Skip to main content

BiPAP..3 simple rules to put it ON




BiPAP now is being used on a wide scale in perioperative medicine  and in critical care units.

Today we will discuss the three basic simple rules on How to start it and then adjust your parameters according to the clinical situations?

BiPAP – usually start at 8/3 (the first digit is IPAP the second EPAP) and keep IPAP 5 above EPAP.

If the patient has hypoxemia EPAP and IPAP should go up in 2 cm H2O increments.

Hypercarbia- increase IPAP in 2 cm increments.

Easy...............

Tomorrow we will discuss the evidence based  use of BiPAP
Labels:

Comments

  1. tomcruseApril 26, 2012 at 6:56 AM

    Thanks for sharing important information about bipap . it is very useful information.....

    ReplyDelete

Post a Comment

Popular posts from this blog

The 100 essentials in icu and anesthesia

The most visual experience in anesthesia and critical care education  The 100 essentials of anesthesia and critical care  COMING VERY SOON  stay tuned 
Post a Comment
Read more

Driving Pressure in ARDS: A new concept!

Driving Pressure and Survival in the Acute Respiratory Distress Syndrome Marcelo B.P. Amato, M.D., Maureen O. Meade, M.D., Arthur S. Slutsky, M.D., Laurent Brochard, M.D., Eduardo L.V. Costa, M.D., David A. Schoenfeld, Ph.D., Thomas E. Stewart, M.D., Matthias Briel, M.D., Daniel Talmor, M.D., M.P.H., Alain Mercat, M.D., Jean-Christophe M. Richard, M.D., Carlos R.R. Carvalho, M.D., and Roy G. Brower, M.D. N Engl J Med 2015; 372:747-755 February 19, 2015 DOI: 10.1056/NEJMsa1410639 BACKGROUND Mechanical-ventilation strategies that use lower end-inspiratory (plateau) airway pressures, lower tidal volumes (V T ), and higher positive end-expiratory pressures (PEEPs) can improve survival in patients with the acute respiratory distress syndrome (ARDS), but the relative importance of each of these components is uncertain. Because respiratory-system compliance (C RS ) is strongly related to the volume of aerated remaining functional lung during disease (termed functional lung size)...
6 comments
Read more