7 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... CPAP - Continuous ... acute respiratory failure ... Chronic respiratory failure ... #CPAP #BPAP #indications
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
of respiratory failure ... 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
to Respiratory Failure ... and Ventilatory Failure ... → NiPPV with Bi-level ... Pulmonary Edema → NiPPV ... CPAP or Bi-level
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... CriticalCare #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
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 ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
the flow rate) CPAP ... • Titrate CPAP ... criticalcare #hypoxia #failure ... #algorithm
Hepatocellular Liver Injury - Differential Diagnosis Framework:
Liver Injury → liver test abnormalities without evidence of liver
evidence of liver failure ... • Medications (APAP ... Diagnosis #hepatology #algorithm