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honc nejm clinical management diagnosis criticalcare algorithm ebm derm pulmonary pathophys respiratory highflownasalcannula im noninvasive ventilation delivery devices graftversushostdisease gvhd
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
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
HFNC may be made ... CriticalCare #BiPAP #BiLevel ... #HFNC #HighFlow ... #NIPPV #Noninvasive
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 Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Extubation to NIPPV ... Spontaneous Time (a.k.a BiLevel ... MD @nickmmark #NIVPPV
COVID-19 Hypoxia Management Indication for endotracheal intubation? Tolerating supplemental oxygen? Consider HFNC Not tolerating HFNC or HFNC is not available? Consider
Consider HFNC Not ... tolerating HFNC ... or HFNC is not ... CONSIDER: a trial of NIPPV
HFNC compared to NIV HFNC: - Comfort - Higher comfort Eating, drinking and speaking less impaired -
HFNC compared to ... NIV HFNC: - Comfort ... Less likely #HFNC ... highflownasalcannula #NIV #NIPPV
Nasal Oxygen Delivery Devices Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
nasal cannula (HFNC ... failure use of HFNC ... compared to CNC or NIPPV ... HFNC can prevent ... Extubation to HFNC
A Non-Invasive approach to Respiratory Failure • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Ventilatory Failure → NiPPV ... Pulmonary Edema → NiPPV
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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 Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... mortality, LOS NIPPV ... WOB, dyspnea NIPPV ... #Ventilation #NIPPV
COPD Exacerbations - Management • Identify Triggers • Assess Severity • Risk for Poor Outcomes •
Supplemental oxygen, NIPPV
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