8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
IPAP can help generate ... and mortality BPAP ... and IPAP. ... #BPAP #indications ... #criticalcare #
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... pneumonia vs. heart failure ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
of respiratory failure ... Nasal Modes: • CPAP ... Spontaneous Time (a.k.a BiLevel ... , BiPAP) • AVAPS
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... #Ventilation #BiPAP ... #Algorithm #criticalcare
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... Algorithm Screen ... amzn.to/3rEtbK8 #BiPAP ... #BiLevel #Initiation ... #Algorithm #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
the flow rate) CPAP ... • Titrate CPAP ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Severe Heart Failure ... and/or digoxin level ... lungs - Consider BiPAP ... right ventricular failure ... causing heart failure
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
workup or TSH level ... early HFNC or BiPAP ... Checklist #Management #CriticalCare