BiPAP vs CPAP! This video provides a full breakdown of Noninvasive Positive Pressure Ventilation (NPPV)!
💥Full Guide on Noninvasive Ventilation ➜ ➜ ➜ bit.ly/2W6e3qS
Noninvasive Ventilation is a method of providing positive pressure ventilation without the use of an artificial airway. The primary goal is to avoid intubation. With NPPV, since there's no artificial airway, this reduces some of the complications that are associated with conventional mechanical ventilation.
There are (2) primary types of NPPV:
1. BiPAP
2. CPAP
And that's what we're going to cover in this video. But before we get into the differences between the two, there are a few things you in general that you need to know about NPPV. First, let's talk about the settings. In NIV, there are (2) primary settings:
1. IPAP
2. EPAP
Inspiratory Positive Airway Pressure (IPAP) - An airway pressure that is above 0 cmH2O during the inspiratory phase of breathing.
Expiratory Positive Airway Pressure (EPAP) - An airway pressure that is above 0 cmH2O during the expiratory phase of breathing.
Some of the Common Indications for Noninvasive Positive Pressure Ventilation:
-- Severe dyspnea
-- Acute respiratory failure
-- Acute exacerbation of COPD
-- Congestive Heart Failure
-- Pulmonary Edema
-- Do Not Intubate (DNI) Order
-- To avoid reintubation
-- Obstructive Sleep Apnea
Continuous Positive Airway Pressure (CPAP)
CPAP is when positive pressure is delivered and maintained throughout the entire breathing cycle. It's important to remember that CPAP can only be delivered if the patient is breathing spontaneously because it does not include any mechanical breaths.
BiLevel Positive Airway Pressure (BiPAP)
Earlier we discussed how CPAP only has one continuous pressure. BiPAP, on the other hand, has two levels of pressure - hence the name. We already mentioned them earlier, but the two pressures are IPAP and EPAP. IPAP is what controls the tidal volume that is delivered. EPAP functions as PEEP.
The (2) primary indications for BiPAP are:
1. Acute respiratory failure
2. Acute exacerbation of COPD
Obstructive Sleep Apnea (OSA) is a condition where the patient has five episodes of apnea that last at least 10 seconds each within a one-hour time period while asleep.
💥Full Guide on Noninvasive Ventilation ➜ ➜ ➜ bit.ly/2W6e3qS
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🚑MEDICAL DISCLAIMER
Medicine and Respiratory Therapy are continuously changing practices. The information in this video is for educational and entertainment purposes only. For medical advice, please consult with a physician or qualified medical professional.
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⏰TIMESTAMPS
0:00 - Intro
0:27 - Noninvasive Ventilation
0:53 - Two Primary types of NPPV:
1:19 - IPAP
1:42 - EPAP
3:04 - Continuous Positive Airway Pressure (CPAP)
3:56 - Obstructive Sleep Apnea (OSA)
4:37 - Contraindications for CPAP
6:28 - BiLevel Positive Airway Pressure (BiPAP)
6:55 - BiPAP Primary Indications
7:37 - Contraindications for BiPAP
7:59 - Nasal mask
8:23 - Oronasal mask
9:00 - Nasal pillows
9:32 - Full-face mask
9:55 - Titrating Noninvasive Positive Pressure Ventilation
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