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 ... Guidelines #respiratory ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... @emupdates #respiratory ... #management #schema ... #criticalcare #
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
AIRBORNE ISOLATION/COVID19 ... and is not in respiratory ... #Intubation #Airway ... #CriticalCare # ... Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... respiratory support ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
COVID-19 AIRWAY MANAGEMENT ALGORITHM
1. PREPARATION
2. PRE-CHECK & PRE-BRIEF
3. PROCEDURE
4. POST CHECKS
5. DEBRIEF

Michigan Medicine @umichmedicine

#COVID19 #AIRWAY #Intubation
COVID-19 AIRWAY ... MANAGEMENT ALGORITHM ... #AIRWAY #Intubation ... #MANAGEMENT #ALGORITHM ... #Coronavirus #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Airway Pressure ... and decreases respiratory ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... Pseudo-hemoptysis = upper respiratory ... β€’ Airway Management ... treatment #workup #pulmonary ... #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... Neuromuscular disease - Respiratory ... burns, Fixed upper airway ... #criticalcare # ... management #indications
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... Minimize Exposure Respiratory ... Backup b) Surgical Airway ... #Assignments #Management ... #CriticalCare #
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... anticoagulation #COVID19 ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2