11 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
HFNC may be made ... #Management #CriticalCare ... #HFNC #HighFlow ... #NIPPV #Noninvasive ... #Ventilation #RespiratorySupport
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


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

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... Pressure Ventilation ... @EmmGeezee #Noninvasive ... #NIPPV #CPAP #BPAP ... #indications #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Extubation to NIPPV ... a.k.a BiLevel, BiPAP ... #NonInvasive #Positive ... #Pressure #Ventilation
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... tolerating HFNC ... CONSIDER: a trial of NIPPV ... respiratory #support #COVID19 ... management #schema #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV ... : BiPAP, Brief trial ... Mechanical Ventilation ... • Initial ventilator ... #Exacerbation #CriticalCare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... observation) #NIV #Noninvasive ... #Ventilation #BiPAP ... #Algorithm #criticalcare
Visualization of Aerosol Dispersion on HFNC with and without mask

Bottom Line: A surgical mask placed over
Dispersion on HFNC ... mask #Management #COVID19 ... #NiV #Noninvasive ... #Ventilation #Droplets ... #NasalCannula #COVID19
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... Positive pressure ventilation ... Supports oxygenation BIPAP ... pneumomediastinum) HHFNC ... close mouth #Noninvasive
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... include: • BiPÅP ... • If using BiPÅP ... Care @iBookCC #COVID19 ... SARSCoV2 #Management #CriticalCare