PPT-NON-INVASIVE VENTILATION IN ACUTE RESPIRATORY FAILURE

Virginia Chung MD Chief Pulmonary amp Critical Care Medicine Jacobi Medical Center January 30 2013 OUTLINE Acute respiratory failure Definitions Pathophysiology NIPPV NIV BPAP BiPAP vs CPAP. NON INVASIVE VENTILATION. DEFINITION. : -. DELIVERY OF MECHANICAL VENTILATION TO THE LUNGS THAT DON’T REQUIRE ET.T. OR TRACHEOSTOMY. IRON LUNG PNEUMOSUIT CHEST . VENTILATION CUIRASS . Aylin. Seven. CAUSES OF RESPIRATORY FAILURE. Upper – croup/epiglottis. Lower – bronchiolitis. Lung – pneumonia/ARDS, pulmonary . oedema. Status . Epilepticus. Apnoea. of prematurity. Intoxication. Problem Based Lecture. January 28. th. , . 2016. S.Noll. PGY-3. Varied schools of thought . I don’t listen to podcasts, read blogs, nor . FOAMed. NIV. : Non-invasive positive . pressure ventilation. . Dr. . sadeghimoghadam. . . NIV. Non invasive ventilation is the delivery of respiratory support without the need for intubation. Ventilator induced lung injury. Barotrauma . Volutrauma. By: Yazmin Realivasquez. Stephen Huang . Jose Torres. What is ARDS?. ARDS is a respiratory condition characterized by hypoxemia, and stiff lungs, without mechanical ventilation most patients would die. ARDS represents a response to many different insults/injuries and evolves through different phases: alveolar capillary damage to lung resolution to a fibro-proliferative phase. The pulmonary epithelial and endothelial cellular damage is characterized by inflammation, apoptosis, necrosis and increased alveolar-capillary permeability, which lead to the development of alveolar edema. . management of . acute . hypercapnic. . respiratory . failure due . to . exacerbation . of . chronic obstructive pulmonary . disease. Clinical Case and Discussion Questions. Created . by William E Cayley, . Classification of RF. Type 1. Hypoxemic RF **. PaO2 < 60 mmHg with normal or ↓ PaCO2. Associated with acute diseases of the lung. Pulmonary edema (Cardiogenic, noncardiogenic (ARDS), pneumonia, pulmonary hemorrhage, and collapse. Defined as the impairment of the lung’s ability to maintain adequate oxygen and carbon dioxide homeostasis.. Respiratory Failure - Definition. PaO. 2. < 60 mm Hg. and/or. PaCO. 2. > 50 mm Hg. ventilation. in the. . acute care setting:. . where are we?. Complications of invasive mechanical ventilation. Related to tube insertion. . Aspiration of gastric contents. . suspect/confirmed novel coronavirus (nCoV) cases Coronaviruses are respiratory viruses and broadly distributed in humans and other mammals. Some causing illness in people and others that circulate am . ARDS. Acute onset (<7 days). Bilateral opacities. “not fully explained by heart failure.”. Acute Respiratory Distress Syndrome. Moderate ARDS:. P/F 100-200. Mild ARDS: . P/F 201-300. Berlin Definition - 2012. Vitaeca E. Clini F. Rubini S. Nava K. Foglio N. Ambrosino mechanical ventilation in severe chronic obstructive lung disease and acute respiratory failure: short-and long-term prognosis 12 July 1994 Definition Inability to meet one's need for tissue oxygenation and elimination of CO2, often but not always associated with distress.Will focus on Pulmonary aspects of this process.50% of pediatric I Dr. . Apurba. Kumar Borah. Head of the Department. Critical Care and Emergency Medicine. Narayana Superspeciality Hospital, Guwahati, Assam. A) Chronic Obstructive Pulmonary Disease. NIV should be considered in patients of COPD in addition to standard medical therapy, when .