8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... -Serial evaluation ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Noninvasive #Ventilation
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
for respiratory support ... patients with COVID ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... the mechanical ventilation ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
alternative forms of medical ... or Single organ failure ... Allocation #Protocol #COVID19 ... #CriticalCare # ... Management #Ethics
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... mL/kg/min): • Dial ... #ECMO #Basics #management ... #pulmonary #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... burns, Fixed upper airway ... additional adverse feature ... #criticalcare # ... management #indications
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
or to setup the ventilator ... equipment or to support ... Backup b) Surgical Airway ... #Assignments #Management ... #CriticalCare #