logging in or signing up NIV oncall Heather Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1550 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: May 01, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: sxwwd (13 month(s) ago) very good Saving..... Post Reply Close Saving..... Edit Comment Close By: Jimbo911 (16 month(s) ago) Please allow me to down load this presentation Thanks Saving..... Post Reply Close Saving..... Edit Comment Close By: jhongg (31 month(s) ago) Hi! i want to download your good NON invasive ventilation prsentation please........ Saving..... Post Reply Close Saving..... Edit Comment Close By: homira (47 month(s) ago) They are arranged beautifuk. Saving..... Post Reply Close Saving..... Edit Comment Close By: homira (47 month(s) ago) I want to down load NOn invasive ventilation please . Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Non Invasive Ventilation: Non Invasive Ventilation What is it?What is it?: What is it? Respiratory support given without an endotracheal tube Spontaneously breathing patientsNormal Breathing: Normal Breathing negative pressure air is drawn in when the diaphragm descends 3 types: : 3 types: IPPB Intermittent Positive Pressure Breathing CPAP Continuous Positive Airways Pressure BiPAP Bi-level Positive Airways PressureCPAP: CPAP High flow oxygen + PEEP Wispaflow Dräger Raises FRC away from residual volume Splints alveoli open: work of breathing PaO2 re-expand atelectasis Helps resolution of pulmonary oedema Lung Capacities: Lung Capacities Maximal inspiration Maximal expiration TV RV FRC Resting expiratory levelClosing Volume and Functional Residual Capacity: Closing Volume and Functional Residual Capacity Increased CV Decreased FRC FRC CV FRC – Functional Residual Capacity CV – Closing VolumeBiPAP: BiPAP IPAP + EPAP EPAP = PEEP Inspiratory pressure increases tidal volume PaCO2 PaO2 work of breathing and fatigueTerminology: Terminology IPAP EPAP Pressure Support 0 4 8 12 16CPAP or BiPAP?: CPAP or BiPAP? Respiratory Failure: Respiratory Failure Type I low PaO2 < 8 kPa all else normal Type II low PaO2 high PaCO2 ABGs: ABGs Normal Values pH 7.35 - 7.45 PaO2 10.7 - 13.3 kPa PaCO2 5.6 - 6.7 kPa HCO3- 22 - 26 mmol BE -2 - +2Slide13: Type I Failure Hypoxia CPAP Type II Failure Hypercapnia Hypoxia BiPAPSlide14: group workClinical benefits: Clinical benefits Acute Type I respiratory failure Type II respiratory failure Pulmonary oedema Sub-acute Weaning Post-extubation Chronic Sleep apnoea Type II respiratory failure COPD CF Neuromuscular diease Precautions: Precautions Impaired consciousness Confusion/agitation CXR showing consolidation Drained pneumothorax Copious secretions Inability to protect airway Haemodynamic instability Recent upper GI surgery or bowel obstruction Contraindications: Contraindications Need for immediate intubation Facial trauma/burns Frequent vomiting Recent facial/upper airway surgery Undrained pneumothorax Advantages of avoiding intubation: Advantages of avoiding intubation No paralysis or sedation Ability to move – pressure relief Able to communicate Able to eat and drink Self care Less need for invasive monitoring Less risk of infectionSlide19: No endotracheal tube infection risk No tracheal damage Able to communicate Decreased need for ITU Cost Patient and carer experience Less debilitating Implications for Physiotherapy: Implications for Physiotherapy Mask fitting Deoxygenation Expectoration Familiarity with machines/alarmsSkills needed: Skills needed Patient handling/communication Knowledge of respiratory physiology Familiarity with interfaces Knowledge of pressure area care Time to spend with patient Patience Beware!: Beware! ‘CPAP’ mode on ITU ventilators Spontaneous breathing mode IP + PEEP You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
NIV oncall Heather Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1550 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: May 01, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: sxwwd (13 month(s) ago) very good Saving..... Post Reply Close Saving..... Edit Comment Close By: Jimbo911 (16 month(s) ago) Please allow me to down load this presentation Thanks Saving..... Post Reply Close Saving..... Edit Comment Close By: jhongg (31 month(s) ago) Hi! i want to download your good NON invasive ventilation prsentation please........ Saving..... Post Reply Close Saving..... Edit Comment Close By: homira (47 month(s) ago) They are arranged beautifuk. Saving..... Post Reply Close Saving..... Edit Comment Close By: homira (47 month(s) ago) I want to down load NOn invasive ventilation please . Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Non Invasive Ventilation: Non Invasive Ventilation What is it?What is it?: What is it? Respiratory support given without an endotracheal tube Spontaneously breathing patientsNormal Breathing: Normal Breathing negative pressure air is drawn in when the diaphragm descends 3 types: : 3 types: IPPB Intermittent Positive Pressure Breathing CPAP Continuous Positive Airways Pressure BiPAP Bi-level Positive Airways PressureCPAP: CPAP High flow oxygen + PEEP Wispaflow Dräger Raises FRC away from residual volume Splints alveoli open: work of breathing PaO2 re-expand atelectasis Helps resolution of pulmonary oedema Lung Capacities: Lung Capacities Maximal inspiration Maximal expiration TV RV FRC Resting expiratory levelClosing Volume and Functional Residual Capacity: Closing Volume and Functional Residual Capacity Increased CV Decreased FRC FRC CV FRC – Functional Residual Capacity CV – Closing VolumeBiPAP: BiPAP IPAP + EPAP EPAP = PEEP Inspiratory pressure increases tidal volume PaCO2 PaO2 work of breathing and fatigueTerminology: Terminology IPAP EPAP Pressure Support 0 4 8 12 16CPAP or BiPAP?: CPAP or BiPAP? Respiratory Failure: Respiratory Failure Type I low PaO2 < 8 kPa all else normal Type II low PaO2 high PaCO2 ABGs: ABGs Normal Values pH 7.35 - 7.45 PaO2 10.7 - 13.3 kPa PaCO2 5.6 - 6.7 kPa HCO3- 22 - 26 mmol BE -2 - +2Slide13: Type I Failure Hypoxia CPAP Type II Failure Hypercapnia Hypoxia BiPAPSlide14: group workClinical benefits: Clinical benefits Acute Type I respiratory failure Type II respiratory failure Pulmonary oedema Sub-acute Weaning Post-extubation Chronic Sleep apnoea Type II respiratory failure COPD CF Neuromuscular diease Precautions: Precautions Impaired consciousness Confusion/agitation CXR showing consolidation Drained pneumothorax Copious secretions Inability to protect airway Haemodynamic instability Recent upper GI surgery or bowel obstruction Contraindications: Contraindications Need for immediate intubation Facial trauma/burns Frequent vomiting Recent facial/upper airway surgery Undrained pneumothorax Advantages of avoiding intubation: Advantages of avoiding intubation No paralysis or sedation Ability to move – pressure relief Able to communicate Able to eat and drink Self care Less need for invasive monitoring Less risk of infectionSlide19: No endotracheal tube infection risk No tracheal damage Able to communicate Decreased need for ITU Cost Patient and carer experience Less debilitating Implications for Physiotherapy: Implications for Physiotherapy Mask fitting Deoxygenation Expectoration Familiarity with machines/alarmsSkills needed: Skills needed Patient handling/communication Knowledge of respiratory physiology Familiarity with interfaces Knowledge of pressure area care Time to spend with patient Patience Beware!: Beware! ‘CPAP’ mode on ITU ventilators Spontaneous breathing mode IP + PEEP