27 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... low flow oxygen (e.g ... while this may ... management #schema #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... filter • N95 mask ... volumes of ~6 cc/kg ... management #schema #criticalcare ... hypoxia #failure #algorithm
Anti-IL6 Agents (Tocilizumab, Siltuximab) in COVID19

IL-6 activates T cells and macrophages, among other cell types (see
Siltuximab) in COVID19 ... activates T cells and ... Cytokine Activation Syndrome ... x1 (anti-IL6R mAb ... 20% - Upper respiratory
Airway Pressure Release Ventilation (APRV) - Early application of airway pressure release ventilation may reduce the
release ventilation may ... distress syndrome ... respiratory system ... VisualAbstract #Pulmonary ... #EBM #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... Diagnosis #Management #CriticalCare
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
PATM 760 mm Hg at ... obesity-hypoventilation syndrome ... than VIQ mismatch and ... perfusion (Q) and ... hepatopulmonary syndrome
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... using BVM: Hold mask ... PPE (use ethanol hand ... Care @iBookCC #COVID19 ... SARSCoV2 #Management #CriticalCare
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
hyperinflation → ↑Palv at ... pressure → barotrauma and ... acute scenario (e.g ... AutoPEEP #PEEP #pulmonary ... diagnosis #management #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
PRBC transfusion may ... positive end-expiratory ... pressure (PEEP) for pulmonary ... norepinephrine, infused at ... Shock #Management #CriticalCare