12 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
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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
generate larger VT ... acute respiratory failure ... Chronic respiratory failure ... #criticalcare # ... management
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... to support the medication ... #Intubation #Teams ... #Assignments #Management ... #CriticalCare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Insufficiency, Liver Failure ... , Toxins/Medications ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... #Intubation #Checklist ... #SARSCoV2 #Management ... #CriticalCare #
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID-19 - A Seattle ... worldwide numbers) • Incubation ... Cheatsheet #Diagnosis #Management ... #Summary #SARSCoV2 ... #Coronavirus #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Typically set ... #management #schema ... #criticalcare # ... hypoxia #failure
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Shock - OnePager Summary ... (PE, PHTN), LV Failure ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #pharmacology #indications