9 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... failure (ie.. asthma ... failure (ie OHS ... #indications #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Other causes of respiratory ... failure, DNI status ... Extubation to NIPPV ... Inability to protect airway
Simplified Airway Management Algorithm
Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Management Algorithm ... management algorithm ... assumes imminent respiratory ... decompensation and failure ... Simple #Management #CriticalCare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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 ... Guidelines #respiratory ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... Neuromuscular disease - Respiratory ... burns, Fixed upper airway ... #criticalcare #
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... the mechanical ventilation ... management #schema #criticalcare ... #hypoxia #failure
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 ... Parameters • Respiratory ... stepwise increase in airway ... obese #Management #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... Care @iBookCC #respiratory ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm