Noninvasive respiratory support is among the greatest recent advances in critical care. When used properly, these techniques may facilitate avoidance of intubation, reduced length of stay, and better outcomes. Unfortunately, our knowledge of exactly how to use these devices remains woefully incomplete. In particular, there are rather few RCTs directly comparing BiPAP versus HFNC.
In the absence of definitive evidence, this chapter leans heavily on experience. As such, it is offered with the intention of providing one approach to noninvasive respiratory support (certainly not the only valid approach, nor necessarily the best). Hopefully, over time this chapter will be developed further based on peer review, new research, and fresh guidelines.
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The IBCC chapter is located here.
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Do you think it’s best to retrieve an ABG prior to place someone on bipap?
Do you have a protocol for weaning HHFNC? Start with FiO2 or flow?
Congratulations on the review, like others that I have read very informative and useful.
I have a doubt;
I have read the you recommend like an option nasal canulas for pre-oxygenation and emergency intubation at 30-40 litters/min. So, would it be possible to use non rebreather mask at that quantity of liters/min? And would it be of any benefit to the patient?.
Sorry in advance if you find any grammatical errors, English is not my native language.
Thanks, Your blog is being a vital part of my medical training. I hope I continue reading you.