16 results
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Nasal Oxygen Delivery ... rate of requiring intubation ... nickmmark #Nasal #Oxygen ... Devices #management #pulmonary ... #criticalcare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
for endotracheal intubation ... Tolerating supplemental oxygen ... for endotracheal intubation ... Guidelines #respiratory ... management #schema #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... exacerbation (cardiogenic pulmonary ... indication for intubation ... #indications #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... fail” low flow oxygen ... us believe that intubation ... @emupdates #respiratory ... management #schema #criticalcare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... lung collapse, or pulmonary ... of arterial oxygen ... fraction of inspired oxygen ... Criteria #Diagnosis #CriticalCare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... PPI Oxygen Therapy ... diagnosis #Management #treatment ... #criticalcare
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
2 (or complete respiratory ... Start supplemental oxygen ... #Exacerbation #treatment ... #pulmonary
High Flow Nasal Cannula
Putative beneficial mechanisms of high flow nasal cannula (HFNC) 
oxygen therapy. EELV, end-expiratory
cannula (HFNC) oxygen ... EELV, end-expiratory ... oxygen fraction ... #mechanisms #criticalcare ... #management #pulmonary
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Pseudo-hemoptysis = upper respiratory ... Diagnosis #Management #treatment ... #workup #pulmonary ... #criticalcare
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
ventilation by either intubation ... (LR + 2.1) • Oxygen ... procalcitonin level Treatment ... Diagnosis #Management #treatment ... #Pulmonary #Community