Noninvasive ventilation
Revision as of 05:24, 20 May 2011 by Jswartz (talk | contribs) (moved Vent (Non-Invasive) to Ventilation (Non-Invasive))
CPAP = noninvasive PS
BL-PAP = noninvasive PC (presure ventilation)
INDICATION - intact resp drive with more readily reversible etiology
Possible uses:
1) *COPD
2) OSA
3) Pulm edema
4) PNA
5) Status asthmaticus
6) CHF exacb
- Consensus statement declares BL-PAP first line for COPD
BL-PAP SETTINGS
Initial: IPAP = 8, EPAP = 3 (3-5L/min flow; 100% FiO2)
Titrate: increase IPAP @ 2cmH2O increments to comfort
-nl pt --> increase EPAP in sync @ 2cmH2O incremnts
-hypercapnic --> increase EPAP in sync @ 1:2.5 ratio
- keep EPAP <8-10
2/14/06 DONALDSON (adapted from Rosen)