17 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... the mechanical ventilation ... @emupdates #respiratory ... #management #schema ... criticalcare #hypoxia #failure
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Failure - Differential ... Diagnosis Framework ... failure • There ... #Failure #hypoxia ... #Differential #Diagnosis
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... ), Cardiogenic pulmonary ... Other causes of respiratory ... failure, DNI status ... #diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... patients with COVID ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
COVID-19 Phenotypes - Implications for Respiratory Support Management

L Phenotype
 - Low Elastcnce (High Compliance)
 - Low
COVID-19 Phenotypes ... Implications for Respiratory ... Support Management ... Compliance) - Low Ventilation ... Phenotypes #Variations #Diagnosis
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #criticalcare #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... , Insufficient expiratory ... Troubleshooting #diagnosis ... #management #pulmonary ... #mechanical #ventilation
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Suspect when flow on ventilator ... maneuver on the ventilator ... overall minute ventilation ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Noninvasive #Ventilation
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 ... Guillain-Barre Diagnosis ... #management #treatment