9 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... mortality, LOS NIPPV ... PositivePressure #Ventilation ... #NIPPV #CPAP #BPAP
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
Positive Pressure Ventilation ... clinical #treatment #NIPPV ... #CPAP #BPAP #HFNC
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Extubation to NIPPV ... 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
-BiPAP should never ... #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 ... control mode of ventilation ... • Initial ventilator
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... air trapping • Bilevel ... CPAP - Continuous ... 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
the flow rate) CPAP ... • Titrate CPAP ... Invasive Mechanical Ventilation ... lung-protective ventilation ... hypoxia #failure #algorithm
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