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Ventilatory Support

Obesity and the Risk of Intubation or Death in Patients With Coronavirus Disease 2019

From Critical Care Medicine. In the study, obesity was an independent risk factor for intubation or death.

Comorbidities, Coronavirus, COVID-19, Ventilatory Support

COVID-19: Critical Care Medicine Experts International Summit

The webcast invited China and US critical care medicine top leaders and experts to discuss issues of common concerns in managing the COVID-19 patients in three different sessions, including Mechanical Ventilation, Critical Care Nutrition, and Steroid Therapy.

Coronavirus, COVID-19, Nutrition, Sedation, Therapies, Ventilatory Support

Timing of Intubation and Mortality Among Critically Ill Coronavirus Disease 2019 Patients: A Single-Center Cohort Study

From Critical Care Medicine. The authors examined the impact of time to intubation and use of high-flow nasal cannula on clinical outcomes in patients with coronavirus disease 2019.

Coronavirus, COVID-19, Ventilatory Support

What are the indications for intubation? Do they differ from standards of care in patients that presents with hypoxic or hypercarbic respiratory failure?

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 July 8th, 2020.

coronavirus, COVID-19, Supportive Care, Ventilatory Support

SCCM Pod-417 COVID-19-Associated Acute Respiratory Distress Syndrome

Clinicians are working to understand and formulate an effective treatment for COVID-19-associated acute respiratory distress syndrome (Marini J. Crit Care Med. 2020 May 13; Epub ahead of print).

ARDS, coronavirus, COVID-19, Disaster Preparedness, Supportive Care, Ventilatory Support

Online Letter to the Editor: Coronavirus Disease 2019: Withdrawing Mechanical Ventilation to Reallocate Life Support Under Crisis Standards of Care-Nonequivalence of the Equivalence Thesis

From Critical Care Medicine. The authors look at Sprung et al. article ("Adult ICU Triage During the Coronavirus Disease 2019 Pandemic: Who Will Live and Who Will Die? Recommendations to Improve Survival" and the question: Is it ever ethical to remove a ventilator from a patient in order to reallocate it to another we believe would derive more benefit from it?

Coronavirus, COVID-19, Ventilatory Support

Statewide Real-Time Tracking of Beds and Ventilators During Coronavirus Disease 2019 and Beyond

From Critical Care Explorations. This brief report describes the rapid deployment of a real-time electronic tracking board for all hospitals in the state of Oregon.

Coronavirus, COVID-19, Ventilatory Support

Mechanical Ventilation During the Coronavirus Disease 2019 Pandemic: Combating the Tsunami of Misinformation From Mainstream and Social Media

From Critical Care Medicine. The editorial authors discuss the role of mainstream and social media in creating the narrative that intubation and mechanical ventilation were "the cause of suboptimal outcomes" for critically ill COVID-19 patients, without accounting for hospital staffing and equipment shortages.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

Clinical Features of Coronavirus Disease 2019 Patients With Mechanical Ventilation: A Nationwide Study in China

From Critical Care Medicine. Mechanical ventilation (MV) is life-saving for respiratory distress; this study was designed to delineate the clinical features of the COVID-19 patients with MV from a national cohort in China.

Coronavirus, COVID-19, Ventilatory Support

Critical Care for Non-ICU Clinicians: Expert Panel Series

This webcast series engages a panel of critical care experts who will address questions from non-ICU clinicians caring for critically ill patients during the COVID-19 pandemic. Participants are encouraged to ask about any related topics at the time of registration or live during the session.

Coronavirus, COVID-19, Infection Control, Supportive Care, Therapies, Ventilatory Support

What is the latest data or anecdotal evidence on ventilation modes for patients with acute respiratory distress syndrome?

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also answered. Recorded on: Friday, May 22, 2020

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

What strategies do you use to prevent ventilator-induced lung injury and avoid refractory hypoxemia?

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 May 27th, 2020.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What strategies are used for fluid resuscitation and intubation timing?

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 May 13th, 2020.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Just-in-Time Simulation to Guide Workflow Design for Coronavirus Disease 2019 Difficult Airway Management

From Pediatric Critical Care Medicine. Integration of table-top planning, in situ simulations, and debriefing of real COVID19 cases can enhance planning, training, job aids, and feasible policies/procedures that address human factors, team communication, equipment choice, and patient/provider safety in the COVID19 pandemic era.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

Implications of Obesity for the Management of Severe Coronavirus Disease 2019 Pneumonia

From Critical Care Medicine. The authors report on their experience from their first 44 cases of 95 COVID-19 critically ill patients and analyze the link between obesity and this new form of 96 ARDS caused by the SARS-CoV-2 with its potential implications for patients' management.

Coinfections, Coronavirus, COVID-19, Ventilatory Support

ICU and Ventilator Mortality Among Critically Ill Adults With Coronavirus Disease 2019

From Critical Care Medicine. To help address the growing concern that critical illness, and specifically mechanical ventilation, are associated with a high risk of death, the authors conducted a retrospective cohort study of critically ill patients with COVID-19 across their academic health system.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

SCCM Pod-416 COVID-19 Learning: Multiple Patients on a Single Ventilator

In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort.

Coronavirus, COVID-19, Disaster Preparedness, Ventilatory Support

What are your recommendations for ventilation of patients with COVID-19?

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

SCCM/AARC: Maximizing the Respiratory Team Dynamic: Effective Patient Care During a Pandemic

This expert panel representatives from Society of Critical Care Medicine (SCCM) and the American Association for Respiratory Care (AARC) teamed up to discuss how ICU respiratory care teams can work together more cohesively when caring for COVID-19 patients. Recorded on: Thursday, May 14, 2020

Communication, Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

COVID-19 Question and Answer Webcast Series - Webcast 4

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Coronavirus, COVID-19, Hemodynamic Support, Therapies, Ventilatory Support

Time Course of Evolving Ventilator-Induced Lung Injury: The "Shrinking Baby Lung"

From Critical Care Medicine. This paper introduces and highlights several important and /or novel concepts seldom considered by the practicing intensivist.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Can chest radiograph findings change the indication for either intubation or extubation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Scanning, Supportive Care, Ventilatory Support

What strategies can be used to start hemodynamically unstable patients on mechanical ventilation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What strategies can be used to reduce rates of reintubation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

At what saturation levels should a patient be intubated and what strategies can be used to avoid intubation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are the advantages and disadvantages of helmet-based ventilation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are the benefits of proning protocols and the recommendations for timing of proning?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

ICU Guide for Airway Management in COVID-19 Patients

This is a quick airway management resource guide for treating COVID-19 patients . This is a community developed COVID-19 microlearning resource.

Community Developed, Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are the current recommendations for COVID-19 patients undergoing tracheostomy

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

How should airways be secured when proning intubated patients?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

How can multiple patients be ventilated on single ventilator?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Which ventilator strategies are appropriate for a patient with COVID-19 who is on extracorporeal membrane oxygenation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, ECMO, Hemodynamic Support, Supportive Care, Ventilatory Support

How should a COVID-19 patient who is recovering from acute respiratory distress syndrome be weaned off the ventilator?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Can you discuss the range and ceiling of permissive hypercapnia?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

What are some general recommendation for noninvasive ventilation for moderate respiratory distress (not acute respiratory distress syndrome)?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Using the Surviving Sepsis Coronavirus Disease 2019 Guidelines - Anything New Yet?

From Critical Care Explorations. A letter to the editor of Critical Care Explorations about SSC COVID-19 Guidelines and the need to update these guideines and others regularly to help universally optimize sepsis care due to COVID-19 and help flatten the briskly rising morbidity and mortality curve.

Coronavirus, COVID-19, Hemodynamic Support, Infection Control, Therapies, Ventilatory Support

Potential for Lung Recruitment and Ventilation-Perfusion Mismatch in Patients With the Acute Respiratory Distress Syndrome From Coronavirus Disease 2019

From Critical Care Medicine. Severe cases of coronavirus disease 2019 develop the acute respiratory distress syndrome, requiring admission to the ICU. This study aims to describe specific pathophysiological characteristics of acute respiratory distress syndrome from coronavirus disease 2019.

ARDS, Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

How should respiratory failure be treated in patients with COVID-19 in terms of ventilator management?

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 April 15, 2020.

Coronavirus, COVID-19, Supportive Care, Therapies, Ventilatory Support

COVID-19 Question and Answer Webcast Series - Webcast 3

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Coronavirus, COVID-19, Disaster Preparedness, Supportive Care, Therapies, Ventilatory Support

SCCM Pod-409 SSC COVID-19 Guidelines

Explore the Surviving Sepsis Campaign’s Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (Alhazzani W, et al. Crit Care Med. 2020 Mar 27; Epub ahead of print) with host Kyle B. Enfield, MD, and authors Mitchell M. Levy, MD, MCCM, and Waleed Alhazzani, MD, MSc, FRCPC.

Coronavirus, COVID-19, Infection Control, Supportive Care, Therapies, Ventilatory Support

Prone Positioning

Point of Care (PoC) Refresher Training Discuss steps for prone positioning which can be used to improve oxygenation in critically ill patients who require mechanical ventilation for management of hypoxemic respiratory failure.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Diagnosis and Management of Acute Respiratory Failure

Point of Care (PoC) Refresher Training. While current recommendations for respiratory support in COVID-19 support the use of the high-flow nasal cannula for hypoxia, oxygen supplementation strategies vary by institution. Make sure to follow your institution's protocols.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Airway Management

Point of Care (PoC) Refresher Training. While current recommendations for respiratory support in COVID-19 support the use of the high-flow nasal cannula for hypoxia, oxygen supplementation strategies vary by institution.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Clinical Perspectives: The Front Lines

This webinar discusses COVID-19 cases from the front-line at the University of Nebraska Medical Center Recorded on: April 17, 2020

Case Presentations, Coronavirus, COVID-19, Infection Control, Ventilatory Support

Can you provide an update on the Surviving Sepsis Campaign: COVID-19 management guidelines?

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 Question and Answer Webcast Series - Webcast 2 held on April 10, 2020.

Coronavirus, COVID-19, Supportive Care, Therapies, Ventilatory Support

Do ICU patients with COVID-19 require a high amount of sedation or paralysis?

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 Question and Answer Webcast Series - Webcast 2 held on April 10, 2020.

Coronavirus, COVID-19, Sedation, Supportive Care, Ventilatory Support

Surviving Sepsis Campaign COVID-19 Guidelines (Chinese Translation)

COVID-19 Guideline Resource. SCCM has released its Surviving Sepsis Campaign COVID-19 guidelines to manage critically ill adults with COVID-19 in the intensive care unit (ICU).

Coronavirus, COVID-19, Disaster Preparedness, Infection Control, Therapies, Ventilatory Support

Strategic National Stockpile

This presentation gives a brief overview of ventilators in the strategic national stockpile. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

COVID-19 Question and Answer Webcast Series - Webcast 2

In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Coronavirus, COVID-19, Disaster Preparedness, Supportive Care, Therapies, Ventilatory Support

Noninvasive Positive Pressure Ventilation: Guidance for COVID-19 Associated Respiratory Failure

This presentation is an overview of non-invasive positive pressure ventilation use for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support

High Flow Nasal Cannula (HFNC) Use in COVID-19 Respiratory Failure

This presentation is an overview of HFNC use for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

Surviving Sepsis Campaign COVID-19 Guidelines: Ventilation Recommendations Chart

COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource when choosing ventilation options for managing COVID-19 patients.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

China/U.S. Panel Discussion on COVID-19

This webcast is an interactive panel discussion on COVID-19 with the Society of Critical Care Medicine (SCCM) and Chinese critical care leaders.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

Consensus Statement on Multiple Patients Per Ventilator

COVID-19 - SCCM Joint Statement. This joint society consensus statement provides advice to clinicians considering placing multiple patients on a single mechanical ventilator.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

Initial Management of Hypoxic COVID-19 Patients

COVID-19 SSC Guidelines Infographic. This rapid resource is aligned with the SSC COVID-19 Guidelines.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

Management of Patients with COVID-19 and ARDS

COVID-19 SSC Guidelines Infographic. This rapid resource is aligned with the SSC COVID-19 Guidelines.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

SCCM-ASA Joint Statement to Address the COVID-19 Pandemic

COVID-19 - SCCM Joint Statement. The Society of Critical Care Medicine (SCCM) and the American Society of Anesthesiologists (ASA) announce their plans to collaborate to address the COVID-19 crisis.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

Joint Statement of the Critical Care Society Collaborative to the US Congress and the Trump Administration

COVID-19 - SCCM Joint Statement. Production and distribution of personal protective equipment (PPE) and life-saving equipment.

Coronavirus, COVID-19, Disaster Preparedness, PPE, Ventilatory Support

Is Noninvasive Ventilation Aerosol Producing? Is There a Risk?

This presentation covers infection control concerns when using NIV for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Aerosol-Generating Procedures, Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support

COVID-19 What We Learned from the Outbreak in Wuhan

During this webcast, Zhiyong Peng, MD, PhD, discussed his personal experiences as he prepared for the original COVID-19 outbreak and led one of the first teams to diagnose and manage COVID-19 patients, as well as lessons learned now that the spread in Wuhan is under control.

Clinical presentations, Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

Have patients with COVID-19 survived intubation on mechanical ventilation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support

Do you have any comments on airway management, instrumentation, or intubation protocols?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Aerosol-Generating Procedures, Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support

What are the recommendations for proning in patients with COVID-19 and how early should proning be instituted?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

What are the limits of PEEP and plateau pressure?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

What are your thoughts about using glucocorticoids in patients with severe ARDS secondary to COVID-19 who remain intubated after 7 days?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

ARDS, Coronavirus, COVID-19, Intubation, Therapies, Ventilatory Support