22 results
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
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 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... Guidelines #respiratory ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Simplified Airway Management Algorithm
Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Simplified Airway Management ... assumes imminent respiratory ... decompensation and failure ... of progressive intubation ... #CriticalCare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
failure use of ... rate of requiring intubation ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
filter • N95 mask ... ECMO center or team ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... steroids & NMB • Respiratory ... nickmmark #Weaning #Ventilator ... #CriticalCare # ... Management
Neonatal Resuscitation - Airway and Breathing
Airway
 • Opened by placing the infants's head in a neutral
2-3 seconds at inspiratory ... Call for help Intubation ... • Intubation ... • Limit intubation ... Airway #Breathing #Management