Test management criticalcare msk covid19 airway hypoxia ppe intubation respiratory failure

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Protected Airway Intubation Checklist - COVID19

Preparation
Pre-Oxygenation
Intubation
Post-Intubation

Dr. Christopher Hicks @HumanFact0rz

#Protected #Airway #Intubation #Checklist #COVID19 #CriticalCare #Management

Protected Airway ... - COVID19 Preparation ... Pre-Oxygenation ... #COVID19 #CriticalCare ... #Management

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

-19 #respiratory ... #support #COVID19 ... #management #schema ... #criticalcare # ... hypoxia #failure

AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI?
If patient is to be intubated and is

AIRBORNE ISOLATION/COVID19 ... outside room in PPE ... #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 ... Checklist - COVID19 ... #Intubation #Checklist ... #COVID19 #CriticalCare ... #Management

COVID-19 patient Extubation
Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly

PPE required ... List) 4) Clear airway ... Perform final pre-extubation ... facemask • Hudson mask ... #Supplies #CriticalCare

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

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

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 ... #indications #criticalcare ... #management

Protected Airway ... - COVID19 Preparation ... Pre-Oxygenation ... #COVID19 #CriticalCare ... #Management

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