The Curbsiders Internal Medicine Podcast13 Apr 2020

#206 Airway Management for the Non-Intensivist

Breathe easy with these airway management principles and expert tips for managing the patient with COVID-19 related lung disease (i.e. pneumonia, hypoxemia, ARDS). In the COVID-19 era, non-intensivists are being called upon to care for critically ill patients across the globe. At the Curbsiders, we understand that this can be a stressful proposition! Therefore, we’ve enlisted the help of the renowned medical intensivist & USUHS Chair of Medicine, Dr. Kevin Chung (@chungk1031) to teach us what we need to know about airway management in these challenging times. Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

Credits

Written and Produced by: Cyrus Askin MD, Michael Rose MD, Kathleen Hiltz MD
Show Notes: Cyrus Askin MD
Infographic: Elena Gibson, MD
Cover Art: Dr. Kate Grant MBChB DipGUMed
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin, MD
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: COL Kevin Chung, MD, FACP

Sponsors: McGraw Hill

Time Stamps

00:00 Intro
03:15 Guest one liner, chicken wings (Miller Lite marinade), career advice
07:40 Sponsor
08:20 Case of hypoxemic respiratory failure; Rapid evaluation, initial labs
16:03 Initial assessment of a COVID-PUI; HFNC and non-invasive ventilation
23:40 Proning patients for hypoxemia
29:15 ARDS basics: diagnostic criteria, Brief Recap
33:22 Mechanical ventilation: Initial settings, following the blood gas
40:55 Peak and plateau pressure, Lung compliance and Troubleshooting a high pressures
51:30 Ventilator dyssynchrony; Lung compliance and traditional ARDS vs COVID-19 lungs
62:55 Advanced ARDS - The 5 Ps of therapy and differences with COVID-19
68:10 Take home points; Plugs; Outro

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