15 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... failure (ie OHS ... #NIPPV #CPAP #BPAP ... #criticalcare #management
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
Positive Pressure Ventilation ... Management via ... #FOAMed #COVID19 ... clinical #treatment #NIPPV ... #respiratory
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Other causes of respiratory ... failure, DNI status ... Extubation to NIPPV ... #diagnosis #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
CPAP - Continuous ... cycle • Supports ... oxygenation BIPAP ... pressures • Supports ... #management #pulmonary
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 ... CONSIDER: a trial of NIPPV ... Guidelines #respiratory ... #support #COVID19 ... criticalcare #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
support in patients ... with COVID-19 ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm ... the mechanical ventilation ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
INTUBATION CHECKLIST ... Take Into Room Support ... #Intubation #Airway ... #Checklist #COVID19 ... #CriticalCare #Management
COVID-19 Phenotypes - Implications for Respiratory Support Management

L Phenotype
 - Low Elastcnce (High Compliance)
 - Low
COVID-19 Phenotypes ... Implications for Respiratory ... Support Management ... Compliance) - Low Ventilation ... Phenotypes #Variations #Diagnosis