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diagnosis noninvasive treatment indications anesthesia anesthesiology bipap covid19 delivery devices exacerbation failure hypoxia mechanical nippv oxygen schema support aecopd airway
Oxygen Delivery Methods • Nasal Cannula • Nonrebreather Mask • Non-Invasive Ventilation (CPAP/BiPAP) • Venturi Mask
Nonrebreather Mask ... • Non-Invasive Ventilation ... Invasive Mechanical Ventilation ... Methods #devices #respiratory ... #pulmonary #management
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
↓SpO2 • High work ... with increased work ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... #indications #criticalcare ... #management
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... the patient's work ... #Management #CriticalCare ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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 Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
maneuver on the ventilator ... overall minute ventilation ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for respiratory ... filter • N95 mask ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Noninvasive Ventilation Summary Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
through a nasal, mask ... pressures • Decreases work ... breathing by improving pulmonary ... pressure throughout respiratory ... #management #pulmonary
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... ), Cardiogenic pulmonary ... Other causes of respiratory ... airway / remove mask ... #diagnosis #management
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... Neuromuscular disease - Respiratory ... #criticalcare # ... management #indications
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