36 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... patients who “fail” low ... Also, a low threshold ... @emupdates #respiratory ... #management #schema
COVID-19 Phenotypes - Implications for Respiratory Support Management

L Phenotype
 - Low Elastcnce (High Compliance)
 - Low
COVID-19 Phenotypes ... Implications for Respiratory ... Support Management ... author-proof.pdf #COVID19 ... Variations #Diagnosis #Management
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
40% (-4%/L of flow ... Face Mask: • Flow ... Delivery #Systems #respiratory ... support #devices #management ... #pulmonary #comparison
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... patients with COVID ... -19 Low flow nasal ... #support #COVID19 ... #management #schema
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Settings • CHF / Pulmonary ... or ARDS → High-Flow ... #NonInvasive #Respiratory ... #Failure #management
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
commonly used deliver low ... In hypoxemic respiratory ... • Patients in respiratory ... Delivery #Devices #management ... #pulmonary #criticalcare
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
tachypnea with no respiratory ... , Diaphoresis, Pulmonary ... Metabolic Acidosis, Respiratory ... High Lactate, Low ... Potassium, Low
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Mask • High-Flow ... Methods #devices #respiratory ... #pulmonary #management
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
70%, Scooped out expiratory ... flow-volume curve ... , Low peak expiratory ... #Asthma #COPD #comparison ... #Diagnosis #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and decreases respiratory ... intubation, mortality, LOS ... exacerbation (cardiogenic pulmonary ... • Other acute respiratory ... #criticalcare #management