21 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... the mechanical ventilation ... us believe that intubation ... #COVID19 #management ... #schema #criticalcare
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 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... Management #Mechanical ... #Ventilation #High ... #pulmonary #criticalcare
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
AIRBORNE ISOLATION/COVID19 ... Take Into Room Support ... Airway #Checklist #COVID19 ... #CriticalCare # ... 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
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... failure • Adjust ventilator ... lungs (pulmonary ... #ECMO #Basics #management ... #pulmonary #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... ), Cardiogenic pulmonary ... airway / remove mask ... #diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
for respiratory support ... patients with COVID ... filter • N95 mask ... #COVID19 #management ... #schema #criticalcare
Protected Airway Intubation Pre-Brief Checklist - COVID19

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