SCCM Resource Library-Year in Review: Anesthesiology

Video Transcription

Video Summary

The Year in Review session for anesthesiology started with a discussion about the use of mechanical ventilation in patients with COVID-19 ARDS. It was noted that COVID-19 ARDS can present differently than classical ARDS, with some patients experiencing hypoxemia without distress. It was emphasized that hypoxemia alone is not an indication for intubation, and that increased work of breathing should be the determining factor for intubation. The use of non-invasive positive pressure ventilation, such as BiPAP and high-flow nasal cannula, was discussed as a potential treatment option for COVID-19 patients. It was noted that these modalities can be safe for healthcare workers if proper precautions are taken. The discussion then shifted to the topic of coagulation and COVID-19. It was highlighted that COVID-19 can cause both thrombosis and bleeding, and that there is still much debate and uncertainty about the best treatment strategies. The use of corticosteroids, such as dexamethasone, in COVID-19 was discussed, with evidence showing a reduction in mortality for certain patient populations. The use of remdesivir, convalescent plasma, and the mRNA COVID-19 vaccine were also discussed, noting their potential benefits in the treatment and prevention of COVID-19. The session concluded with a discussion about other notable articles in anesthesiology, including the use of viscoelastic assays in trauma resuscitation and the timing of endoscopy for acute upper GI bleeding. Overall, the session provided a comprehensive overview of the current understanding and management of COVID-19 in anesthesia practice, as well as other important topics in the field.

Asset Subtitle

Procedures, Crisis Management, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Respiratory Management of COVID-19 ARDS
Philip Sommer

COVID-19: Hematologic Testing and Challenges
Justin Tawil

Year in Review: Top 10 Articles
Jing Tao

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Crisis Management

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag COVID-19

Tag Mechanical Ventilation

Year 2021

Keywords

anesthesiology

mechanical ventilation

COVID-19 ARDS

intubation

non-invasive positive pressure ventilation

coagulation

corticosteroids

remdesivir

mRNA COVID-19 vaccine

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