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management criticalcare noninvasive pulmonary covid19 delivery devices diagnosis oxygen respiratory algorithm bpap checklist comatose comparison coronavirus crrt failure hypoxia interfaces
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... IPAP can help generate ... and mortality BPAP ... and IPAP. ... #NIPPV #CPAP #BPAP
Oxygen Delivery Methods • Nasal Cannula • Nonrebreather Mask • Non-Invasive Ventilation (CPAP/BiPAP) • Venturi Mask
• Non-Invasive Ventilation ... (CPAP/BiPAP) ... Mask • High-Flow ... Invasive Mechanical Ventilation
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Indications: ... Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP ... Positive #Pressure #Ventilation
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
flow nasal cannula ... rate) CPAP • ... Titrate CPAP up ... positioning • Exact indication ... VV-ECMO • indicatons
Oxygen Delivery Devices 1. Flow is a variable describing the movement of a volume of gas over
Flow is a variable ... understand: Minute Ventilation ... variable and fixed - indicating ... sealed systems (CPAP ... /BPAP/ventilator
Noninvasive Ventilation Summary Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
CPAP - Continuous ... Supports oxygenation BIPAP ... - Heated high-flow ... increasing tolerance to flows ... depends on set flow
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
unavailable, disposable cap ... Medications & pre-planned ... include: • BiPÅP ... • If using BiPÅP ... cuff prior to ventilation
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
Pager Summary Indications ... Intoxications (APAP ... liberation from ventilation ... • Blood Flow ... Higher flow rates
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... lesion • Dipping: Slow ... eye movements: Slow ... normal in sleep; indicators ... pressure support ventilation
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