Thread by @gretchemaben

Last for the day, but not least, I’m headed to learn about “Approach to NIV in Acute Hypoxemic Respiratory Failure in the Era of COVID-19”! #CHEST2020

The first session is an overview of HFNC/NIV with Dr. June Chae (@chaeface)! #CHEST2020

Potential roles for HFNC #CHEST2020

This trial demonstrated a drop in intubation rates in a group given HFNC, as well as lower mortality. #CHEST2020

Physiologic effects of HFNC #CHEST2020

Roles for NIV #CHEST2020

Physiologic effects of NIV #CHEST2020

The next session is "Infection Mitigation Strategies with NIV/HFNC" wth Tyler Weiss! Tyler Weiss

Infection mitigation strategies with NIV/HFNC #CHEST2020

How to reduce bio-aerosol dispersion #CHEST2020

Reducing risk of exposure with NIV #CHEST2020

The next session is "The Use of HFNC in Acute Hypoxemic Respiratory Failure due to COVID-19 Infection" with Dr. Gustavo Cortes Puentes (@DrivingPressure)! #CHEST2020

COVID-19 has a wide variety of presentations, but doesn't always fit the typical description of ARDS. #CHEST2020

How much oxygen is needed? We have trials saying too much and too little is bad. Goal is probably 92-86%. #CHEST2020

Risk factors associated with critical illness and respiratory failure included older age, male gender, and presence of comorbidities. None of these factors were related to the HFNC settings. #CHEST2020

HFNC and Bio-Aerosol Dispersion #CHEST2020

The use of awake prone positioning in COVID-19 #CHEST2020

Does combination of HFNC with awake proning prevent the need for intubation? Not in this study! #CHEST2020

They tried to do a feasibility study of a protocol for awake prone positioning. #CHEST2020

The last session is "Approach to NIPPV in Acute Hypoxemic Respiratory Failure in the Era of COBID-19" with Dr. Neil Freedman (@neil_freedman)! #CHEST2020

Advantages of NIPPV #CHEST2020

There is not great data on NIPPV for acute hypoxemic RF outside of cardiogenic pulmonary edema. #CHEST2020

NIH COVID-19 treatment guidelines recommends HFNC over NIPPV. #CHEST2020

Professional society guidance varies widely. #CHEST2020

NIPPV is considered to be an aerosol-generating procedure. #CHEST2020

Safety concerns for NIPPV and COVID-19 #CHEST2020

Considerations in the safety of use in COVID-negative patients #CHEST2020

What about transport in the hospital? #CHEST2020

Summary #CHEST2020

Thanks to our fantastic speakers! #CHEST2020