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Hemodynamic Support

What are the criteria for extubation? I have noticed that when COVID-19 patients are extubated using the same criteria used for other patients, they seem to have a tremendous air hunger and don't do as well. What has been your experience?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on August 12, 2020.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Regarding respiratory support of COVID-19 patients both in and outside the ICU, can you discuss noninvasive ventilation, BiPAP, CPAP, and high-flow nasal cannula versus intubation? What are the indications for intubation? Intubate early or later?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on August 12, 2020.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Did you manage any acutely ill patients on the ward with noninvasive ventilation and proning? Did you prone nonintubated patients?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on August 12, 2020.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Improving Survival of Critical Care Patients With Coronavirus Disease 2019 in England: A National Cohort Study, March to June 2020

From Critical Care Medicine. The authors measured temporal trends in survival over time in people with severe coronavirus disease 2019 requiring critical care (high dependency unit or ICU) management, and assessed whether temporal variation in mortality was explained by changes in patient demographics and comorbidity burden over time.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What is the difference between pulse oximetry and arterial oxygen tension

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 9, 2020.

Coronavirus, COVID-19, Diagnosis and Testing, Hemodynamic Support

Treatment for Severe Coronavirus Disease 2019 With the Seraph-100 Microbind Affinity Blood Filter

From Critical Care Explorations. The authors sought to determine whether Seraph-100 (Exthera Medical Corporation, Martinez, CA) treatment provides clinical benefit for severe coronavirus disease 2019 cases that require mechanical ventilation and vasopressor support.

Coronavirus, COVID-19, Hemodynamic Support, Ventilatory Support

How would you describe the overall big picture of oxygen therapies?

In this question and answer webcast, attendees had the opportunity to post questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also addressed. Webcast held on June 19, 2020

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

What strategies do you use to prevent ventilator-induced lung injury and avoid refractory hypoxemia?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 27th, 2020.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Should patients on oxygen therapy be discharged home or to a long-term acute care hospital?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 13th, 2020.

Coronavirus, COVID-19, Hemodynamic Support

What strategies are used for fluid resuscitation and intubation timing?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 13th, 2020.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are your recommendations for ventilation of patients with COVID-19?

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What is the role of extracorporeal membrane oxygenation in COVID-19?

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Comorbidities, Coronavirus, COVID-19, ECMO, Hemodynamic Support

SCCM/AARC: Maximizing the Respiratory Team Dynamic: Effective Patient Care During a Pandemic

This expert panel representatives from Society of Critical Care Medicine (SCCM) and the American Association for Respiratory Care (AARC) teamed up to discuss how ICU respiratory care teams can work together more cohesively when caring for COVID-19 patients. Recorded on: Thursday, May 14, 2020

Communication, Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

COVID-19 Question and Answer Webcast Series - Webcast 4

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Coronavirus, COVID-19, Hemodynamic Support, Therapies, Ventilatory Support

Time Course of Evolving Ventilator-Induced Lung Injury: The "Shrinking Baby Lung"

From Critical Care Medicine. This paper introduces and highlights several important and /or novel concepts seldom considered by the practicing intensivist.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Can chest radiograph findings change the indication for either intubation or extubation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Scanning, Supportive Care, Ventilatory Support

What strategies can be used to start hemodynamically unstable patients on mechanical ventilation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What strategies can be used to reduce rates of reintubation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

At what saturation levels should a patient be intubated and what strategies can be used to avoid intubation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are the advantages and disadvantages of helmet-based ventilation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are the benefits of proning protocols and the recommendations for timing of proning?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Does high-flow nasal cannula increase the risk of aerosolization more than a patient coughing?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

Can you comment on the use of nebulizers for chronic obstructive pulmonary disease and other diseases that may respond to bronchodilators?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

If heated high-flow nasal cannula is not available, can continuous positive airway pressure with nasal pillows be used instead?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

ICU Guide for Airway Management in COVID-19 Patients

This is a quick airway management resource guide for treating COVID-19 patients . This is a community developed COVID-19 microlearning resource.

Community Developed, Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are the current recommendations for COVID-19 patients undergoing tracheostomy

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

How should airways be secured when proning intubated patients?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

How can multiple patients be ventilated on single ventilator?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Which ventilator strategies are appropriate for a patient with COVID-19 who is on extracorporeal membrane oxygenation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, ECMO, Hemodynamic Support, Supportive Care, Ventilatory Support

How should a COVID-19 patient who is recovering from acute respiratory distress syndrome be weaned off the ventilator?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Can you discuss the range and ceiling of permissive hypercapnia?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are some general recommendation for noninvasive ventilation for moderate respiratory distress (not acute respiratory distress syndrome)?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Using the Surviving Sepsis Coronavirus Disease 2019 Guidelines - Anything New Yet?

From Critical Care Explorations. A letter to the editor of Critical Care Explorations about SSC COVID-19 Guidelines and the need to update these guideines and others regularly to help universally optimize sepsis care due to COVID-19 and help flatten the briskly rising morbidity and mortality curve.

Coronavirus, COVID-19, Hemodynamic Support, Infection Control, Therapies, Ventilatory Support

Potential for Lung Recruitment and Ventilation-Perfusion Mismatch in Patients With the Acute Respiratory Distress Syndrome From Coronavirus Disease 2019

From Critical Care Medicine. Severe cases of coronavirus disease 2019 develop the acute respiratory distress syndrome, requiring admission to the ICU. This study aims to describe specific pathophysiological characteristics of acute respiratory distress syndrome from coronavirus disease 2019.

ARDS, Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

ECMO in COVID-19

This presentation is an overview of using ECMO for COVID -19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, ECMO, Hemodynamic Support

Prone Positioning

Point of Care (PoC) Refresher Training Discuss steps for prone positioning which can be used to improve oxygenation in critically ill patients who require mechanical ventilation for management of hypoxemic respiratory failure.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Diagnosis and Management of Acute Respiratory Failure

Point of Care (PoC) Refresher Training. While current recommendations for respiratory support in COVID-19 support the use of the high-flow nasal cannula for hypoxia, oxygen supplementation strategies vary by institution. Make sure to follow your institution's protocols.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Airway Management

Point of Care (PoC) Refresher Training. While current recommendations for respiratory support in COVID-19 support the use of the high-flow nasal cannula for hypoxia, oxygen supplementation strategies vary by institution.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Surviving Sepsis Campaign COVID-19 Guidelines: Hemodynamics Recommendations Chart

COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource when choosing hemodynamic options for managing COVID-19 patients.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

How is ECMO being used in patients with COVID-19?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, ECMO, Hemodynamic Support, Supportive Care