8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... exacerbation (cardiogenic pulmonary ... failure (ie OHS ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... ), Cardiogenic pulmonary ... Other causes of respiratory ... failure, DNI status ... Ventilation #diagnosis #management
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 ... CONSIDER: a trial of NIPPV ... Guidelines #respiratory ... #criticalcare # ... hypoxia #failure
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... → NiPPV with Bi-level ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... #Failure #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Approach to Selecting Respiratory ... of noninvasive respiratory ... pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
In hypoxemic respiratory ... failure use of ... compared to CNC or NIPPV ... Delivery #Devices #management ... #pulmonary #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure