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hypoxia respiratory schema support checklist coronavirus noninvasive sarscov2 ventilation agitation airway bilevel bipap bpap cpap delirium delivery devices diagnosis guidelines
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 ... CONSIDER: a trial of NIPPV ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
acidosis) • Post-extubation ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
COVID-19 AIRWAY MANAGEMENT ALGORITHM 1. PREPARATION 2. PRE-CHECK & PRE-BRIEF 3. PROCEDURE 4. POST CHECKS 5. DEBRIEF Michigan Medicine @umichmedicine #COVID19 #AIRWAY #Intubation
MANAGEMENT ALGORITHM ... POST CHECKS 5. ... #AIRWAY #Intubation ... #MANAGEMENT #ALGORITHM ... #Coronavirus #CriticalCare
Nasal Oxygen Delivery Devices Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
hypoxemic respiratory failure ... compared to CNC or NIPPV ... Higher flow washes out ... Delivery #Devices #management ... #pulmonary #criticalcare
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... -BiPAP should never ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
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 COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... using BVM: Hold mask ... #Intubation #Checklist ... #SARSCoV2 #Management ... #CriticalCare #
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
filter • N95 mask ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Post-Intubation Pre-Departure Checklist - COVID19 1. If intubated, CONFIRM ETT PLACEMENT -> EtCO2 - If
Post-Intubation ... Pre-Departure Checklist - COVID19 ... TRANSPORT + HiOX mask ... #COVID19 #CriticalCare ... #Management
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
bradycardia. renal/liver failure ... , as it should not ... and analgesia w/out ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
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