11 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... #BiLevel #HFNC ... #HighFlow #NIPPV ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV: BiPAP ... , Brief trial Mechanical ... Ventilation in ... • Initial ventilator ... #mechanical #management
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
• Non-Invasive Ventilation ... (CPAP/BiPAP) ... ) • Invasive Mechanical ... Ventilation
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Spontaneous Time (a.k.a BiLevel ... , BiPAP) • AVAPS ... Positive #Pressure #Ventilation
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
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... intubated and mechanically ... disease and not the mechanical ... ventilation, most ... hypoxia #failure #algorithm
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... non-ARDS • Mechanical ... patients #iSTAR #Algorithm ... #Obesity #Mechanical
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... Positive pressure ventilation ... air trapping • Bilevel ... Supports oxygenation BIPAP ... - Bilevel positive
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
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... - Algorithm Setting ... • Optimize mechanics ... nickmmark #Weaning #Ventilator ... #Algorithm #Extubation