28 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... low flow oxygen (e.g ... while this may ... management #schema #criticalcare ... #hypoxia #failure
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... suspected - TSH and ... — Optimize the MAP ... chronic AF, HFrEF, and ... #HeartFailure #Cardiology
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
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... overload with heart failure ... Diagnosis #Management #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory Failure ... PATM 760 mm Hg at ... obesity-hypoventilation syndrome ... hepatopulmonary syndrome ... #Respiratory #Failure
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
can be protean and ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... guyton #curves #criticalcare
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
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
0.9 predicts RV failure ... 1.85 predicts RV failure ... PE, right heart failure ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... failure with an ... cardiopulmonary failure ... • Bronchoscopy may ... #criticalcare