9 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
HFNC may be made ... #Management #CriticalCare ... #BiPAP #BiLevel ... #NIPPV #Noninvasive ... RespiratorySupport #Selection #Algorithm
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
Pressure Ventilation Management ... clinical #treatment #NIPPV ... #CPAP #BPAP #HFNC
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Extubation to NIPPV ... Spontaneous Time (a.k.a BiLevel ... , BiPAP) • AVAPS ... MD @nickmmark #NIVPPV ... Ventilation #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... - Bi-Level Positive ... mortality, LOS NIPPV ... WOB, dyspnea NIPPV ... #criticalcare #management
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
HFNC compared to ... NIV HFNC: - Comfort ... 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 ... tolerating HFNC ... CONSIDER: a trial of NIPPV ... support #COVID19 #management ... hypoxia #failure #algorithm
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
Assessment and Treatment of Severe Asthma, According to Inflammatory Phenotypes, in Patients without a Response to
Multidisciplinary Management ... includes an IgE level ... #Management #PCC ... Asthma #Severe #Algorithm ... #Phenotypes #NEJM
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
workup or TSH level ... Consider early HFNC ... or BiPAP if mild-moderate ... MyastheniaGravis #Checklist #Management