27 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... patients (ie., CHF or COPD
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... Extubation to NIPPV ... a.k.a BiLevel, BiPAP ... #indications #pulmonary
COPD Exacerbations - Management
 • Identify Triggers
 • Assess Severity
 • Risk for Poor Outcomes
 •
COPD Exacerbations ... Supplemental oxygen, NIPPV ... @PulmPEEPs #COPD ... Management #treatment #pulmonary
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Respiratory Failure • COPD ... Ventilatory Failure → NiPPV ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP
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 ... #CriticalCare #BiPAP ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
Pulmonary Function Tests (PFTs) - Interpretation Algorithm
 • Normal
 • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia
 • Chest
Pulmonary Function ... Interpretation Algorithm ... Non-Emphysematous COPD ... Emphysematous COPD ... Interpretation #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... Indications for NIV: • COPD ... #Ventilation #BiPAP ... #Algorithm #criticalcare
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
application - Pulmonary ... pressure - Extra pulmonary ... highflownasalcannula #NIV #NIPPV ... #bipap #comparison
Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Pulmonary Function ... Interpretation Algorithm ... Emphysematous COPD ... MatthewHoMD #Pulmonary ... Interpretation #Algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV ... : BiPAP, Brief trial ... #CriticalCare #pulmonary