8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... and IPAP. ... #CPAP #BPAP #indications ... #criticalcare # ... management
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
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
of respiratory failure ... Extubation to NIPPV ... a.k.a BiLevel, BiPAP ... #NonInvasive #Positive ... Ventilation #diagnosis #management
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
NiPPV with Bi-level ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... @SkylerLentz #NonInvasive ... #management #hypoxia
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... observation) #NIV #Noninvasive ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... • Inability to wear ... hemoptysis, Copious pulmonary ... amzn.to/3rEtbK8 #BiPAP ... #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
ECMO center or team ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm