35 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
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 ... #management #schema ... #criticalcare # ... hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure
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
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Pre-Brief Checklist - COVID19 ... MEDS & EQUIPMENT ... Intubation #Checklist #COVID19 ... #CriticalCare # ... Management
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Spironolactone for Heart Failure ... cardiovascular causes ... hospitalization for the management ... of heart failure ... #HFpEF #dCHF #Cardiology
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
Deficiency in Heart Failure ... Chronic heart failure ... → Inflammation causes ... heartfailure #diagnosis #management ... #cardiology
Balloting the ETT cuff refers to exerting gentle bouncing pressure over the suprasternal notch while palpating
palpating the ETT pilot ... further to the pilot ... Thus, in some cases ... #Management #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
overload with heart failure ... there is no clear cause ... Management ● Early ... the underlying cause ... #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... respiratory #support #COVID19 ... #management #schema ... #criticalcare # ... hypoxia #failure