Posted on

Initiating and Managing CPAP

Initiating and Managing CPAP

  • NIV naive patient should start at 6cmH20 increasing to 8cmH20 over 25 minutes using the RAMP function.
  • Titrate CPAP (PEEP) support up to 10cmH2O + 60-100% oxygen if needed, but allow patient to aclimatise and adjust – remain with patient.
  • If condition remains stable or is improving, continue CPAP/NIV with regular clinical assessment.
  • A trial of weaning CPAP/NIV to conventional oxygen therapy can be considered when oxygen concentration < 40%.
Posted on

COVID NIV Scenarios

COVID NIV Scenarios

Scenarios, single best answers and walk through examples with live twice weekly online tutorials are available at the Centers for Disease Control and Prevention (CDC). View available sessions here:
CDC Sessions
or
CDC Session Topics
You can also join the Chelsea & Westminster COVID Scenarios Tutorial Session. Register for available sessions via this link:
Registration for Chelsea & Westminster COVID Scenarios Tutorial Sessions
Posted on

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.
Posted on

Initiating NIV in COVID Video

Initiating NIV in COVID Video

(Whole video with ability to skip to sections like in YouTube – Ryan says)
Chapters