22 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
in COVID-19 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Tolerating supplemental oxygen ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
fail” low flow oxygen ... the mechanical ventilation ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... filter, NO manual ventilations ... , RSI, use VL, discuss ... #CriticalCare # ... Management
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
AIRBORNE ISOLATION/COVID19 ... Take Into Room Support ... Airway #Checklist #COVID19 ... #CriticalCare # ... Management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... VV- & VA-ECMO OXYGEN ... #ECMO #Basics #management ... #pulmonary #criticalcare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult mask ventilation ... deliver supplemental oxygen ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare ... #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
for respiratory support ... patients with COVID ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Video scope, LMA, Ventilator ... o Approach: RSI ... MANAGEMENT o ... #checklist #criticalcare ... #airway #management
Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
or Single organ failure ... significant organ failure ... Allocation #Protocol #COVID19 ... #CriticalCare # ... Management #Ethics