By vgreene, 22 March, 2020 ECMO: If refractory hypoxemia despite lung-protective ventilation, consider ECMO, per WHO,1 NIH (in setting of trial),2 and PALICC (for severe dz in certain pts)3
By vgreene, 22 March, 2020 Inhaled nitric oxide: Not routine; consider if known pulm HTN or severe RV dysfxn, if refractory hypoxemia in spite of maximized vent and other rescue strategies,2 or as bridge to ECMO in certain pts3
By vgreene, 22 March, 2020 Neuromuscular blockade by continuous infusion not routine but consider for some pts, per WHO,1 NIH;2 consider if sedation alone inadequate, per PALICC3