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Sickle Cell and Acute Chest Syndrome — Considerations for Possible Need for ICU Consult — Clinical Pathway: Inpatient

Sickle Cell and Acute Chest Syndrome Clinical Pathway — Inpatient

Considerations for Possible Need for ICU Consult

Please note that all patients will not fall into these categories. Clinician should take into account the individual patient’s clinical status.

Considerations for ICU Admission

  • Patients with supplemental oxygen > FiO2 35% or with moderate to severe work of breathing
  • Use of a nonrebreather mask to provide supplemental oxygen
  • Need for apheresis
  • Change in neurological status
  • Sepsis

Oxygen Requirement

Weight ICU Threshold
≤ 5 kg 1 L/min
< 10 kg 2 L/min
≤ 15 kg 3 L/min
< 20 kg 4 L/min
> 30 kg 4 L/min

 

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