NIPPV

Question 1

What is the acute indication of NIPPV?

Answer 1

1 ) Ventilatory failure & Oxygenation failure
–>with Preference not to intubate

2) impending failure, respiratory distress

Question 2

What is the clinical examples of acute NIPPV indication?

Answer 2

1. hypercapnia with COPD exacerbations
2. acute astma exacerbation
3. Cardiogenic pulmonary edema
4. patient who was extubated and need NIV
5. Postoperative resp failure
6. Extubation failure
7. Do not intubate status
8. Immunocompromised
9. palliative care
10. post-extubation

Question 3

What are some exmaples of chronic NIPPV indication ?

Answer 3

1. COPD
2. CF
3. hypoventilation
   - ->NM
   - ->Morbid obesity
   - ->Restrictive thoracic disorders
4. OSA

Question 4

Whhat are the Contraindications of NIPPV?

Answer 4

1. Respiratory or cardiac arrest
2. Hemodynamic instability
3. lack of Airway protection
4. Excessive secretions
5. Inability to cooperate
6. Unstable respiratory drive
7. Unable to fit mask

Question 5

What are the complication of NIPPV?

Answer 5

Air leak due to unfit mask
Dryness
Gastric distension
Aspiration
Mucus plugging
Hypoxemia
Hypotension
Respiratory Arrest

Question 6

When to wean off NIPPV?

Answer 6

1. Reversal of cause
2. WEAN BY Lowerin IPAP/ FiO2
3. Mask on during the night, off during the day

Question 7

What are the devices use to deliver NIPPV?

Answer 7

1. BIilevel
   - ->Respironics Vision
   - ->Respironics V60

2.Invasive ventilatiors 
Evita
840
Avea
Servoi