66 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
potentially improving SV ... CPAP - Continuous ... and mortality BPAP ... and IPAP. ... #BPAP #indications
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... - Ramp up the ePAP ... Could also use CPAP ... BiPAP titration ... breathing (equal to iPAP-ePAP
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
treatment #NIPPV #CPAP ... #BPAP #HFNC #respiratory
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Non-Invasive Ventilation (CPAP ... /BiPAP) • Venturi
POCUS - Measuring Cardiac Output
1) Calculate LVOT Area
2) Calculate LVOT VTI
3) Calculate Cardiac Output

SV = (LVOT
Cardiac Output SV ... CO (mL/min) = SV
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Condition SAP CVP PAP ... L/min/m2 HR*SV ... 60-90 bpm CO/SV ... Heart Rate SV ... 660 9*m/m2 CI*MPAP
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... feature, or even BiPAP ... BrighamChiefs #CPAP
Pap Smear Algorithm 
#Diagnosis #Pap #Smear #Test #Cervical #HPV #Screening #PrimaryCare #Management #Vaccination #Gynecology
Pap Smear Algorithm ... #Diagnosis #Pap
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... -BiPAP should never ... #CriticalCare #BiPAP