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 ... the mechanical ventilation ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... Post-intubation Management ... #Mechanical #Ventilation ... ICP #Elevated #management ... #pulmonary #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
control mode of ventilation ... β€’ Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Cardiff COVID-19 Daily checklist - Matt Morgan
A daily checklist for critically ill #covid19 patients. Concentrates on
Cardiff COVID-19 ... critically ill #covid19 ... Breathing - Is the ventilator ... #Daily #criticalcare ... #SARSCoV2 #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... 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 Indication ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
Possible Ventilator ... SOFA > 11) - No Ventilator ... Allocation #Protocol #COVID19 ... #CriticalCare # ... Management #Ethics
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Pre-Brief Checklist - COVID19 ... filter, NO manual ventilations ... Intubation #Checklist #COVID19 ... #CriticalCare # ... Management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #BiPAP #Algorithm ... #criticalcare # ... management #indications
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
Weaning from the Ventilator ... - Algorithm Setting ... #Algorithm #Extubation ... #CriticalCare # ... Management