6 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... the mechanical ventilation ... us believe that intubation ... #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
COVID-19 Hypoxia ... Management Indication ... Guidelines #respiratory ... #management #schema ... criticalcare #hypoxia #failure
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #criticalcare #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... Other causes of respiratory ... failure, DNI status ... #diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... respiratory support ... patients with COVID ... #management #schema ... criticalcare #hypoxia #failure
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... , Insufficient expiratory ... hyperinflation, Ischemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical