#Intubation

"What is more satisfying than a successful intubation? Saving the patient from having to be intubated at all"Happened to me last duty, lung CA patient with persistent hemoptysis, O2 sat

Browsing on phone w that O2 sat. #COVID19 tips from NYC. Anecdotal for now.1. Proning patients helps O2 sats. Have them lie on belly.2. Don't intubate for low O2 sats

Esa-Pekka Pälvimäki

Try to avoid intubation? What’s the thinking at HUS about this?Via @cameronks @myllarni @MaaritLeinonen @lasleh https://time.com/5818547/ventilators-coronavirus/ Update: In Finland, this is nothing new. It is known that patients walk in

Some of you don’t believe the Corona virus is dangerous, or don’t believe we need to heed the advice of medical and scientific experts, and our governors who are leading

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

Since I recieved so many questions regarding #COVID19 related changes to the life support algorithms from @American_Heart here is a summary of the changes: 1. Emphasis on PPE prior to

Advanced Performance Healthcare Design

We performed usability testing on the intubation box that has gained popularity & recent @NEJM publication https://www.nejm.org/doi/full/10.1056/NEJMc2007589Thread with our findings (conducted by @petrosoniak & @HumanFact0rz )We used a modif

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

I am incredibly touched by the responses to our #extubation dance video. The kind words are so appreciated. While I never in a million years expected this to get so

Dominique PERETTI

Here is a thread about how the @nejm New York observational study was massaged in order to hide the significant benefit of Hydroxychloroquine (HCQ) for hospitalized patients that a closer

Buying groceries is not an aerosol generating procedure. You don’t need an N95 for it. Thanks! Aerosol generating procedures include CPR, intubation/extubation (inserting/removing breathing tube), bronchoscopy (camera down your breathing

Sam Ghali, M.D.

I recently had a patient who presented in profound acute renal failure with a BUN of >200, creatinine of 13.5, and critical pH of 6.7, on the brink of death...[thread]

Great video of breathing pattern in severe acidosis.Be worried if you have to intubate someone like this. Any apnea will make CO2 and pH Also, near impossible to match

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

#chloroquine https://thelancet.com/journals/lancet/article/PIIS0140-6736(20)31180-6/fulltext Maybe there is a surprise in this observational study.If we treat intubation as an independent event, there is a weak survival benefit from the CQ+

“Don’t jump to intubation.” — Dr Caputohttps://twitter.com/paulg/status/1250205685868122115 “Dr. Levitan advocates combining breathing support from a CPAP machine or regular oxygen with comfortable positioning”. Yup.