Discover and read the best of Twitter Threads about #oxygennotpressure
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1. Possible COVID+ initial vent strategy to fit hypoxemic failure: FiO2 100%, Peep LOW as possible to achieve SpO2>75%. Consider every increase in PEEP carefully, risk of lung injury. Ideally breathing on own -> CPAP, narcotics to slow RR +- moderate sedation.
2. Would awake intubation of COVID+ patient w/ Full PPE be possible?? Allow for continued breathing, no pressure support -> reduce lung injury. Goal is to increase oxygen, reduce pressure. If vent strategy can fit disease, possible early intubation not harmful. #oxygennotpressure
3. Maintenance vent strategy: Leave on FiO2 of 100%, tolerate SpO2 > 75% (arbitrary number, suggestions welcomed!) When virus halts, SpO2 should rise. When hits 100%, no fevers, perhaps disease gone. Should be able to rapidly (over 1 - 2 days) decrease FiO2
