9 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 choice of BiPAP ... -BiPAP should never ... #BiLevel #HFNC ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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 Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... mask, or helmet interface ... 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
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
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Diagnosis Algorithm ... V/Q Mismatch: ↓Ventilation ... Hypoxemia #Hypoxia #Differential ... #Diagnosis #Algorithm
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... capillary-alveolar interface ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... Failure #hypoxia #Differential
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Diagnosis Algorithm ... Ventilation/perfusion ... Hypoxemia #Hypoxia #Differential ... #Diagnosis #Algorithm