Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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covid19 hypoxia respiratory schema mechanical ventilator allocation ardsnet basics bilevel bipap blockade crohns disease ecmo ethics extracorporeal fistulas guidelines hfnc
Original ARDSNet Mechanical Ventilation Protocol Acute Respiratory Distress Syndrome Network (ARDSNet) NIH NHLBI ARDS Clinical Network #Management #CriticalCare
Protocol Acute ... ARDSNet) NIH NHLBI ARDS ... Clinical Network #Management ... #CriticalCare # ... #Protocol #ARDS
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... institutional protocol ... #ECMO #Basics #management ... #pulmonary #criticalcare
Mechanical ventilation in obese patients according to the i-STAR Algorithm Intubate • Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... patients #iSTAR #Algorithm ... #obese #Management ... #CriticalCare
Possible Ventilator Allocation Protocol BLUE (Exclusion criterion or SOFA > 11) - No Ventilator Provided - Use
Allocation Protocol ... or Single organ failure ... #Allocation #Protocol ... #COVID19 #CriticalCare ... #Management #Ethics
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Algorithm in COVID19 ... the mechanical ventilation ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
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 ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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 General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
for respiratory support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
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 ... #respiratory #support ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Approach to ARDS - PseudoARDS A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
PROSEVA trial (figure ... Initial management ... stabilization on the ventilator ... #Management #CriticalCare ... #Algorithm #PROSEVA
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 Complex Perianal Fistulas and Crohn's Disease - Management Algorithm Factors for Operative Strategy • Fistula Classification
Crohn's Disease - Management ... Active Abscess • Failure ... DB-RCT of two VDZ arms ... inadequate emotional support ... #management
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