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 ... • 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
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... opacities must not ... severity of the hypoxemia ... severity of the ARDS ... Criteria #Diagnosis #CriticalCare
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
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 ... but if you can get ... #foamed #criticalcare
Personality Disorders - Differential Diagnosis Algorithm
• Enduring pattern of experience and behaviour that deviates from cultural
Differential Diagnosis Algorithm ... • Enduring pattern ... is stable and of ... is not due to another ... Differential #Diagnosis #Algorithm
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
Approach to ARDS ... persistent severe hypoxemia ... have true ARDS ... #Management #CriticalCare ... #Algorithm #PROSEVA
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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
overdiuresis of a Wet ... This is not uncommon ... #differential #algorithm ... cardiology #treatment #table ... heartfailure #chf #criticalcare