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management criticalcare noninvasive pulmonary ventilation treatment algorithm bipap hfnc hypoxia respiratory bilevel bpap clinical covid19 cpap diagnosis exacerbation failure indications
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
CriticalCare #BiPAP #BiLevel ... #HFNC #HighFlow ... #NIPPV #Noninvasive
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 Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Extubation to NIPPV ... Spontaneous Time (a.k.a BiLevel ... MD @nickmmark #NIVPPV
A Non-Invasive approach to Respiratory Failure • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Ventilatory Failure → NiPPV ... Pulmonary Edema → NiPPV
Parasternal Short Axis (PSAX) - Mid-Level View - Regional Wall Anatomy on POCUS Echocardiogram Alberta Sono @UAlberta_Sono #PSAX
UAlberta_Sono #PSAX #MidLevel
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 REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD #FOAMed #COVID19 #COVID19FOAM #clinical #treatment
clinical #treatment #NIPPV
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... mortality, LOS NIPPV ... WOB, dyspnea NIPPV ... #Ventilation #NIPPV
COPD Exacerbations - Management • Identify Triggers • Assess Severity • Risk for Poor Outcomes •
Supplemental oxygen, NIPPV
COVID-19 Hypoxia Management Indication for endotracheal intubation? Tolerating supplemental oxygen? Consider HFNC Not tolerating HFNC or HFNC is not available? Consider
CONSIDER: a trial of NIPPV
Hyperacute Hypoxemia - Workup and Management Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
High Flow • NIPPV
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
Prednisone • NIPPV
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