704 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
of respiratory failure ... Extubation to NIPPV ... 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 ... #Respiratory #Failure
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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... mortality, LOS NIPPV ... acute respiratory failure ... Chronic respiratory failure ... WOB, dyspnea NIPPV
Parasternal Short Axis (PSAX) - Mid-Level View - Regional Wall Anatomy on POCUS Echocardiogram

Alberta Sono @UAlberta_Sono

#PSAX
UAlberta_Sono #PSAX #MidLevel
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
clinical #treatment #NIPPV
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
COPD Exacerbations - Management
 • Identify Triggers
 • Assess Severity
 • Risk for Poor Outcomes
 •
Supplemental oxygen, NIPPV
Mechanisms of acute right ventricular dysfunction/failure (RVD/RVF) #rightventricle #rvfailure #rvdysfunction
ventricular dysfunction/failure ... rightventricle #rvfailure
Approach to Respiratory Failure - Algorithm

#Respiratory #Failure #Algorithm #Differential #Diagnosis
to Respiratory Failure ... #Respiratory #Failure