Noninvasive ventilation: Difference between revisions

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##Start pressure support 5 (up to 15)
##Start pressure support 5 (up to 15)
##Consider PEEP 2-3 to overcome the mask
##Consider PEEP 2-3 to overcome the mask
==See Also==
[[Vent (General)]]
[[Vent (Initial - Changes)]]
[[Vent (Weaning)]]
[[Ventilator Management]]


==Source==
==Source==
EMcrit Podcast 19
EMcrit Podcast 19


[[Category:Airway/Resus]]
[[Category:Pulm]]
[[Category:Pulm]]

Revision as of 20:16, 10 June 2011

Background

  • CPAP = PEEP = EPAP
  • BiPAP = PEEP + (pressure support = IPAP)

Indications

  1. CHF
  2. COPD
  3. Asthma
  4. OSA
  5. Pulmonary edema
  6. Pneumonia

Settings

  1. Failure of oxygenation
    1. Pulmonary Edema, PNA
    2. Start PEEP 5 (up to 15)
      1. Recruits alveoli
      2. Improves V/Q mismatch
      3. Decreases preload/afterload
  2. Failure of ventilation
    1. Asthma, COPD
      1. When tire out unable to move air
    2. Need inspiratory pressure support
    3. Start pressure support 5 (up to 15)
    4. Consider PEEP 2-3 to overcome the mask

See Also

Vent (General)

Vent (Initial - Changes)

Vent (Weaning)

Ventilator Management

Source

EMcrit Podcast 19

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