What is BiPAP? (Bilevel Positive Airway Pressure)

What is BiPAP? (Bilevel Positive Airway Pressure) | Respiratory Therapy Zone

Рет қаралды 115,431

Күн бұрын

What is BiPAP? This video will teach you all about Bilevel Positive Airway Pressure!
💥Full Guide on BiPAP ➜ ➜ ➜ bit.ly/2Ste6Ms
What is BiPAP?
As I mentioned, BiPAP is a type of noninvasive ventilatory support that gets its name because it provides two levels of pressure:
1. IPAP
2. EPAP
Inspiratory Positive Airway Pressure (IPAP) - An airway pressure that is above 0 cmH2O during the inspiratory phase of breathing. It works similar to the peak airway pressure in traditional mechanical ventilation. So if you increase the IPAP setting, this will increase the delivered tidal volume.
Expiratory Positive Airway Pressure (EPAP) - An airway pressure that is above 0 cmH2O during the expiratory phase of breathing. It works similar to the PEEP in traditional mechanical ventilation or CPAP during spontaneous breathing. Increasing the EPAP setting improves the patient's oxygenation by increasing the Functional Residual Capacity (FRC).
So essentially, you can make adjustments to the IPAP and EPAP settings depending on the patient's ventilatory and oxygenation status. IPAP is what controls the tidal volume that is delivered. EPAP functions as PEEP and supports the patient's oxygenation.
There are (2) primary indications for BiPAP:
1. Acute respiratory failure
2. Acute exacerbation of COPD
And the best way to determine if BiPAP is indicated is to look at the patient's ABG results. If a patient has a decreased pH and an increased PaCO2, you could recognize that ventilatory issues are present and BiPAP would be indicated.
Cardiogenic Pulmonary Edema is another common indication for BiPAP and it's been shown to decrease the need for traditional mechanical ventilation in these patients.
Contraindications for BiPAP:
Apnea
Unmanageable secretions
Facial burns or trauma
Claustrophobia
Making Changes to BiPAP Settings
Depending on the patient's needs, you can make adjustments to the IPAP and EPAP pressure levels in the settings of the machine. This is not always the case, but in general, a good starting point is 10/5.
IPAP = 10 cmH2O
EPAP = 5 cmH2O
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 settings can be adjusted in increments of 1-2 cmH2O depending on the needs of the patient.
For example, if the patient is in respiratory acidosis and needs a larger tidal volume to try to decrease the PaCO2 value, you would increase the IPAP. Or, to improve the patient's oxygenation, you would increase the EPAP which essentially is the same thing as increasing the level of PEEP.
💥Full Guide on BiPAP ➜ ➜ ➜ bit.ly/2Ste6Ms
-----
📗 BEST STUDY GUIDES FOR YOU
▪ TMC Test Bank 👉 bit.ly/2IGeqSu
▪ Hacking the TMC Exam 👉 bit.ly/2XBc8do
▪ TMC Exam Bundle (Save $) 👉 bit.ly/34pqEsV
▪ Daily TMC Practice Questions 👉 bit.ly/2NnXh3C
💙MORE FROM RTZ
▪ Free TMC Practice Exam 👉 bit.ly/2XlwASL
▪ Free RRT Cheat Sheet 👉 bit.ly/2IbmOKB
▪ Resources for RT's 👉 bit.ly/2WVV5qo
▪ Testimonials 👉 bit.ly/2x7b5Gl
🌐FOLLOW US
▪ Instagram 👉 bit.ly/2FhF0jV
▪ Twitter 👉 bit.ly/2ZsS6T1
▪ Facebook 👉 bit.ly/2MSEejt
▪ Pinterest 👉 bit.ly/2ZwVLPw
🚑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.
💡AFFILIATE DISCLAIMER
This description contains affiliate links. If you decide to purchase a product through one of them, we receive a small commission at no cost to you.
-----
⏰TIMESTAMPS
0:00 - Intro
0:27 - What is BiPAP?
0:32 - Inspiratory Positive Airway Pressure (IPAP)
1:00 - Expiratory Positive Airway Pressure (EPAP)
1:50 - Primary Indications for BiPAP
1:53 - Acute Respiratory Failure
2:20 - Cardiogenic Pulmonary Edema
2:39 - Contraindications for BiPAP
2:57 - Making Changes to BiPAP Settings
3:11 - BiPAP Starting Point
-----
🖼CREDIT FOR MUSIC AND GRAPHICS:
▪ Music provided by NoCopyrightSounds.
▪ Check It Out: bit.ly/2WtPq7h
▪ Graphics: www.canva.com
▪ Graphics: www.freevector.com
▪ Graphics: www.vecteezy.com
▪ Graphics: www.pngtree.com
▪ Graphics: www.freepik.com
#RespiratoryTherapy #RespiratoryTherapist #RespiratoryTherapySchool

Пікірлер: 51

@RespiratoryTherapyZone 4 жыл бұрын

💥Check out our Full Guide on NPPV ➜ ➜ ➜ bit.ly/2Ste6Ms

@kbarnie 4 жыл бұрын

1. To fix oxygenation issue,,, How do you determine what to change between FiO2 & EPAP 2. How do you fix oxygenation & ventilation at the same time?

@nasserburhan2696 3 жыл бұрын

I couldn't thank you more, big love to your all team

@christinehunter243 3 жыл бұрын

Love the simple but excellent presentation

@kimms8610 4 жыл бұрын

This was very helpful. I hope theres more in the future!

@carrynkoo4481 3 жыл бұрын

Thank you very much. Is easy for me to understand! I appreciate it!

@valarietijerina 4 жыл бұрын

Great video!

@natarajanmanickam5119 3 жыл бұрын

Nice u made it simple

@simone222 4 жыл бұрын

My late father hated the BiPAP. He always pulled off the BiPAP mask from his face. As pointed out in the video, he was put on said machine for pulmonary oedema - complications from his heart failure and chronic kidney disease. Anyway, more power to the Respiratory Therapy Zone channel. This channel is helpful not only to respiratory therapy students but also to laypersons who want to be educated on things related to respiratory health.

@haziqariffin1989 Жыл бұрын

I'm 19 years old. My doctor and nurses force me to wear this and not pulled off the mask. It was so uncomfortable.

@dr.doaahelmy 3 жыл бұрын

great job and best of luck

@yaboyskinnyp8815 3 жыл бұрын

Awesome thanks

@mthuthuzelintsethe9176 3 жыл бұрын

This was really helpful

@mansharker8 3 жыл бұрын

Anakin's helmet was a BiPap respirator when he was burned and placed in the suit. kzfaq.info/get/bejne/jbBpeZOep8uZmYk.html&ab_channel=Nerdist

@user-kq6gc4eg2p 2 жыл бұрын

Thank YOU 🥰

@nurse_bugszyche8108 3 жыл бұрын

Thank you 😊

@amithaep5370 2 жыл бұрын

Thank you 💞

@rahulkori1466 4 күн бұрын

Thank you so much for vry good information thank you so much 🙏🙏

@anastasiostsogkas 4 жыл бұрын

Very nice

@shobhaprakash1188 Жыл бұрын

Thank you

@dr.ashishnegi1712 3 жыл бұрын

Amazing

@israelberry6929 3 жыл бұрын

I jest got my bipap so keep up with more info.

@miriami7 4 жыл бұрын

Thank you darling. Very good work!!!

@Bill.R.124 11 ай бұрын

As a critical care nurse and nursing professor searching for simple videos to explain these concepts, this was FANTASTIC!!

@warunakumara7671 2 жыл бұрын

sir , thank you for the video lecture , can you please tell that can we change inspiration time and expiration time seperately in a bipap unit

@adolfofireup22 4 жыл бұрын

could you do one on sputum colors/ illness, identify and treat?

@nezarrifat6649 3 жыл бұрын

Good and comprehensive work Do you mean by IPAP 10 ( 5 above PEEP) or actual 10 above PEEP?

@seleldjdfmn221 4 жыл бұрын

Amazing job. Please make More. Sending My support xd

@fasihayakub8129 11 ай бұрын

Hi, would a Bi-Level BiPAP machine be suitable for severe sleep apnoea person? Or should such an individual use an Autoset CPAP machine? Thanks

@vangilovesdaddy 3 жыл бұрын

Can you do one on hemodynamics please

@Sherlockarim 3 жыл бұрын

if the patient was vomiting we can use nasal mask? but if the patient was unconscious we must do intubation?

@enzore8797 3 жыл бұрын

Io dopo 15 anni di terapia con CPAP non sono riuscito a capirci quanto meno si possa per gestire tali situazioni..Ultimamente mi anno aumentato due volte la pressione, forse in questo periodo di COVID stanno facendo le prove?-

@tachnicalbishtji7365 2 жыл бұрын

Copd patient ko without oxygen bipap machine laga sakte hai kya aur 1 din me kitne ghante plz ans me patient ka co2 level bad jata hai

@pattibaker1095 2 жыл бұрын

So Bi-Pap shouldn't be used for apnea? I'm confused.

@Andyzzzz501 11 ай бұрын

The medical industry loves hiding obvious logic mistakes behind fancy terminology

@DeviantMotives Жыл бұрын

What does it say not indicated for apnea because that’s why I’m taking it

@TheSleepysleep 3 жыл бұрын

I have a question. I recently did a sleep study and was diagnosed with OSA. They prescribed a bipap for me, but I haven't been diagnosed with any other respiratory issues such as respiratory failure or COPD. I noticed that you said that apnea was a contraindication for bipap, but I was wondering what your thoughts were on that. For context, untreated my AHI was 99.7/hr with O2 sats dropping below 70 untreated during the study and with bipap treatment, it is now averaging 0.1 with a bipap. Do you think that there is another issue I should talk to my respirologist about, or is my apnea severe enough that a bipap is the proper treatment? I also had an Arterial Blood gas test to check my O2 sats and was told it was "low" (they didn't tell me the number). I'm not on oxygen and was not given any diagnosis besides OSA. I'm just curious why a bipap is listed as not recommended for apnea in this video. Thanks!

@toms5050 2 жыл бұрын

In my personal experience, your 02 level below 70 is dangerous. More than that, come out from fear and anxiety. This will bring more chaos. Bipap machine is just like a ventilation device.

@pennyck9468 10 ай бұрын

I know this 2 years since you commented and probably have your answers. In case you haven’t, OSA does not have a direct correlation to COPD. It can lead to respiratory failure and possible Heart failure if let untreated because when your O2 drops below 70, it means your heart is working ten times as hard to provide O2 to the essential organs. If they provided you with a Bipap, they then must have put in settings that match the severity of your OSA. OSA can cause many other symptoms but once you are on the right settings, you find that those symptoms go away. I am sure by now, you have seen the difference in overall health

@pennyck9468 10 ай бұрын

OSA and apnea are not necessarily the same. OSA- obstructive sleep Apnea is often due to an obstruction like the name entails. Could be a heavy neck, a thick tongue, or other anatomy related obstructions. With just Apnea: Prolonged Apnea that is not obstructive can be neurological, Overdose, or other underlying issues. If the person is have severe apnea with no history of OSA, we look at other possible causes and oftentimes that person can’t protect their airway thus we intubate them or put them on life support.

@denniswhalen6190 Жыл бұрын

Why is a bipap contraindicated for apnea? From a lay user that does not make sense. It is the ONLY way I could use these machines and get some sleep. Was transferred to a bipap from a Capp at the hospital where I was in for heart surgery.

@drxnitishnagar5 3 жыл бұрын

Kitney spo2 pay kitney o2 daytay h by mask 80%. Ya 60% spo2 per kitney o2 daygay copd patient ko

@EnglishHangoutsOfficial 3 жыл бұрын

Above 85 -94%) : Start with Nasal Cannulae (2-6 lit/min), gradually escalate to Face mask (6-10 lit/min) or NRBM (10-15 lit/min. Then gradually descalate to fix at minimum effective flow rate and then maintain that. Each step requires at least 5 minutes to see whether it reaches desired saturation or not. Rapid escalation needed only if the fall in saturation is 3% or more per minute. [85-90% usually NRBM is needed, above 90% NC/FM sufficient usually] Below 85% Saturation : Start with NRBM (10-15 lit/min). BiPAP or HFNC may be needed if saturation of 92-96% (88-92% in known COPD) is not reached. HFNC consumes much oxygen so BiPAP is tried first. Much below 85% : Start with BiPAP. May need HFNC or Invasive ventilation.

@Ben-oi4gs 3 жыл бұрын

👍

@asmaajo1913 Жыл бұрын

🌹🌹🌹

@DHANANJAYYADAV-oj8dx 3 жыл бұрын

👍🏻

@janabhuvan9686 3 жыл бұрын

Tq sir it's very useful I have dought in case of patient desaturation 85 to 90 in bipap what I can do can give 16ipap 6 epap

@ezonehealthcare1818 3 жыл бұрын

Wer r you from mam

@shrikantpuranik6264 3 жыл бұрын

It's best, difficult to understand. We don't understand, u guide us we will purchase and perform .I have COPED, GIVE me work,i will Perform, with my own.