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Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
Graded Oxygen Administration ... support #COVID19 #management ... #schema #criticalcare ... coronavirus #sarscov2 #oxygen
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... FiO2 35-50% Face Tent ... #Oxygen #Delivery ... #Devices #management ... #pulmonary #criticalcare
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Oxygen Delivery ... Simple Face Mask ... Nonrebreather Mask ... Venturi Mask (venti-mask ... Equipment #Devices #Management
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
Oxygen Delivery ... of flow) Face Mask ... Device: Face Tent ... rishikumarmd #Oxygen ... support #devices #management
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Oxygen Delivery ... Nonrebreather Mask ... BiPAP) • Venturi Mask ... @DharSaty #Oxygen ... respiratory #pulmonary #management
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
Oxygen Delivery ... FiO2) • Face tent ... /shovel mask (5- ... iMedEducation #Oxygen ... table #pulmonary #criticalcare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
impact of basic management ... • Difficult mask ... deliver supplemental oxygen ... Anesthesiology #Anesthesia #CriticalCare ... #Management
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... change medical management ... workup #diagnosis #gastroenterology
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 ... Tolerating supplemental oxygen ... support #COVID19 #management ... #schema #criticalcare
Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Clinical Network #Management ... #CriticalCare # ... GrepMed Recommended Text