8 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial of NIPPV ... #respiratory #support ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Decompensated CHF ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Algorithm in COVID19 ... patients with COVID lung ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - ... 1 — Treat the lungs ... Mechanical circulatory support ... #Checklist #CHF
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
for respiratory support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... are excellent at evaluating ... even mechanical support ... #heartfailure #chf ... #criticalcare #