SCCM Resource Library-Initial Management of Hypoxic COVID-19 Patients

Pdf Summary

This document provides recommendations for the initial management of hypoxic COVID-19 patients. It suggests using high-flow nasal cannula (HFNC) and closely monitoring the patient at short intervals. If the patient is not tolerating HFNC or if it is not available, a trial of noninvasive positive-pressure ventilation (NIPPV) should be considered. If the patient is not tolerating supplemental oxygen or if their condition is worsening, endotracheal intubation is recommended. An expert in airway management should perform the intubation, using appropriate personal protective equipment (PPE) and infection control precautions. A video-laryngoscope should be used if available. The patient should be closely monitored for any worsening, and infection control precautions should be followed. The target peripheral capillary oxygen saturation (SpO2) should be 92% to 96%. Intubation should not be delayed if the patient's condition is worsening. These recommendations aim to guide healthcare professionals in the management of hypoxic COVID-19 patients and minimize the risk of spread to healthcare staff.

Asset Subtitle

Infection, Crisis Management, 2021

Asset Caption

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

Meta Tag

Content Type Infographic

Knowledge Area Crisis Management

Knowledge Area Infection

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag COVID-19

Year 2021

Keywords

COVID-19

hypoxic patients

high-flow nasal cannula

HFNC

noninvasive positive-pressure ventilation

NIPPV

endotracheal intubation

airway management

personal protective equipment

PPE

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