By vgreene, 22 March, 2020 Recruitment. Use careful recruitment maneuvers (not sustained inflation);3 if used, monitor response,1 avoid staircase.2 Avoid vent disconnect (eg, for transport, suction)1
By vgreene, 22 March, 2020 Titrate PEEP at mod-elevated levels (eg, 10-15 cmH2O);3 max PEEP 15 in younger children, per WHO.1 Target PP
By vgreene, 22 March, 2020 Intubation. Oral preferred vs nasal to ↓risk of VAP in adolescent; rapid-sequence OK after assessment.1 Pre-oxygenate1 w/ 100% FiO2 x5min, as rapid desat common during intubation, esp in young child, pregnant, or obese.1 Airborne precautions given co
By vgreene, 22 March, 2020 Isolate pt use droplet contact precautions if COVID 19 suspected confirmed Maintain O2 sat w mechanical ventilation or select noninvasive options1 early in course
By vgreene, 22 March, 2020 Not recommended: corticosteroids,1,3 HFOV,3 inhaled nitric oxide,3 routine neuromuscular blockade1,3