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Protected Airway Intubation Checklist - COVID19

Preparation
Pre-Oxygenation
Intubation
Post-Intubation

Dr. Christopher Hicks @HumanFact0rz

#Protected #Airway #Intubation #Checklist #COVID19 #CriticalCare #Management
Protected Airway ... - COVID19 Preparation ... #Airway #Intubation ... #CriticalCare # ... Management
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway ... filter, NO manual ventilations ... #Airway #Intubation ... #CriticalCare # ... Management
Protected Airway Intubation Checklist - COVID19

Preparation
Pre-Oxygenation
Intubation
Post-Intubation

Dr. Christopher Hicks @HumanFact0rz

#Protected #Airway #Intubation #Checklist #COVID19 #CriticalCare #Management
Protected Airway ... - COVID19 Preparation ... #Airway #Intubation ... #CriticalCare # ... Management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... , Inability to protect ... airway / remove ... mask, Risk of emesis ... #diagnosis #management
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
• Difficult mask ... ventilation ... • Video-assisted ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... filter • N95 mask ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... PositivePressure #Ventilation ... #indications #criticalcare ... #management
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... OPA, Suction, Video ... scope, LMA, Ventilator ... #checklist #criticalcare ... #airway #management
Esophageal Intubation
 • Capnography Detection - No trace, Wrong place
 • Prevention and Mitigation
Mitigation - Video ... #airway #detection ... #diagnosis #management ... #criticalcare # ... pulmonary