10 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... Airway Pressure ... and decreases respiratory ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Other causes of respiratory ... Extubation to NIPPV ... Inability to protect airway ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... #Management #CriticalCare ... #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
) Algorithm - Indications ... Neuromuscular disease - Respiratory ... burns, Fixed upper airway ... #Algorithm #criticalcare ... #management #indications
Simplified Airway Management Algorithm
Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Management Algorithm ... management algorithm ... assumes imminent respiratory ... #Simple #Management ... #CriticalCare
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
less impaired - Airway ... highflownasalcannula #NIV #NIPPV ... #bipap #comparison ... #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 ... Guidelines #respiratory ... #schema #criticalcare ... hypoxia #failure #algorithm
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
dynamically changes inspiratory ... APRV - Airway Pressure ... #Ventilation #CriticalCare ... #Comparison #Management
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... Anticipate difficult airway ... management and ... Parameters • Respiratory ... #CriticalCare
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
x RR and Peak Inspiratory ... patient's peak inspiratory ... systems (CPAP/BPAP ... Devices #Flow #Comparison ... #management #criticalcare