11 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Indications: ... Pt is DNI with indication ... #CPAP #BPAP #indications ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Pressure Ventilation Indications ... Extubation to NIPPV ... Helmet, Full Face, Partial ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... -The choice of BiPAP ... #Management #CriticalCare ... #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... burns, Fixed upper airway ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
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 for ... CONSIDER: a trial ... of NIPPV - DO ... #schema #criticalcare
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
less impaired - Airway ... highflownasalcannula #NIV #NIPPV ... #bipap #comparison ... #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... , Volume Exam (JVP ... Therapeutics: Airway ... High Flow • NIPPV ... #treatment #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... ventilation #mechanical #management
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... digoxin added anyway ... #Atrial #Fibrillation ... #management #treatment ... #comparison #table
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
variable and fixed - indicating ... systems (CPAP/BPAP ... Devices #Flow #Comparison ... #management #criticalcare