13 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Other causes of respiratory ... failure, DNI status ... Extubation to NIPPV ... #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... failure (ie.. asthma ... failure (ie OHS ... #criticalcare #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 ... CONSIDER: a trial of NIPPV ... Guidelines #respiratory ... #support #COVID19 ... criticalcare #hypoxia #failure
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's diagnosis ... 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
Support Algorithm ... the mechanical ventilation ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
INTUBATION CHECKLIST ... Take Into Room Support ... #Intubation #Airway ... #Checklist #COVID19 ... #CriticalCare #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
support in patients ... with COVID-19 ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
COVID-19 Phenotypes - Implications for Respiratory Support Management

L Phenotype
 - Low Elastcnce (High Compliance)
 - Low
COVID-19 Phenotypes ... Implications for Respiratory ... Support Management ... Compliance) - Low Ventilation ... Phenotypes #Variations #Diagnosis
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
like illnesses, COVID ... support (10-30% ... Diagnosis: • ... #Syndrome #diagnosis ... #management #treatment
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
Minimize Exposure Respiratory ... or to setup the ventilator ... equipment or to support ... Backup b) Surgical Airway ... #Assignments #Management