Noninvasive Ventilation

Question 1

What are the three methods of ventilation without using an ET tube

Answer 1

negative pressure
abdominal-displacement
positive pressure

Question 2

NPPV definition

Answer 2

Means to deliver noninvasive ventilation without having to use an ET tube.

Question 3

Why is NPPV a game changer for COPD patients?

Answer 3

Helps prevent intubation of COPD patients. Having to be intubated multiple times a year will increase chances of a lot of bad things like VAP, and other trauma.

Question 4

What is the overall goal when using BiPAP for a COPD patient?

Answer 4

Want to aim to correct the pH, NOT the CO2 levels because you can knock out the hypoxic drive

Question 5

Indications for BiPAP in acute care?

Answer 5

• Hypercapnic- pH less than 7.35 (**Lower than 7.22 and you will need to probably intubate)
• Asthma
• Weaning COPD patients and hopefully prevent them to progress towards mechanical ventilation.
• hypoxemic resp failure
• Pulmonary edema
• ARDS
• Pneumonia

Question 6

CPAP is used for what type of sleep apnea?

Answer 6

Obstructive sleep apnea

*BiPAP used for Central sleep apnea (because pt can’t spontaneously breath

Question 7

If someone vomits on BiPAP, what do you do?

Answer 7

Immediately take them off, suction them, have them cough, and put them on oxygen. NOT back on BiPAP