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 Management ... CONSIDER: a trial of NIPPV ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #coronavirus
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
intolerance, chest pain, near-syncope ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Fibrillation #Cardiology #Management ... #Algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
ECMO center or team ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
- Myocardial ischemia ... - Pulmonary edema ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
hypoxemic respiratory failure ... compared to CNC or NIPPV ... Delivery #Devices #management ... #pulmonary #criticalcare