9 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... achieve high mean airway ... Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare #
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... #Management #CriticalCare ... #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... Inspiratory Positive Airway ... upper & lower airway ... #criticalcare # ... management
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 ... Monitor closely short ... #respiratory #support ... #schema #criticalcare ... hypoxia #failure #algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... burns, Fixed upper airway ... #Algorithm #criticalcare ... #management #indications
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
less impaired - Airway ... Skin breakdown/ sores ... highflownasalcannula #NIV #NIPPV ... #bipap #comparison ... #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Therapeutics: Airway ... , Circulatory Support ... High Flow • NIPPV ... #treatment #criticalcare
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
respiratory cycle • Supports ... oxygenation BIPAP ... expiratory pressures • Supports ... • Supports oxygenation ... #Ventilation #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... even mechanical support ... #differential #algorithm ... #management #cardiology ... heartfailure #chf #criticalcare