Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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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 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory Support ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... respiratory support ... #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 ... noninvasive respiratory support ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare
β–Ί
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
or circulatory support ... VV: Refractory hypoxemia ... mixed respiratorv failure ... #Oxygenation #diagnosis ... #management
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Arrest, Severe Hypoxemia ... Systemic liver Failure ... , Renal failure, ... #criticalcare #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
congestion with hypoxemia ... overload with heart failure ... Management ● Early ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... -19 The diagnosis ... anticoagulation #COVID19 ... #management #schema ... #criticalcare #
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... multisystem organ failure ... vascular β†’ RV failure ... Classification #types #diagnosis ... #management #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... -> multiorgan failure ... Classification #diagnosis ... #management #Overview ... #criticalcare #