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CPAP, BPAP, AVAPS - Introduction to Non-Invasive Ventilation Strategies Explained Clearly!

  Рет қаралды 6,355

Whiteboard Medicine

Whiteboard Medicine

Күн бұрын

Non-invasive ventilation strategies are used both at home and in the hospital. In this video we discuss the three most common strategies - CPAP (continuous positive airway pressure), BPAP or BiPAP (bilevel positive airway pressure), and AVAPS (average volume assured pressure support). These strategies can be used for both Type 1 (low oxygen or hypoxemia) and Type 2 (high carbon dioxide or hypercapnia) Respiratory Failure. There are multiple different mask types, including nasal, nasal pillows, and full face mask.
We discuss how each of these strategies works from a physiologic standpoint. We then dive into the different settings and how to adjust/program them, including EPAP, IPAP, FiO2, Tidal Volume, Tmin, Tmax, Respiratory Rate, and more! Lastly, we dive into the different indications, such as obstructive sleep apnea (OSA), chronic obstructive pulmonary disease (COPD), heart failure (HF), neuromuscular diseases (NMD), obesity hypoventilation syndromes (OHS), and more. We finish out by discussing the contraindications, both absolute and relative.
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#CPAP #bipap #AVAPS #VENTILATION #teaching

Пікірлер: 26
@WhiteboardMedicine
@WhiteboardMedicine 7 ай бұрын
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@user-yx7or5qw4u
@user-yx7or5qw4u 22 күн бұрын
Great presentation of topic. As a retired RCP/RRTII, I find this RT concept still fascinating and amused. Kudos to all the hardworking RTs out there chasing their codes and out of ratio pt. assignment.
@WhiteboardMedicine
@WhiteboardMedicine 6 күн бұрын
RTs are so critical and often carry some real tough patient ratios. We appreciate you checking out the video and for sharing!
@GumriRN
@GumriRN 7 ай бұрын
So GLAD you’re back! Waiting for whichever epidemic we’ll face & you’re inimitable way of explaining it.
@iknowheis
@iknowheis 7 ай бұрын
I’ve been missing you! I’ve been concerned about you!
@timweb1510
@timweb1510 7 ай бұрын
Glad to see the uploads
@WhiteboardMedicine
@WhiteboardMedicine 7 ай бұрын
Appreciate that!
@sheryl3268
@sheryl3268 7 ай бұрын
Thanks! Looking forward to the deep dives too! Hoping you'll cover differences between mask types, etc. in that. Thanks again!
@WhiteboardMedicine
@WhiteboardMedicine 7 ай бұрын
Absolutely! And thanks for checking out another video!
@Varquar1964
@Varquar1964 5 ай бұрын
Patient here - thank you for the video. I was on a CPAP but wasn't compliant due to some claustrophobia issues. Initial presentation was SPO2 in the 20s (according to my records - I wasn't home) and PaCO2 of 90.7. Treatment was the use of a BiPAP which did lower my PaCO2. Discharge dx was COPD and OHS. I was sent home with an IVAPS (I Presume this to be ResMed's version of AVAPS). Again, thank you - I was told non-compliance would result in another bout of hypercapnia but not much on how the new machine would prevent that. Toodles.
@DrJawwad3
@DrJawwad3 Ай бұрын
Hey, medical doctor here. How are you doing now and holding up with the treatment? Complaince with the new Avaps
@dianethoroughman9541
@dianethoroughman9541 Ай бұрын
I was prescribed a bipap machine due to osa. Because of claustrophobia and anxiety to the mask, I didn't use the machine. Two and a half months ago I ended up in the hospital. I was in shock, I had and have OHS and hypercapnia. Right before midnight I had type 2 respiratory failure and was intubated. My PcO2 was greater than 130. The following they tried a sbt to see if I could come off the intubation and I failed. The next day I passed and I was extubated. They put me on a bipap machine that night and the following morning my carbon dioxide levels were over 70. So they kept me another night. They tried all of the bipap machines they had before resorting to an avaps machine. On the avaps machine I did much better, so I got to go home. I am on an avaps machine along with oxygen, and also oxygen is fed into my machine. I would like to know more about the avaps machine and also on how to strengthen my lungs so that my breathing becomes stronger. Right now, it is too shallow. Thank you for reading.
@user-yx7or5qw4u
@user-yx7or5qw4u 22 күн бұрын
Lose more weight by diet modification. Avoid evening sweets, walk exercises or treadmill. You may also consult with a pulmonologist in your area. There are specialized dentists now that are custom fitting an oral mouthpiece to splint your airway open by positioning your tongue from blocking your windpipe.
@sinclair657
@sinclair657 6 ай бұрын
Thank you
@WhiteboardMedicine
@WhiteboardMedicine 6 ай бұрын
Always our pleasure! Thanks for checking it out!
@zava9822
@zava9822 5 ай бұрын
So is this constant Pressure of 5 called inspiration pressure or expiratory pressure ?
@WhiteboardMedicine
@WhiteboardMedicine 5 ай бұрын
It is the expiratory pressure, which is also sometimes referred to as the PEEP (positive end expiratory pressure)!
@md2be300
@md2be300 7 ай бұрын
Hi 👋
@WhiteboardMedicine
@WhiteboardMedicine 7 ай бұрын
Hello and thanks for checking out the video!
@spencer4648
@spencer4648 6 ай бұрын
😣 *promo sm*
@mballer
@mballer 7 ай бұрын
Iron lungs may be better.
@flagmichael
@flagmichael 7 ай бұрын
If they were, we wouldn't have CPAPs/BPAPs. They take a couple weeks to get used to but can be a life-changer. I experienced more energy, better attention behind the wheel, and no longer living in a fog.
@mballer
@mballer 7 ай бұрын
@@flagmichael What is your underlying condition causing your problem?
@flagmichael
@flagmichael 7 ай бұрын
@@mballer Obstructive sleep apnea (OSA): my airway sort of collapses when I go to sleep. It is the most common reason for needing these machines, affecting 10-15% percent of women and 15-30% of men. Obesity is a factor, but my wife complained about my snoring when I was chronically underweight, and sometimes my airway would close enough that I had to wake up and move my head to breathe again. She swore I sometimes started snoring before I laid down and a couple times I noticed I was actually doing that. Not all who snore have OSA but it is a common indicator.
@WhiteboardMedicine
@WhiteboardMedicine 7 ай бұрын
This is a great summary! Couldn’t agree more!
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