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algorithm covid19 anesthesiology diagnosis hypoxia noninvasive schema checklist indications intraoperative nippv workup airway assignments bilevel bipap bpap cardiacarrest cpap differential
Difficult Airway Algorithm 1. Assess the likelihood and clinical impact of basic management problems: • Difficulty
• Difficult mask ... ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia ... #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 ... #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 ... Guidelines #respiratory ... #support #COVID19 ... #criticalcare # ... hypoxia #failure
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 (↓
Positive Pressure Ventilation ... Other causes of respiratory ... failure, DNI status ... airway / remove mask ... #diagnosis #management
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
Support: -The role ... support is generally ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Noninvasive #Ventilation
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 COVID-19 Intubations - Team Roles to Minimize Exposure Respiratory Therapist is encouraged to stay outside the room
- Team Roles to ... Minimize Exposure Respiratory ... or to setup the ventilator ... equipment or to support ... #CriticalCare #
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
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
surgery; equipment failure ... to the theatre team ... presume oesophageal intubation ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
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