10 results
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... #management #schema ... #criticalcare # ... hypoxia #failure
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... of respiratory failure ... airway / remove mask ... nickmmark #NIVPPV #NonInvasive ... Ventilation #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... exacerbation (cardiogenic pulmonary ... acute respiratory failure ... #indications #criticalcare ... #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
impact of basic management ... • Difficult mask ... • Video-assisted ... Anesthesiology #Anesthesia #CriticalCare ... #Management
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
hypoxemic respiratory failure ... rate of requiring intubation ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Stuff • Video ... using BVM: Hold mask ... #SARSCoV2 #Management ... #CriticalCare #
Esophageal Intubation
 • Capnography Detection - No trace, Wrong place
 • Prevention and Mitigation
Esophageal Intubation ... Mitigation - Video ... detection #diagnosis #management ... #criticalcare # ... pulmonary
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... filter • N95 mask ... #management #schema ... #criticalcare # ... hypoxia #failure
Post-Intubation Pre-Departure Checklist - COVID19
1. If intubated, CONFIRM ETT PLACEMENT -> EtCO2
   - If
Post-Intubation ... Pre-Departure Checklist - COVID19 ... TRANSPORT + HiOX mask ... #CriticalCare # ... Management