13 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 ... patients #iSTAR #Algorithm ... 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
Society of Critical ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the disease and not ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... • Typically set ... #criticalcare # ... hypoxia #failure ... #algorithm
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... Berlin Criteria met ... other cause of ARDS ... CVP, left heart failure ... diagnosis #comparison #table
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
In ARDS, we know ... be diffuse, but not ... see heterogenous patterns ... #foamed #criticalcare ... #respiratory #clinical
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
brain-dead or brainstem failure ... briefly raising the arms ... Recovery is not ... #PhysicalExam #clinical ... video #neurology #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... just simply a clinical ... #differential #algorithm ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi/ARBs ... /crush injury, ischemia ... - Renal Failure ... Elimination (see Table ... Definitive in ESRD or failure
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
hyper-coagulable pattern ... Internet Book of Critical ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2