6 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
head/neck surgery Interfaces ... Spontaneous Time (a.k.a BiLevel ... MD @nickmmark #NIVPPV ... Ventilation #diagnosis #management ... indications #pulmonary #interfaces
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
#Management #CriticalCare ... #BiPAP #BiLevel ... #HFNC #HighFlow ... #NIPPV #Noninvasive ... RespiratorySupport #Selection #Algorithm
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 ... CONSIDER: a trial of NIPPV ... support #COVID19 #management ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... support #COVID19 #management ... hypoxia #failure #algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
mask, or helmet interface ... air trapping • Bilevel ... oxygenation BIPAP - Bilevel ... #Ventilation #management
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation Algorithm ... 3rEtbK8 #BiPAP #BiLevel ... #Initiation #Algorithm ... #management