Mild pneumonia |
Mild or no change at rest (SpO2 of 92–94%) |
Stable |
Low-flow oxygen |
No |
Normal |
Moderate pneumonia |
Drop in SpO2 during activity |
Tachycardia and hemodynamic variability |
High-flow oxygen (HFO) system/venturi mask |
Fever, cough, breathlessness |
Ground glass opacities and bilateral lung mottling |
Severe |
Needs high FiO2 and PEEP to maintain oxygenation |
Unstable/altered hemodynamics needs respiratory support |
Mechanical ventilator (MV) or noninvasive ventilation (NIV) |
Altered mental status, Signs of ARDS (mild to severe)8
|
ARDS changes |
Critical |
Needs high FiO2 and PEEP to maintain oxygenation |
Unstable/altered hemodynamics needs respiratory support |
Mechanical ventilator or on extracorporeal membrane oxygenation (ECMO) |
ARDS, multiorgan failure, sepsis, shock |
ARDS changes bilateral ground glass appearance |