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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Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... ideal) Invasive Mechanical ... support #COVID19 #management ... #schema #criticalcare ... #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 Indication ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... embolism or severe pulmonary ... hypertension β€’ Mechanical ... types #diagnosis #management ... #criticalcare #
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Bronchodilators/Steroids Hypoxemia ... hyperinflation, Ischemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
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 ... β€’ FiO2: avoid hyperoxia ... patients #iSTAR #Algorithm ... #CriticalCare