9 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
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... of respiratory failure ... Extubation to NIPPV ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #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
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
application - Pulmonary ... - Extra pulmonary ... highflownasalcannula #NIV #NIPPV ... #bipap #comparison ... #management
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
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
getting used to it → wear ... feature, or even BiPAP ... skin irritation, pressure ... Troubleshooting #Tips #management ... #problems #pulmonary
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
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
hypoxemic respiratory failure ... compared to CNC or NIPPV ... nasopharyngeal pressure ... Delivery #Devices #management ... #pulmonary #criticalcare