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Category: Crisis Management

For permissive hypercapnia, elevated CO2, and pH, how do you adjust the ventilator, circuit, heat and moisture exchanger, tubing, and positioning?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 3:22 min Coronavirus, COVID-19, Therapies

What are reasonable initial ventilator settings? How do you manage FIO2 and PEEP? How much tolerance is there for permissive hypercapnia?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 3:45 min COVID-19, Ventilatory Support

In your experience, how does management differ among pregnant patients?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 4:06 min Coronavirus, COVID-19, Pregnancy

When monitoring hospitalized COVID-19 patients, both critically ill and noncritically ill, to prevent Stenotrophomonas or other secondary infections or fungal infections, when should prophylactic antibiotics be administered?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 2:12 min Coronavirus, COVID-19, Therapies

If an intubated patient worsens, how would you code a patient in the prone position? When would you consider escalating to venovenous extracorporeal membrane oxygenation in the current COVID-19 environment?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 5:55 min Coronavirus, COVID-19, ECMO, Intubation

What are your recommendations for patients on high-flow nasal cannula or noninvasive positive-pressure ventilation who are not adherent with treatment because of anxiety or agitation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 2:52 min Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

What suggestions do you have for pharmacists, physician assistants, nurses, and physicians who work in a traditionally non-ICU environment who want to obtain further skills and knowledge to care for critically ill, difficult-to-manage patients?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 1:44 min Coronavirus, COVID-19, Resource Allocation

Would you discuss positioning, including proning, also considering unintubated patients and self-proning?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 3:02 min Coronavirus, COVID-19, Proning

When should paralytics be initiated, when should they be weaned off, and how do you decide whether to monitor neuromuscular blockade?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 4:27 min Coronavirus, COVID-19, Sedation

Regarding fluid management, inotropes, and vasopressors in critically ill patients, which drugs are concerning with excessive fluid volume?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 5:12 min Coronavirus, COVID-19, Supportive Care

What are the current recommended treatments for critically ill patients with COVID-19?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 8, 2021

   Estimated Time: 4:48 min Coronavirus, COVID-19, Therapies

Online Letter to the Editor: Right Ventricular Dysfunction and Its Association With Mortality in Coronavirus Disease 2019 Acute Respiratory Distress Syndrome: Do Not Focus on Not Reliable Markers

From Critical Care Medicine . This is an Online Letter to the Editor written in response to Right Ventricular Dysfunction and Its Association With Mortality in Coronavirus Disease 2019 Acute Respiratory Distress Syndrome by Chotalia et al.

   Estimated Time: 03:33 min Coronavirus, COVID-19

One-Year Functional, Cognitive, and Psychological Outcomes Following the Use of Extracorporeal Membrane Oxygenation in Coronavirus Disease 2019: A Prospective Study

From Critical Care Explorations . In this study the authors found that functional impairment was common a year following the use of extracorporeal membrane oxygenation in coronavirus disease 2019, although the majority achieved independence in daily living and about half retu...

   Estimated Time: 33:56 min Coronavirus, COVID-19, ECMO

Argatroban for Anticoagulation in Patients Requiring Venovenous Extracorporeal Membrane Oxygenation in Coronavirus Disease 2019

From Critical Care Explorations . In this study, the authors conclude that argatroban, with or without aspirin, is an effective anticoagulation strategy for patients who require venovenous extracorporeal membrane oxygenation support secondary to coronavirus disease 2019.

   Estimated Time: 20:16 min Anticoagulation, Coronavirus, COVID-19, ECMO

Comparison of Published Guidelines for the Diagnosis and the Management of Vaccine-Induced Immune Thrombotic Thrombocytopenia

From Critical Care Explorations . In this Narrative Review, the authors conclude that clinicians should be prepared for the early identification of patients with suspicious symptoms and prompt treatment should be initiated to avoid catastrophic deterioration. They note that m...

   Estimated Time: 28:02 min Guidelines, Vaccination

Clinical Characteristics, Management, and Outcomes of Cancer Patients With Coronavirus Disease 2019 Admitted to the ICU

From Critical Care Explorations . In this article, the authors report a large case series and intermediate-term follow-up of cancer patients with coronavirus disease 2019 who were admitted to the ICU. Hospital mortality was 45%; intermediate-term outcome after hospital discha...

   Estimated Time: 22:14 min Coronavirus, COVID-19

Bronchoscopy During Coronavirus Disease 2019 Pandemic: A Bronchoscopist’s Perspective

From Critical Care Explorations . In this Commentary, that authors discuss bronchoscopy in patients with coronavirus disease 2019 and conclude that bronchoscopy should be strongly considered when clinically indicated.

   Estimated Time: 12:42 min ARDS, Coronavirus, COVID-19

Plasma Exchange in Patients With Severe Coronavirus Disease 2019: A Single-Center Experience

From Critical Care Explorations . The data in this study provide further evidence for plasma exchange as a novel therapeutic strategy in a subset of critically ill coronavirus disease 2019 patients by potentially reversing the complex coronavirus disease 2019 immunopathology.

   Estimated Time: 25:10 min Convalescent Plasma Therapy, Coronavirus, COVID-19

Nurse Leaders’ Top Challenges, Emotional Health, and Areas of Needed Support July 2020 to August 2021

This video from the  American Organization for Nursing Leadership (AONL) discusses new data from this nursing survey indicates access to PPE and the ability to communicate and implement changing policies have improved, while staffing shortages and the emotional health and well...

   Estimated Time: Coronavirus, COVID-19

IDSA Resources: Pediatrics

SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Infectious Diseases Society of America (IDSA) COVID-19 Real-Time Learning Network. These resources are categorized as Pediatrics

   Estimated Time: Coronavirus, COVID-19, pediatrics, Vaccination