53 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
IPAP can help generate ... and mortality BPAP ... and IPAP. ... intubation, mortality, LOS ... #BPAP #indications
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Non-Invasive Ventilation (CPAP ... /BiPAP) • Venturi ... Mask • High-Flow
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... -BiPAP should never ... be used to “blow ... #CriticalCare #BiPAP ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... #Ventilation #BiPAP ... #Algorithm #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
wheezing OR poor air flow ... - High pCO2 / low ... breathing • Peak flow ... Prednisone • NIPPV: BiPAP
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... Algorithm Screen ... amzn.to/3rEtbK8 #BiPAP ... BiLevel #Initiation #Algorithm
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Flow is a variable ... is essentially how ... t, your PIFR (flow ... sealed systems (CPAP ... /BPAP/ventilator
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
likely avoided, Flow-dependent ... #NIV #NIPPV #bipap
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... - Urine sodium low ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
with COVID-19 Low ... flow nasal cannula ... rate) CPAP • ... Titrate CPAP up ... hypoxia #failure #algorithm