#Hypoxemia

Anyone else somewhat ... skeptical about this "severe COVID is not really ARDS" line that is emerging? My main concern is that we have a broad evidence base for ARDS,

My two cents on the CARDS vs ARDS debate. Distributions of compliance and P/F ratio in the SUPERNOVA study show that compliance > 30 ml/cm H2O not uncommon in moderate

Critical COVID-19 cases in ARDS show perverse hypoxemia in spite of decent lung compliance.This is odd. Some people have even made far-fetched claims about supposed damage to RBCs or heme,

Eduardo R Argaiz

Case of mine: Young patient, O2sat

COVID-19 is NOT ARDSEarly intubation + high PEEP to treat hypoxemia may hurt patients"It seems to be some kind of attack on the capillary-alveolar interface combined with some kind of

Treating hypoxemia caused by COVID-19 with early intubation + high PEEP may hurt patients"It seems to be some kind of attack on the capillary-alveolar interface combined with some kind of

1/9- Just coming off a week on call in the MSICU at TGH with @ecgoligher. Started the week with 6 COVID+ patients and we transferred in 12 more, mostly for

ICU doctors seeing 3 types of #COVID19 patients: 1. Symptomatic but well 2. Happy hypoxics: attempt to avoid intubation a. Use HFNC, NRB, CPAP

Eduardo R Argaiz

#COVID19 Early vs delayed intubation. IMV has many known adverse effects and complications. Why would anyone want to intubate early? Two proposed reasons: 1) Prolonged hypoxemia might be harmful 2)

Summary note on staging for COVID-19.This list is not definitive. Just heuristics.Many authors draw the mild/moderate division around where the patient will soon need oxygen support, SpO2 nearing 90-92% on

Eduardo R Argaiz

Pt w COVID19 PNA. Talking but w refractory hypoxemia 88% on 15 L NRB. RR 22 HR 103. Intubation was planned. No good peripheral IV. I placed a #POCUS guided

1/ A case and tweetorial as a reminder that even in the age of #covid-19 general internal and critical care medicine is important! A 60s man was dx with Covid

[thread] The paradox of treating ARDS is this: because we don't have a drug to reverse lung injury, we provide supportive care with two therapies - oxygen and mechanical ventilation

Dr. Thomas Binder, MD

THISSHUT DOWN 5G IMMEDIATELY!BARRICADE THE WINDOWS OF ICUs IMMEDIATELY!5G -> HEMOGLOBIN BLOCKED FOR O2 -> ACUTE SEVERE HYPOXEMIA -> UNCONSCIOUSNESS WITHIN SECONDS -> DEATH WITHIN 3 MINUTES!If I'm wrong, no

#COVID19 causes a hemoglobinopathy. More science needed into to the use of HCQ in these patients.http://web.archive.org/web/20200405061401/https://medium.com/@agaiziunas/covid-19-had-us-all-fooled-but-now-we-might-have-finally-found-its-secret-911823

Arghavan Salles, MD, PhD

arghavan_salles

So my first (short) day is done, at least in the hospital. Here are my observations:1. I have a small head. No, this is not news, but try to put