13 results
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
• Difficult mask ... ventilation ... deliver supplemental oxygen ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare
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
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Nasal Oxygen Delivery ... hypoxemic respiratory failure ... rate of requiring intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
fail” low flow oxygen ... the mechanical ventilation ... us believe that intubation ... #schema #criticalcare ... #hypoxia #failure
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... acute respiratory failure ... #indications #criticalcare ... #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... VV- & VA-ECMO OXYGEN ... #ECMO #Basics #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
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
inform theatre team ... CPAP with 100% oxygen ... Consider tracheal intubation ... Continued airway and ventilation ... negative-pressure pulmonary
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
inform theatre team ... . ❷ Give 100% oxygen ... or oesophageal intubation ... Use appropriate ventilation ... Checklist #Diagnosis #Management
Intraoperative Mains Oxygen Supply Failure - Guidelines for Crises in Anaesthesia

Complete failure of wall or pendant
Intraoperative Mains ... Oxygen Supply Failure ... Inform the theatre team ... usage: • Some ventilator ... Checklist #Diagnosis #Management