13 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... Could also use CPAP ... breathing (equal to iPAP-ePAP ... - Ramp up iPAP ... Titration #CHF #CongestiveHeartFailure
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
IPAP can help generate ... CPAP - Continuous ... and mortality BPAP ... and IPAP. ... #NIPPV #CPAP #BPAP
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
Positive Pressure Ventilation ... #FOAMed #COVID19 ... treatment #NIPPV #CPAP ... #BPAP #HFNC #respiratory
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Oxygen Delivery ... • Non-Invasive Ventilation ... (CPAP/BiPAP) ... Invasive Mechanical Ventilation ... @DharSaty #Oxygen
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP ... Positive #Pressure #Ventilation
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery ... understand: Minute Ventilation ... Oxygen delivery ... sealed systems (CPAP ... /BPAP/ventilator
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... the flow rate) CPAP ... • Titrate CPAP ... lung-protective ventilation ... respiratory #support #COVID19
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
CVP PAP PCWP ... Arterial Pressure MPAP ... dyn*s/cm5 ((MPAP-WP ... 660 9*m/m2 CI*MPAP ... 9.7 9*m/m2 SI*MPAP
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... unavailable, disposable cap ... include: • BiPÅP ... • If using BiPÅP ... Care @iBookCC #COVID19
COVID-19 on Chest XRay

Our first patient on Feb 21st, 72 yo, frankly dyspnoeic with SpO2 65%
COVID-19 on Chest ... More than 1.400 COVID ... with 30% needing ventilation ... or CPAP. ... rob_cosentini #COVID19