18 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
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... achieve high mean airway ... BiPAP titration ... CongestiveHeartFailure #Management ... #CriticalCare #
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Pressure Ventilation Indications ... Extubation to NIPPV ... Inability to protect airway ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management
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
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV
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
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 Indication ... CONSIDER: a trial of NIPPV ... #schema #criticalcare
5MinuteAirway AIRWAY CHECKLIST
Everyone needs a checklist.. here’s ours.  Print it out, laminate it, don’t laminate
5MinuteAirway AIRWAY ... and @bronksi_EM #Management ... #CriticalCare # ... Airway #RSI #Intubation ... #Checklist #Medications
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