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REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
treatment #NIPPV #CPAP ... #BPAP #HFNC #respiratory
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
EPAP prevents upper ... CPAP - Continuous ... and mortality BPAP ... and IPAP. ... #BPAP #indications
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... - Ramp up the ePAP ... Could also use CPAP ... BiPAP titration ... breathing (equal to iPAP-ePAP
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Pulmonary Angioplasty (BPA
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
sealed systems (CPAP ... /BPAP/ventilator
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Non-Invasive Ventilation (CPAP ... /BiPAP) • Venturi
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... feature, or even BiPAP ... BrighamChiefs #CPAP
Pap Smear Algorithm 
#Diagnosis #Pap #Smear #Test #Cervical #HPV #Screening #PrimaryCare #Management #Vaccination #Gynecology
Pap Smear Algorithm ... #Diagnosis #Pap
Acetaminophen Intoxication Algorithm

- Dr. Josh Farkas @PulmCrit

#Acetaminophen #Algorithm #Toxicology #Overdose #Algorithm #Management #APAP #Overdose #Tylenol
Algorithm #Management #APAP