NIV: What’s the big deal?

Terminology: In general,Type 1 RF requires CPAP type of NIV. Type 2 RF requires BPAP type of NIV. PEEP=EPAP=CPAP i.e. they all mean the same! So you can say in Type 1 RF (Hypoxic failure), the pressure we provide is PEEP or just EPAP or CPAP.  For Type 2 RF (Hypercapnic), we provide IPAP as […]

Non-Invasive Ventilation

Noninvasive ventilation decreased endotracheal intubation rates and hospital mortality in acute hypoxemia non-hypercapnic respiratory failure excluding chronic obstructive pulmonary disease exacerbation and cardiogenic pulmonary edema patients. There is no sufficient scientific evidence to recommend bi-level positive airway pressure or helmet due to the limited number of trials available. Large rigorous randomized trials are needed to […]

Heroic Medical Measures in the Crashing Asthmatic

Pre-oxygenate your patient with high flow nasal cannula at 20 – 30 LPM Next consider using IM Epinephrine 0.3 – 0.5mg of 1:1000. Severe asthmatics will have a hard time getting inhaled beta agonists into the small airways, but parenteral epinephrine will get into the circulation and get to where it needs to provide support. […]

Mechanical Ventilation- Terminology

Volume controlled ventilation We can put a certain volume of air into the patient with each breath in mechanical ventilation. Pressure controlled ventilation We can put air into the patient until the pressure reaches a certain value. Rate We can decide how often we give the patient a breath each minute. Flow rate For example, […]

Emergency Medicine Kenya Foundation

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