2815 results
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Ventilatory Failure → NiPPV ... Pulmonary Edema → NiPPV ... Respiratory #Failure #management
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
Pressure Ventilation Management ... clinical #treatment #NIPPV
COPD Exacerbations - Management
 • Identify Triggers
 • Assess Severity
 • Risk for Poor Outcomes
 •
Exacerbations - Management ... Supplemental oxygen, NIPPV ... #Exacerbation #Management
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... CONSIDER: a trial of NIPPV ... support #COVID19 #management
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 ... #criticalcare #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... High Flow • NIPPV ... Workup #diagnosis #Management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Extubation to NIPPV ... Ventilation #diagnosis #management
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
highflownasalcannula #NIV #NIPPV ... #comparison #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
#Management #CriticalCare ... HFNC #HighFlow #NIPPV
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV ... ventilation #mechanical #management