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checklist diagnosis anesthesiology intraoperative workup algorithm airway coronavirus hypoxia respiratory sarscov2 schema support indications noninvasive allocation assignments bpap cardiacarrest cheatsheet
Difficult Airway Algorithm 1. Assess the likelihood and clinical impact of basic management problems: • Difficulty
• Difficult mask ... ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia ... #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 ... #management #schema ... #criticalcare # ... hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
COVID-19 patient Extubation Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly
COVID-19 patient ... tube 8) Prepare team ... facemask • Hudson mask ... deflate tube cuff • Intubation ... #Supplies #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
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... of respiratory failure ... airway / remove mask ... #diagnosis #management
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
filter • N95 mask ... ECMO center or team ... #management #schema ... #criticalcare # ... hypoxia #failure
COVID-19 Intubations - Team Roles to Minimize Exposure Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... - Team Roles to ... or to setup the ventilator ... open for: a) Anesthesia ... #CriticalCare #
Possible Ventilator Allocation Protocol BLUE (Exclusion criterion or SOFA > 11) - No Ventilator Provided - Use
or Single organ failure ... significant organ failure ... Allocation #Protocol #COVID19 ... #CriticalCare # ... Management #Ethics
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
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