The ambulance bring a patient in on a rebreather. She is elderly and has been unwell for the last few days. Her respiratory rate is 32, heart rate is 125 and sats are 90%. She is afebrile and examination is normal apart for a few creeps in both bases. A set of gases reveals the following: pH 7.3 PaO2 63 PaCO2 37 HCO3 20 SaO2 90% Does she meet Criteria for Non-Invasive Ventilation(NIV)? Yes she does? What type of NIV would you use; CPAP or BiPAP? What type of NIV would you use for: (A) Acute Pulmonary Oedema? (b) COPD? (c) Asthma? .... and why ... all answers in the 9 minute video below: You place the patient on BiPAP (settings EPAP 6 / IPAP 11) and wean down to 50% and the patients gases improve markedly: paO2 137 paCO2 39 The patients respiratory rate is still high at 28 breaths per minute. What setting would you change on the machine to assist the patient?
4 Comments
Paul Davies
2/12/2016 11:54:52 am
Reply
Michael Ifesanwo
2/14/2016 03:23:24 pm
NIV made easy! Thanks Peter!!
Reply
Zafar Khan
5/14/2016 04:30:50 pm
JAMA. 2005 Dec 28;294(24):3124-30.
Reply
Peter
5/15/2016 07:01:05 pm
Hi Zafar
Reply
Your comment will be posted after it is approved.
Leave a Reply. |
AuthorDr Peter Kas Archives
November 2016
CategoriesCategories |