7 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #criticalcare #
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Pressure Ventilation Indications ... ), Cardiogenic pulmonary ... Other causes of respiratory ... failure, DNI status ... nickmmark #NIVPPV #NonInvasive
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
respiratory support ... pneumonia vs. heart failure ... blow off” CO2 in a ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... Neuromuscular disease - Respiratory ... burns, Fixed upper airway ... observation) #NIV #Noninvasive ... #criticalcare #
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial ... Guidelines #respiratory ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
Rapoport-Leubering pathway away ... shifts the oxygen dissociation ... failure. ... the hemoglobin dissociation ... pathophysiology #pulmonary
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... • Proning is a ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm