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algorithm anesthesiology checklist diagnosis hypoxia schema support indications intraoperative noninvasive workup airway assignments bpap cardiacarrest coronavirus cpap differential difficult guidelines
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 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 ... Guidelines #respiratory ... #criticalcare # ... hypoxia #failure
Difficult Airway Algorithm 1. Assess the likelihood and clinical impact of basic management problems: • Difficulty
• Difficult mask ... ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia ... #CriticalCare #
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... failure (ie.. asthma ... failure (ie OHS ... #indications #criticalcare ... #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
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... Other causes of respiratory ... failure, DNI status ... airway / remove mask ... #diagnosis #management
COVID-19 Intubations - Team Roles to Minimize Exposure Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... - Team Roles to ... Minimize Exposure Respiratory ... or to setup the ventilator ... #CriticalCare #
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... using BVM: Hold mask ... #Intubation #Checklist ... #SARSCoV2 #Management ... #CriticalCare #
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
surgery; equipment failure ... to the theatre team ... Rapidly confirm ventilator ... presume oesophageal intubation ... Checklist #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
inform theatre team ... Consider tracheal intubation ... Continued airway and ventilation ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
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