22 results
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... ) Examination: Pulmonary ... #Dyspnea #Management ... #criticalcare # ... pulmonary #Hypoxia
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 ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
impact of basic management ... difficult airway management ... airway #algorithm #Anesthesiology ... #Anesthesia #CriticalCare ... #Management
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
on ICP - Post-intubation ... Management #Mechanical ... ICP #Elevated #management ... #pulmonary #criticalcare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... #diagnosis #Management ... #treatment #criticalcare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... Extubation to HFNC ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... Coagulopathy Initial Management ... Indications for Intubation ... #pulmonary #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
us believe that intubation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... Bronchodilators/Steroids Hypoxemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical