12 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and decreases respiratory ... failure (ie.. asthma ... failure (ie OHS ... #criticalcare # ... management
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
AIRBORNE ISOLATION/COVID19 ... and is not in respiratory ... #Airway #Checklist ... #COVID19 #CriticalCare ... #Management
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Intubation Pre-Brief ... shield, bouffant cap ... MEDS & EQUIPMENT ... #COVID19 #CriticalCare ... #Management
Simplified Airway Management Algorithm
Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Management Algorithm ... assumes imminent respiratory ... decompensation and failure ... of progressive intubation ... #CriticalCare
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 ... #criticalcare # ... hypoxia #failure
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... Other causes of respiratory ... failure, DNI status ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
Bronchiolitis - Lower respiratory tract (bronchioles) 

Microbiology 
 • Respiratory syncytial virus (RSV) (most commonl
failure Management ... Continuous positive airway ... • Endotracheal intubation ... Bronchiolitis #Diagnosis #Management ... #Peds #Pediatrics
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Titrate CPAP ... #management #schema ... #criticalcare # ... hypoxia #failure
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... Minimize Exposure Respiratory ... Backup b) Surgical Airway ... #Assignments #Management ... #CriticalCare #