Titrating Noninvasive Ventilation (BiPAP and CPAP Weaning) | NPPV

How to titrate a patient from Noninvasive Ventilation? How to wean a patient from BiPAP or CPAP? Watch this video to find out!
💥Noninvasive Ventilation [Full Guide] ➜ ➜ ➜ https://bit.ly/2W6e3qS

➡️ Type of Noninvasive Ventilation:
1. BiPAP
2. CPAP

🟦 Without getting too deep into this topic, before you can know how to titrate a patient, you must first know and understand the two primary settings of NIV:
1. IPAP
2. EPAP

➡️ What is IPAP?
IPAP stands for Inspiratory Positive Airway Pressure and is an airway pressure that is above 0 cmH2O during the inspiratory phase of breathing. It works similarly to the peak airway pressure in traditional mechanical ventilation. So, if you were to increase the IPAP setting, this will increase the delivered tidal volume.

➡️ What is EPAP?
EPAP, on the other hand, stands for Expiratory Positive Airway Pressure and is an airway pressure that is above 0 cmH2O during the expiratory phase of breathing. It works similar to PEEP in traditional mechanical ventilation or CPAP during spontaneous breathing. If you were to increase the EPAP setting, this would improve the patient's oxygenation status by increasing the Functional Residual Capacity (FRC).

➡️ Adjusting NPPV
So essentially, during titration, you can make adjustments to the IPAP and EPAP settings depending on the patient's ventilatory and oxygenation status. If the patient needs more oxygen, you could increase the level of PEEP by increasing the EPAP setting. If the patient needs a larger tidal volume, you would increase the IPAP setting. Again, the IPAP and EPAP levels can be adjusted depending on the patient's needs.

➡️ Starting Settings:
In general, when initiating NIV, a good starting point for the settings is 10/5.
▪ IPAP = 10 cmH2O
▪ EPAP = 5 cmH2O

With that said, the appropriate initial pressure setting for IPAP can range from 8-12 cmH2O. The initial EPAP setting can range from 4-5 cmH2O. The IPAP and EPAP can be adjusted in increments of 1-2 cmH2O depending on the needs of the patient. Let's say the patient is receiving a tidal volume that is too large, which means that they are blowing off too much CO2. In this case, you could decrease the IPAP setting in order to decrease the inspiratory pressure which would result in a smaller delivered tidal volume.

💥Noninvasive Ventilation [Full Guide] ➜ ➜ ➜ https://bit.ly/2W6e3qS

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🚑MEDICAL DISCLAIMER
This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.

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⏰TIMESTAMPS
0:00 - Intro
0:44 - Type of Noninvasive Ventilation
0:48 - NIV Primary Settings
1:01 - What is IPAP?
1:22 - What is EPAP?
2:21 - Adjusting NPPV
2:46 - Starting Settings

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▪ Music licensed from Audiojungle.net/
▪ Graphics: Canva.com, Freevector.com, Vecteezy.com, and Pngtree.com

#NoninvasiveVentilation #CPAP #BiPAP