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COVID-19 Diagnosis and Management Summary Clinical and laboratory testing Lung Ultrasound HRCT scan In-hospital treatment Severity assessment and respiratory support Post-mortem
Diagnosis and Management ... laboratory testing Lung ... assessment and respiratory ... Post-mortem studies Long-term ... COVID19 #Diagnosis #Management
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
know that the lungs ... relatively spared lung ... hence the “Baby Lung ... pathophysiology #diagnosis #management ... criticalcare #treatment #respiratory
COVID-19 Phenotypes - Implications for Respiratory Support Management L Phenotype - Low Elastcnce (High Compliance) - Low
Implications for Respiratory ... Support Management ... Ratio - Low Lung ... Shunt - High Lung ... Variations #Diagnosis #Management
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... patients with COVID lung ... @emupdates #respiratory ... support #COVID19 #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... , inflammatory lung ... permeability, lung ... with decreased lung ... Management ● Early
Weaning from the Ventilator - Algorithm Setting up for extubation success • Decrease demand — correct metabolic
steroids & NMB • Respiratory ... stop or reduce long ... Diuresis — Dry lungs ... are happy lungs ... #CriticalCare #Management
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for respiratory ... useful to allow for lung-protective ... use conventional lung-protective ... Care @iBookCC #respiratory ... support #COVID19 #management
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
an artificial lung ... the artificial lung ... with the native lung ... hypoxemia/mixed respiratorv ... Oxygenation #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
and decreases respiratory ... in obstructive lung ... • Other acute respiratory ... exacerbation) • Chronic respiratory ... #criticalcare #management
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... ventilated • CXR, Lung ... 2 (or complete respiratory ... AECOPD #Algorithm #Management
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