23 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... low flow oxygen (e.g ... while this may ... @emupdates #respiratory ... management #schema #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... patients with COVID ... filter • N95 mask ... volumes of ~6 cc/kg ... management #schema #criticalcare
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
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
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
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
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
like illnesses, COVID ... extremity, facial, respiratory ... patients) • Respiratory ... Muscle Weakness: May ... Paresthesias: Hands