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management diagnosis pulmonary clinical pneumonia cap algorithm criticalcare differential acquired community treatment checklist cardiology covid19 acetaminophen apap pocus respiratory toxicology
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... CPAP - Continuous ... mortality, LOS NIPPV ... WOB, dyspnea NIPPV ... #Ventilation #NIPPV
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD #FOAMed #COVID19 #COVID19FOAM #clinical #treatment
clinical #treatment #NIPPV ... #CPAP #BPAP #HFNC
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Extubation to NIPPV ... Nasal Modes: • CPAP ... Spontaneous Time (a.k.a BiLevel ... MD @nickmmark #NIVPPV
A Non-Invasive approach to Respiratory Failure • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Ventilatory Failure → NiPPV ... Pulmonary Edema → NiPPV ... CPAP or Bi-level
BiPAP titration in CHF - Mean airway pressure provides goodness - Ramp up the ePAP
- Ramp up the ePAP ... Could also use CPAP ... breathing (equal to iPAP-ePAP ... - Ramp up iPAP
Parasternal Short Axis (PSAX) - Mid-Level View - Regional Wall Anatomy on POCUS Echocardiogram Alberta Sono @UAlberta_Sono #PSAX
UAlberta_Sono #PSAX #MidLevel
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 Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
CriticalCare #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV
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 COPD Exacerbations - Management • Identify Triggers • Assess Severity • Risk for Poor Outcomes •
Supplemental oxygen, NIPPV
Current guidelines for outpatient treatment of Community Acquired Pnemonia (CAP) #Management #Outpatient #CAP #Community #Acquired #Pneumonia #Antibiotics
Acquired Pnemonia (CAP ... Management #Outpatient #CAP
COVID-19 Hypoxia Management Indication for endotracheal intubation? Tolerating supplemental oxygen? Consider HFNC Not tolerating HFNC or HFNC is not available? Consider
CONSIDER: a trial of NIPPV
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