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Western-Health-Covid19-Collaboration / wh_covid19_app

Volunteer developed app containing information for frontline medical staff around COVID-19
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ICU cross skilling - Breathing - High flow nasal Prongs #255

Open fabiendade opened 4 years ago

fabiendade commented 4 years ago

Within the cross skilling - Breathing section it would be useful to have a button titled “high flow nasal prongs” to help staff safely initiate and manage this oxygen delivery device

Opening it brings up a screen with:

3 Tabs

  1. High flow nasal Prongs
  2. Initiation
  3. Management

Bold headings are titles of each box within the Tab

Tab 1

High Flow Nasal Prongs (NFNP) are a humidified high flow O2 delivery device

Aerosol generating procedure

In a suspected / Confirmed COVID-19 case discuss with intensivist before initiating

High flow nasal Prongs • High FiO2 delivery • High Flow • Humidified

Tab 2 - Indications

Indications • T1RF • Bridge to intubation • Post extubation

Advantages • Tolerance • Accurate Fio2 delivery • PEEP delivered – 1cmH20 / 10L flow • Reduced Dead space

Tab 3 - Mangement

Ward limits • 30% FiO2 30L flow • >30% at MET call and short period after waiting for response to therapy • This may change depending on surge plans • Consider NIV if inadequate support / transfer to ICU

Practical points • Change FiO2 and flow at wall O2 / air valves – not on machine • If not tolerating / mouth breathing – try Optiflow face ask

lukesleeman commented 4 years ago

@greggmiller is this one still needed or is it covered off by the current stuff we have in Quick ICU Training?