Question

brief summary of NPPV

Answer 1

Ans:-

Noninvasive positive-pressure ventilation (NPPV) is a form of mechanical ventilatory support delivered to patients with acute respiratory failure through a noninvasive interface. In patients with a range of etiologies for acute respiratory failure, NPPV has the potential to reduce complications and improve outcomes compared to invasive ventilation.

NPPV is a preferred method of ventilation as it eliminate the need for endotracheal intubation and its associated morbidity and mortality, including airway trauma, loss of airway defense mechanisms (ventilator-associated pneumonia), mechanical ventilation (barotrauma), and disruption of speech and swallowing.

Use of NPPV:-

Clinical scenarios in which there is evidence for the efficacy of NPPV include severe exacerbations of COPD, cardiogenic pulmonary edema, immunosuppressed patients with pulmonary infiltrates, and hypoxia; it can also be used as a bridge to extubation in COPD patients.

Procedure for NPPV:-

• Select and fit mask.
• Select mode and ventilator.
• For BiPAP, start with inspiratory pressure 8-12 mmHg and expiratory pressure 3-5 mmHg, titrating up based on resolution of tachypnea, dyspnea, and patient tolerance and synchrony.
• Add supplemental oxygen as needed.
• Monitor patient for: dyspnea, respiratory distress, respiratory rate, vital signs, mask comfort and fit, oxygen saturations, and hypercarbia/hypoxia.