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management diagnosis algorithm checklist covid19 pulmonary treatment ventilation basics cardiology comparison failure hypoxia modes noninvasive respiratory schema shock workup anesthesia
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiopulmonary support ... PARAMETERS Flow (mL/kg ... Lmin (100-150 mL/kg ... Assess perfusion (eg ... management #pulmonary #criticalcare
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... noninvasive respiratory support ... patient's diagnosis (e.g ... #Management #CriticalCare
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 Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... low flow oxygen (e.g ... #respiratory #support ... management #schema #criticalcare
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
for respiratory support ... filter • N95 mask ... volumes of ~6 cc/kg ... #respiratory #support ... management #schema #criticalcare
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... vasopressor or inotropic support ... begin vasopressor support ... Shock #Management #CriticalCare
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
invasive hemodynamic support ... • Triggers (EKG ... management #cardiology #criticalcare
Navigating a Rapid Response Team (RRT) Assert Leadership: • Stand at foot of bed • Introduce yourself
RRT leader • Ask ... Assessment: • Ask ... EKG. ... completed • Ask ... Management #treatment #criticalcare
Overview of Ventilator Modes VC - Volume Control (a.k.a. assist control volume) - Every breath delivered (mandatory
PS - Pressure Support ... ratio ventilation (e.g ... #Ventilation #CriticalCare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... Ensure adequate support ... Management #Summary #criticalcare
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
hypertension (e.g ... ultrasonography might support ... Diagnosis #Algorithm #CriticalCare
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