And comparison of COVID-19 VTE and historical ICU co-horts. Thrombosis in COVID higher in well matched ARDS patients and also higher than in patients with flu. @accpchest#CHEST2020#CHESTCritCare
Risk factors for the development of thrombosis are essentially the same, but COVID patients are staying hospitalized longer. #CHEST2020#CHESTCritCare
Some patients are presenting with DVT and arterial clots related to COVID, but without respiratory symptoms. These patients should probably be tested for Sars-CoV-2
Impaired fibrinolysis and increased clot strength with higher megacariocytes in the lunch compared to non-COVID ARDS seems to be associated with the pathophys. #CHEST2020#CHESTCritCare@accpchest
Is it DIC? Likely not, excellent graph below showing differences in platelet coins and fibrinogen levels in patients with and without COVID-19. @accpchest#CHEST2020#CHESTCritCare
The available data is conflicting in regards to recommending full anticoagulation versus higher dose prophylaxis, for now, these are the guidelines @accpchest#CHEST2020#CHESTCritCare
Special considerations should be made when choosing the appropriate medication for anticoagulation/VTE prophylaxis @accpchest#CHESTCritCare#CHEST2020
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Dr. Mathews: ARMA supported LTVV in ARDS with significantly improved mortality. LTVV has been since found to be beneficial in non ARDS situations. #CHEST2020
At 12 months only 44% of ICU survivors are PICS-free, being cognitive a significative part of the post-ICU impairment. With more ICU survivors, we will likely be seeing more PICS. #CHEST2020#CHESTCritCare
The lack of visitors in the COVID-19 era, will likely contribute to higher number of survivors with PICS #CHEST2020#CHESTCritCare
First up: Props to #CHEST2020 learning partners for that amazing wait music. Ne'er been a fan of wait music. But this is ... well .. peppy. Am in the mood to learn about #AirwayManagement!
.@J_Mendelson_MD: HFNC and proning in severe hypoxic resp failure:
- Can reduce dead space ventilation, assist with WOB, improved resp mechanics
- Pre-COVID data: Can be successful in potentially preventing invasive ventilation vs NIV and low flow O2