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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A Non-Invasive approach to Respiratory Failure
 β€’ COPD and Ventilatory Failure β†’ NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Settings β€’ CHF / Pulmonary ... β€’ Pneumonia or ARDS ... #Failure #management ... #hypoxia #NIV
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 ... Guidelines #respiratory ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... 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 ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... leading to increased pulmonary ... congestion with hypoxemia ... overload with heart failure ... #CriticalCare
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 β€’ Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... Parameters β€’ Respiratory ... β€’ FiO2: avoid hyperoxia ... #CriticalCare
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
PROSEVA trial (figure ... Initial management ... persistent severe hypoxemia ... #Management #CriticalCare ... #Algorithm #PROSEVA
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