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intubation checklist diagnosis coronavirus covid19 procedure pulmonary sarscov2 workup adult anatomical anesthesia anesthesiology cabcde cico differences differential difficult emergencies hemoptysis
Anatomical Differences Between Pediatric and Adult Airways Pediatric airway is... • Proportionally smaller larynx • Narrowest
Pediatric airway ... Epiglottis is longer ... proportionally larger • Neck ... #Comparison #Differences ... #Anatomical #CriticalCare
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
management is in ... expertise e.g. ... Prepare for Front of Neck ... positioned with full neck ... the laryngeal anatomy
Approach to Tracheostomy Emergencies - OnePager Summary COMPONENTS OF A TRACHEOSTOMY TUBE: • Obturator - inserted into
tube against the neck ... Call for help (e.g ... Surgical management ... #pulmonary #criticalcare ... #airway #anatomy
Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... • Airway Management ... Argon Plasma by Nick ... workup #pulmonary #criticalcare
Airway Intubation Checklist GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Free flowing IV, EKG ... POST INTUBATION MANAGEMENT ... 30 degrees - Nick ... intubation #checklist #criticalcare ... #airway #management
Overview of Ventilator Modes VC - Volume Control (a.k.a. assist control volume) - Every breath delivered (mandatory
APRV - Airway Pressure ... ratio ventilation (e.g ... combine w/ PS Nick ... #Ventilation #CriticalCare ... #Comparison #Management
COVID-19 Patient Intubation Checklist and Supplies Intubation Equipment List • Appropriately sized tracheal tube with subglottic suction
Circuit with HME filter ... Altemative suprglottic airways ... Emergency front of neck ... airway kit (scalpel ... Checklist #Supplies #CriticalCare
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
Hood to cover neck ... dose paralytic (e.g ... at least 1.2 mg/kg ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
applied) A - Airway ... indicated; expose neck ... to assess for neck ... chest: needle/finger ... Survey #CABCDE #management
Approach to Hemorrhagic Shock PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL • Activate massive transfusion
resuscitation anyway ... a fixed ratio, e.g ... OnePager on TEG) Nick ... Hemorrhagic #Shock #Management ... #Summary #CriticalCare
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