Troubleshooting NIV

Troubleshooting NIV

Always check the patients equipment and interface. Consider: Poor mask fit/air-leak, FiO2 too high or incorrect equipment setup. If ABC and equipment setup are acceptable: Problem: If PCO2 remains high. Fix: Then increase IPAP by 2cmH20. Problem: If PO2 below target. Fix: Increase FiO2 or increase EPAP by 2cmH20. Problem: If increased work of breathing. Fix: Increase IPAP by 2cmH20.