10 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... of respiratory failure ... to NIPPV Contraindications ... 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 ... CONSIDER: a trial of NIPPV ... #respiratory #support ... #schema #criticalcare ... #hypoxia #failure
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
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
• Difficult mask ... ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia ... #CriticalCare #
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
filter • N95 mask ... ECMO center or team ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
inform theatre team ... oxygen and face mask ... Consider tracheal intubation ... Continued airway and ventilation ... Checklist #Diagnosis #Management
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
- Team Roles to ... or to setup the ventilator ... equipment or to support ... open for: a) Anesthesia ... #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