11 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
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
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
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
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
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... ideal) Invasive Mechanical ... Ventilation • ... lung-protective ventilation ... hypoxia #failure #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
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