COVID Activated Emergency Scaling of Anesthesiology Responsibilities (CAESAR) ICU

Dated: 3-26-2020
New updates: 11-18-2020

Content developed and sourced in collaboration with ASA, SOCCA, SCCM and APSF. Read a letter from the CAESAR project contributors (PDF).

In response to the rapidly evolving COVID-19 pandemic, ASA, in collaboration with the Society of Critical Care Anesthesiologists (SOCCA), the Society of Critical Care Medicine (SCCM), and the Anesthesia Patient Safety Foundation (APSF), present this library of ongoing resources and information pertaining to handling the COVID patient. This educational material includes informational statements from leaders in critical care medicine, presented to you in a written format, and as brief audio recordings. 

RESOURCE LIBRARY

ICU Ventilation & Pulmonary

Shahla Siddiqui, M.B.B.S., DABA, M.Sc., FCCM
David Stahl, M.D. 

• APSF/ASA Anesthesia Machines as ICU Ventilators (5-7-2020) (PDF)
• Initial Ventilator Settings and Adjustments in the ICU (3-27-2020) (PDF)
• Ventilation in the ICU for Anesthesiologists (MP3 Audio)
• Intubation in COVID-19  (PDF)
• Intubation in COVID and P.F. Ratios (MP3)
• Pulmonary - CAESAR (9-15-2020) (PDF) NEW
• Pulmonary - CAESAR (11-18-2020) (MP3 Audio) NEW
• Quick Reference (4-9-2020) (PDF)
• Mechanical Ventilation (9-15-2020) (PDF) NEW
• Noninvasive Ventilation (MP3 Audio)
• Ventilator Tracings (3-27-2020) (PDF)

ECMO

Samuel M. Galvagno Jr., D.O., Ph.D., M.S., F.C.C.M. 

• Indications for ECMO for ICU COVID-19 Patients (PDF)
• Indications for ECMO for ICU COVID-19 Patients (MP3 Audio)
• VA ECMO Management Cheat Sheet (3-27-2020) (PDF)

External Resource:

• Refractory Hypoxemia VV ECMO infographic (PDF)

Gastrointestinal/Nutrition

Suzanne Bennett, M.D.

• Critical Care Nutrition and Gastrointestinal Topics (PDF)
• Critical Care GI  and Nutrition Topics (MP3)

External Resource:

• ESPEN Guideline on Clinical Nutrition in the ICU (PDF)

Ethics

Shahla Siddiqui, M.B.B.S., DABA, M.Sc., FCCM
Natalia Ivascu, MD

• Checklist for Checklists (PDF)
• Ethical Considerations for ICU COVID-19 Non-COVID-19 Patients (9-15-2020) (PDF) NEW
• Ethical Considerations for ICU COVID-19 Non-COVID-19 Patients (11-18-2020) (MP3 Audio) NEW

External Resources:

• Ariadne O.R. Crisis Checklists (PDF)
• SOCCA Residents Guide 2017 (PDF)

Renal/Fluids

Craig Jabaley, M.D.
Raquel Bartz, M.D.

• ASA-SOCCA Renal Primer (9-15-2020) (PDF) NEW

Endocrine/Steroids

Kristina Goff, M.D.

• Critical Care for the NonCC Physician - Endocrine (9-15-2020) (PDF) NEW
• Critical Care for the NonCC Physician (11-23-2020) (MP3) NEW

Muscoloskeletal/Hematomology/Prophylaxis/ICU

Megan Lane-Fall, M.D., M.S., FCCM

• Anesthesia ICU Training in COVID Era (3-26-2020) (PDF)

Infectious Diseases

Roshni Sreedharan, M.D., FASA

• Infectious Diseases Refresher for Anesthesiologists (3-26-2020) (PDF)
• SSC COVID-19 Critical Care Guidelines (3-26-2020) (PDF)
• Surviving Sepsis Campaign Hour 1 Bundle (PDF)

Cardiovascular 

Ashish Khanna, M.D., FCCP, FCCM
Ricardo E. Verdiner, M.D.

• COVID-19 Associated Myocardial Injury (PDF)
• COVID-19 Myocardial Injury Verdiner (MP3 Audio)
• Cardiovascular System (3-30-2020) (PDF)
• Cardiovascular System (3-30-2020) (MP3)
• Initial Assessment of Shock Etiology in Critically Ill Patient (PDF)

External Resources:

• COVID-19 Cytokine Storm Syndrome (PDF)
• JAMA COVID-19 Cardiovascular Disease (PDF)
• Coronavirus and the Cardiovascular System 1 (PDF)

Neurology

George W. Williams, M.D., FCCM, FCCP, FASA

• Neurological Management in the ICU (PDF)
• Neurological Management in the ICU (MP3)

External Resources:

• COVID Therapy Interaction Short (3-20-2020) (PDF)
• COVID Therapy Interaction (3-20-2020) (PDF)
• RASS Table (3-20-2020) (PDF)
• Richmond Aggitation Sedation Scale Initial Publication (3-20-2020) (PDF)