COVID-19 – Effective Triage During a Pandemic

The UK is likely on the brink of a major COVID-19 outbreak. About 6% to 10% of infected people are likely to be critically ill, most of whom will require ventilation support in an intensive care environment. Italy is already... read more

COVID-19 – Effective Triage During a Pandemic

Ethnicity and Outcomes in Patients Hospitalised with COVID-19

Preliminary studies suggest that people from Black, Asian and Minority Ethnic (BAME) backgrounds experience higher mortality from COVID-19 but the underlying reasons remain unclear. Prospective analysis of registry data... read more

Ethnicity and Outcomes in Patients Hospitalised with COVID-19

Managing Theatre Processes for Planned Surgery Between COVID-19 Surges

As we emerge from the first pandemic surge, there is a widespread desire to restart planned surgery using patient pathways that seek to minimise COVID-19 risk to patients and healthcare workers (HCWs). Some hospitals... read more

Managing Theatre Processes for Planned Surgery Between COVID-19 Surges

Prolonged Prone Position Ventilation for SARS-CoV-2 Patients is Feasible and Effective

Recently, novel coronavirus 2019 (nCOV-19) is spreading all around the world causing severe acute respiratory syndrome (SARS-CoV-2) requiring mechanical ventilation in about 5% of infected people. Prone position ventilation... read more

Prolonged Prone Position Ventilation for SARS-CoV-2 Patients is Feasible and Effective

How to Intubate the Critically Ill Like a Boss

Despite decades of experience with endotracheal intubation, we continue to find approaches to improving the process of how we intubate. In today's post we are not only going to talk about how to avoid post intubation cardiac... read more

How to Intubate the Critically Ill Like a Boss

Implantation of Impella CP LV Assist Device Under the Guidance of 3D Intracardiac Echocardiography

This translational study in ovine model confirms that three-dimensional intracardiac echocardiography is a feasible option to guide implantation of the Impella CP® for left ventricular mechanical support and should be considered... read more

Implantation of Impella CP LV Assist Device Under the Guidance of 3D Intracardiac Echocardiography

Outcomes With the Use of Bag-Valve-Mask Ventilation During Out-of-hospital Cardiac Arrest in the Pragmatic Airway Resuscitation Trial

Bag-valve-mask-only ventilation is associated with improved OHCA outcomes. Despite similar rates of ROSC and 72-hour survival, BVM-rescue ventilation was associated with improved survival to discharge and neurologically intact... read more

Outcomes With the Use of Bag-Valve-Mask Ventilation During Out-of-hospital Cardiac Arrest in the Pragmatic Airway Resuscitation Trial

COVID-19 Acute Lung Injury

There is a lot we still do not know when it comes to COVID-19 pathophysiology. We are learning every day, and as we navigate the waters of the unknown, there are a few that boldly dare to try and understand what is happening... read more

COVID-19 Acute Lung Injury

A Transdisciplinary COVID-19 Early Respiratory Intervention Protocol

In the days after COVID-19 arrived in our region, there were many such stories of patients sent to the floor from the Emergency Department who were intubated shortly after admission. Many of those patients subsequently... read more

A Transdisciplinary COVID-19 Early Respiratory Intervention Protocol

Respiratory Physiology of Mechanically Ventilated Patients with COVID-19

In this "Breathe Easy Critical Perspective" podcast, Dr. Dominique Pepper interviews Drs. Jehan Alladina and Corey Hardin. They discuss the respiratory physiology of mechanically ventilated patients with COVID-19. Dr.... read more

Respiratory Physiology of Mechanically Ventilated Patients with COVID-19

Acute Respiratory Failure in COVID-19: Typical ARDS?

COVID-19 is highly infectious and can lead to fatal comorbidities especially ARDS. There are currently no recommended specific anti-COVID-19 treatments, so supportive treatment is important. Fully understanding the characteristics... read more

Acute Respiratory Failure in COVID-19: Typical ARDS?

Prevention and Treatment of ALI with Time-controlled Adaptive Ventilation

Neither the current lung protect and rest nor open lung approach (OLA) ventilation strategies have been effective at reducing VILI and ARDS-related mortality below that in the ARMA study. For a protective ventilation strategy... read more

Prevention and Treatment of ALI with Time-controlled Adaptive Ventilation

COVID-19 NIV: Helmet vs Mask

Over the past few weeks there has been a shift in the management of critically ill COVID-19 patients. Many seem to have moved away from an intubate early strategy to the use of high flow nasal cannula (HFNC) and noninvasive... read more

COVID-19 NIV: Helmet vs Mask

COVID-19 Patients with Respiratory Failure: What Can We Learn From Aviation Medicine?

Patients with COVID-19 may present to hospitals and emergency medical services with an atypical form of acute respiratory distress syndrome (ARDS). Although anecdotal, a common clinical pattern has emerged, with a remarkable... read more

COVID-19 Patients with Respiratory Failure: What Can We Learn From Aviation Medicine?

Canopy Protects Healthcare Workers From COVID-19 Infection During Ventilation

Researchers have designed a cost-effective, constant flow plastic canopy system that can help to protect healthcare workers who are at risk of airborne coronavirus infection while delivering non-invasive ventilation or oxygen... read more

Canopy Protects Healthcare Workers From COVID-19 Infection During Ventilation

Understanding Happy Hypoxemia Physiology During COVID-19

Happy hypoxemia is severe hypoxemia (poorly responsive to supplemental oxygen) without dyspnea. This isn't anything especially new – we have occasionally seen this since time immemorial. However, COVID is causing us to... read more

Understanding Happy Hypoxemia Physiology During COVID-19

Small Compact Resuscitation Device Safely Used on Patient with COVID-19

A small compact and portable resuscitation ventilation device built by PRIMEDIC OXYLATOR, was safely used to treat a patient with COVID-19 pneumonia in the intensive care unit (ICU). The Oxylator from Primedic is a combination... read more

Small Compact Resuscitation Device Safely Used on Patient with COVID-19