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diagnosis airway algorithm checklist anesthesia anesthesiology delivery devices failure hypoxia indications respiratory schema support ventilation acquired bpap cap cico community
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 ... Tolerating supplemental oxygen ... #management #schema ... #criticalcare #
Difficult Airway Algorithm 1. Assess the likelihood and clinical impact of basic management problems: • Difficulty
• Difficult mask ... deliver supplemental oxygen ... • Video-assisted ... Anesthesiology #Anesthesia #CriticalCare ... #Management
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... ), Cardiogenic pulmonary ... airway / remove mask ... nickmmark #NIVPPV #NonInvasive ... Ventilation #diagnosis #management
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... fail” low flow oxygen ... us believe that intubation ... #management #schema ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... exacerbation (cardiogenic pulmonary ... @EmmGeezee #Noninvasive ... #indications #criticalcare ... #management
Nasal Oxygen Delivery Devices Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Nasal Oxygen Delivery ... rate of requiring intubation ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Mask Oxygen Delivery ... small valve to mix oxygen ... #Oxygen #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
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
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