6 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... mortality, LOS NIPPV ... WOB, dyspnea NIPPV ... #Ventilation #NIPPV ... management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
of respiratory failure ... Extubation to NIPPV ... Spontaneous Time (a.k.a BiLevel ... , BiPAP) • AVAPS ... MD @nickmmark #NIVPPV
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 ... #Management #CriticalCare ... #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
to Respiratory Failure ... → NiPPV with Bi-level ... Pulmonary Edema → NiPPV ... CPAP or Bi-level ... #management #hypoxia
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 ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... ventilation #mechanical #management