11 results
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
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Norepinephrine (NE ... where ↑ HR is not ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
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
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... sparing of the area next ... #Clinical #Radiology ... CTChest #Nodular #Pattern ... #Comparison #Table
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
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
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... Berlin Criteria met ... CVP, left heart failure ... hematology #diagnosis #comparison ... #table
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
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
are typically able ... cannot, coronary ischemia ... #diagnosis #algorithm ... echocardiogram #management #clinical ... #criticalcare #