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hypoxia algorithm noninvasive schema support indications ventilation cpap delivery devices diagnosis guidelines interfaces nippv niv nivppv oxygen positive positivepressure pressure
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... Other causes of respiratory ... failure, DNI status ... Partial Face, Nasal ... Ventilation #diagnosis #management
Nasal Oxygen Delivery Devices Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
In hypoxemic respiratory ... failure use of ... rate of requiring intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
A Non-Invasive approach to Respiratory Failure • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... ARDS → High-Flow Nasal ... #Failure #management
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
(e.g. 6 L/min nasal ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
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 ... Management Indication ... Guidelines #respiratory ... #criticalcare # ... hypoxia #failure
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
patients with COVID ... -19 Low flow nasal ... #management #schema ... #criticalcare # ... hypoxia #failure
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