IPPB Bird

Question 1

What does IPPB stand for

Answer 1

Intermittent positive pressure breathing

Question 2

How it works

Answer 2

Forces patients to take deeper breaths into the inspiratory reserve volume, larger than their tidal breaths- to a set pressure .
Patient triggers a breath and then positive pressure expands the lungs which increases lung volumes. Expiration is passive and the machine does not continue with positive pressure

Question 3

Indications for bird

Answer 3

Drowsy patients, atelectasis, neurologically impaired and resp muscle weakness

Question 4

Contraindications of bird

Answer 4

Untrained pneumothorax, emohysematous bullae, hypoxic drive in resp failure, flail chest segment, distended abdomen

Question 5

How is bird delivered

Answer 5

Mouthpiece, face mask, tracheostomy

Question 6

Pressure used on bird

Answer 6

Can be used up to 30cmh20 with caution, but pressure are less well controlled on IPPB than on NIPPV or CPAP so reduces risk of barotrauma