set ... ARDSnet low-PEEP table ... • FiO2: avoid hyperoxia ... obese #Management #CriticalCare
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 ... Consider HFNC Not ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Typically set ... in more severe hypoxemia ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the disease and not ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Berlin Criteria met ... other cause of ARDS ... CVP, left heart failure ... hematology #diagnosis #comparison ... #table
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
Approach to ARDS ... PROSEVA trial (figure ... persistent severe hypoxemia ... #Management #CriticalCare ... #Algorithm #PROSEVA
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... This is not uncommon ... #differential #algorithm ... cardiology #treatment #table ... heartfailure #chf #criticalcare
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
Acute onset, Hypoxemia ... , it is judged not ... contributor to the hypoxemia ... TRALI l, and b Stable ... Criteria #pulmonary #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
risk of renal failure ... PULMONARY A vs B-LINE PATTERN ... predominant lung US pattern ... testing #diagnosis #criticalcare ... #comparison #challenges
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
Sepsis, Shock, Hypoxia ... are typically able ... Cardiology may not ... clinica l#foamed #algorithm ... #criticalcare