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:
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?
.... 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:
The patients respiratory rate is still high at 28 breaths per minute.
What setting would you change on the machine to assist the patient?