8 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... head/neck surgery Interfaces ... Spontaneous Time (a.k.a BiLevel ... , BiPAP) • AVAPS ... Positive #Pressure #Ventilation
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -The choice of BiPAP ... #BiLevel #HFNC ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Prednisone • NIPPV: BiPAP ... control mode of ventilation ... • Initial ventilator
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
mask, or helmet interface ... pressures • Decreases work ... air trapping • Bilevel ... Supports oxygenation BIPAP ... - Bilevel positive
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #Noninvasive #Ventilation ... #BiPAP #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... and mortality BPAP ... both EPAP and IPAP ... status • Won't Work ... PositivePressure #Ventilation
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... Algorithm Screen ... amzn.to/3rEtbK8 #BiPAP ... #BiLevel #Initiation ... #Algorithm #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... Invasive Mechanical Ventilation ... lung-protective ventilation ... indication for prone ventilation ... hypoxia #failure #algorithm