32 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... mortality), Other causes ... nickmmark #NIVPPV #NonInvasive ... #diagnosis #management
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Pre-Brief Checklist ... - COVID19 1. ... filter, NO manual ventilations ... #Checklist #COVID19 ... #CriticalCare #Management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... the mechanical ventilation ... us believe that intubation ... #management #schema ... #criticalcare #hypoxia
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... Pressure Ventilation ... status • Won't Work ... @EmmGeezee #Noninvasive ... #criticalcare #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... DDx: Mainstem intubation ... Bronchodilators/Steroids Hypoxemia ... Treat underlying cause ... Troubleshooting #diagnosis #management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... Care @iBookCC #COVID19 ... #Intubation #Checklist ... #SARSCoV2 #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
bag moving OR ventilator ... exclude bronchial intubation ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Rapidly confirm ventilator ... presume oesophageal intubation ... 4 H’s, 4 T’s: Hypoxia ... #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
• Excessive insulation ... Intracranial blood • Hypoxic ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia
Evidence of fire (smoke, heat, odour, flash, flame)
Guidelines for Crises ... • Consider intubation ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup