1. EachPod

#206 Airway Management for the Non-Intensivist

Author
The Curbsiders Internal Medicine Podcast
Published
Mon 13 Apr 2020
Episode Link
https://audioboom.com/posts/7766587

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 | [email protected]



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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