11 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 ... Monitor closely short ... respiratory #support #COVID19 ... management #schema #criticalcare ... hypoxia #failure #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -BiPAP should never ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm ... #PulmCrit
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... Nasopharyngeal PCR for COVID ... pathogens (ideally should ... Josh Farkas @pulmcrit ... #algorithm #schema
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... causes of delirium should ... phenobarbital should ... -If you work at ... #Protocol #PulmCrit
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... treatment decisions should ... Josh Farkas @pulmcirt ... management #schema #criticalcare ... #algorithm #SARSCOV2
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... Management #Neurology #CriticalCare ... Refractory #Seizures #Algorithm ... #PulmCrit
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... on exhalation port ... Josh Farkas @pulmcrit ... Care @iBookCC #COVID19 ... SARSCoV2 #Management #CriticalCare
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... Consider early HFNC ... ://twitter.com/PulmCrit ... Checklist #Management #CriticalCare
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
anticoagulation in COVID ... Josh Farkas @pulmcirt ... anticoagulation #COVID19 ... management #schema #criticalcare ... #algorithm #SARSCOV2
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
pressures • Decreases work ... respiratory cycle • Supports ... ventilation • Should ... pneumomediastinum) HHFNC ... • Supports oxygenation