Apnoeic CPAP for oxygenation
Apnoeic CPAP for oxygenation of COVID-19 patients prior to intubation
Inability to adequately pre-oxygenate critically ill patients, and to maintain oxygenation during induction and laryngoscopy, risks life-threatening hypoxaemia. Intubation of COVID-19 patients is made considerably more complex due to the risk of viral transmission associated with different pre-oxygenation and apnoeic oxygenation strategies.
In this excellent 10 minute video from Adult Retrieval Victoria, Dr Stacy Turner (@StacyTurner99) demonstrates the pros and cons of different approaches for “apnoeic CPAP” to achieve adequate oxygenation of critically ill COVID-19 patients. The current Safe Airway Society COVID-19 Consensus Statement – Airway Management and Tracheal Intubation. are referred to in the video.
Techniques demonstrated include:
- Bag-valve-mask (BVM) with PEEP valve
- Bag-valve-mask (BVM) with PEEP valve and nasal cannula
- Bag-valve-mask (BVM) with PEEP valve and addition oxygen flow distal to the viral filter
- CPAP using the Hamilton C1 ventilator
SARS-CoV-2
novel coronavirus of COVID-19
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
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