7 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... of respiratory failure ... Extubation to NIPPV ... Spontaneous Time (a.k.a BiLevel ... Positive #Pressure #Ventilation
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 #Ventilation ... RespiratorySupport #Selection #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... acute respiratory failure ... Chronic respiratory failure ... PositivePressure #Ventilation
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
Invasive Mechanical Ventilation ... lung-protective ventilation ... indication for prone ventilation ... criticalcare #hypoxia #failure ... #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the mechanical ventilation ... criticalcare #hypoxia #failure ... #algorithm
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
PROSEVA trial (figure ... stabilization on the ventilator ... ARDS #PseudoARDS #Algorithm