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airway checklist coronavirus hypoxia respiratory sarscov2 schema support noninvasive diagnosis indications nippv procedure pulmonary ventilator allocation anesthesia anesthesiology ards assignments
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 ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
Graded Oxygen Administration in COVID-19 #respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
Administration in COVID ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #coronavirus
Difficult Airway Algorithm 1. Assess the likelihood and clinical impact of basic management problems: • Difficulty
Difficult Airway Algorithm ... • Difficult mask ... ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare
Simplified Airway Management Algorithm Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Simplified Airway Management ... Algorithm Admittedly ... decompensation and failure ... of progressive intubation ... #CriticalCare
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... of respiratory failure ... airway / remove mask ... #diagnosis #management
Protected Airway Intubation Pre-Brief Checklist - COVID19 1. ROLE ASSIGNMENT 2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... Pre-Brief Checklist - COVID19 ... filter, NO manual ventilations ... #CriticalCare # ... Management
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
Possible Ventilator Allocation Protocol BLUE (Exclusion criterion or SOFA > 11) - No Ventilator Provided - Use
or Single organ failure ... significant organ failure ... Allocation #Protocol #COVID19 ... #CriticalCare # ... Management #Ethics
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
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