Noninvasive Ventilation criticalcare comparison aprv management indications table mechanical hypoxia failure schema respiratory

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General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
• Typically set at

ideal) Invasive Mechanical ... strategies or APRV ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure

Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen

Proposed Respiratory ... ventilation, most ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure

Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
- Every breath delivered (mandatory

dynamically changes inspiratory ... APRV - Airway Pressure ... #CriticalCare # ... Comparison #Management ... #Mechanical

Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease

Noninvasive Positive ... Pressure Ventilation ... failure (ie OHS ... #criticalcare # ... management

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 ... Management Indication ... Guidelines #respiratory ... #schema #criticalcare ... #hypoxia #failure

Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
• Anticipate difficult airway management and

Mechanical ventilation ... ARDSnet low-PEEP table ... Parameters • Respiratory ... • FiO2: avoid hyperoxia ... #Management #CriticalCare

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