11 results
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
Positive Pressure Ventilation ... Management via ... #FOAMed #COVID19 ... clinical #treatment #NIPPV ... #respiratory
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Other causes of respiratory ... failure, DNI status ... Extubation to NIPPV ... a.k.a BiLevel, BiPAP ... #diagnosis #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Support: -The role ... pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
-19 #respiratory ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure ... #algorithm #coronavirus
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... failure (ie OHS ... #NIPPV #CPAP #BPAP ... #criticalcare #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 ... #support #COVID19 ... criticalcare #hypoxia #failure
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
dynamically changes inspiratory ... PS - Pressure Support ... #Modes #Ventilation ... #CriticalCare #Comparison ... #Management #Mechanical
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm ... the mechanical ventilation ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
Mechanical Ventilation ... most basic sense, ventilator ... 88% Pressure Support ... Ventilation (PSV ... #Comparison #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
support in patients ... with COVID-19 ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure