23 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
Administration in COVID ... respiratory #support #COVID19 ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #coronavirus
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... in COVID19 The ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... insufficiency, liver failure ... OBSTRUCTIVE 2% • PE ... Cold and Dry #Shock ... #differential #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... - Severe heart failure ... flow) - Massive pulmonary ... Classification #Table #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
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 ... respiratory #support #COVID19 ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
(PE, PHTN), LV ... Failure (MI, myocarditis ... Cardiac Tamponade, Pulmonary ... anesthesia), Liver Failure ... guyton #curves #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... decompensated heart failure ... vascular → RV failure ... from massive pulmonary ... diagnosis #management #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Insufficiency, Liver Failure ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... • Severe heart failure ... tamponade, Vascular → PE ... uw_IMresidency #Shock ... table #comparison #criticalcare