11 results
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
• PETCO2 - End-tidal ... The Capnograph waveform ... dysynchrony during mechanical ... interpretation #waveforms ... #patterns #diagnosis
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
rebreathing or mechanical ... PATTERNS: • BRONCHOSPASM ... peak, not end-tidal ... surface - Pattern ... interpretation #patterns
Arterial Lines & Waveforms
Arterial lines permit continuous invasive blood pressure measurement, frequent arterial blood sampling, and
Arterial Lines & Waveforms ... analysis of the waveform ... PATTERNS • Pulsus ... spontaneous or mechanical ... #calibration #criticalcare
ETT depth may be predicted based on the patient’s height.  This has been validated among
A height-based algorithm ... by attaching a table ... ETT depth and tidal ... #Management #CriticalCare ... #TidalVolumes #Table
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... intubated and mechanically ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Severe heart failure ... Obstructive (Mechanical ... Classification #Table ... #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
ideal) Invasive Mechanical ... Ventilation • Target tidal ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... Ventilation • Tidal ... ARDSnet low-PEEP table ... patients #iSTAR #Algorithm ... obese #Management #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Intra-cardiac pump failure ... • Severe heart failure ... ): • Mechanical ... Differential #Diagnosis #table ... #comparison #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
risk of renal failure ... • END TIDAL CO2 ... PULMONARY A vs B-LINE PATTERN ... predominant lung US pattern ... testing #diagnosis #criticalcare