Indication and use of Domiciliary NIV

Slides:

Advertisements

Similar presentations

Non-invasive Ventilation

Advertisements

1 Pre-ICU Training CHEST Mechanical Ventilatory Support 2008/6/20.

Sleep and Breathing Davina Lovegrove Senior Scientist & Training Coordinator Respiratory and Sleep Specialists.

COPD Chronic Obstructive Pulmonary Disease COPD is a long-term lung disease usually caused by smoking. COPD is a triad of diseases; emphysema, chronic.

Respiratory Failure and Non-Invasive ventilation Sophie Fletcher Consultant Respiratory Physician.

1 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license.

Titration Guidelines for CPAP, APAP and BiLevel Therapy Know your patient Titrate Successfully Pamela Minkley RRT, RPSGT, CPFT Make Sleep a Priority.

Nesreen El-Sayed Morsy Aly Thoracic Medicine Department

NON INVASIVE VENTILATION

Central Sleep Apneas Sung Chul Hwang, M.D. Dept. of Pulmonary and Critical Care Medicine Ajou University School of Medicine.

Pathophysiology of Respiratory Failure Fern White & Annabel Fothergill.

Noninvasive Oxygenation and Ventilation

Respiratory Failure Sa’ad Lahri Registrar Dept Of Emergency Medicine UCT / University of Stellenbosch.

Lung Volumes Inspiratory Reserve Volume:

Part I: Noninvasive Positive Pressure Ventilation in the Acute Care Facility By: Susan P. Pilbeam, MS, RRT, FAARC John D. Hiser, MEd, RRT, FAARC Ray Ritz,

Diagnosis and Management of Acute Respiratory Failure ARF 1 ®

Sleep Disorders MODULE F. Types of Sleep Disorders Obstructive Sleep Apnea Central Sleep Apnea Mixed Hypopnea.

DR MUHAMMAD BILAL NON INVASIVE VENTILATION. DEFINITION : - DELIVERY OF MECHANICAL VENTILATION TO THE LUNGS THAT DON’T REQUIRE ET.T. OR TRACHEOSTOMY IRON.

All About Home NIV.

Respiratory Problems in Post-Polio Syndrome

Respiratory disorders À la RNOH. Obstructive airways disease Restrictive lung disease Infections Tumours.

COPD – PBL 8. Hypercapnia (  CO 2 )Hypoxia (  O 2 ) HyperventilationDyspnoea AsterixisHeadaches/fatigue Flushed skinCynosis Disturbed sleepTachapneoa.

Chapter 14 Respiratory Procedures. Copyright © 2007 Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Patients at Risk for Poor Oxygenation Hypoxemia –Insufficient.

The Health Roundtable Introduction of a day admission model for implementation of non-invasive ventilation Presenter: Linda Rautela Austin Innovation Poster.

Respiratory Respiratory Failure and ARDS. Normal Respirations.

Mechanical Ventilation 1

Is the failure of pulmonary gas exchange to maintain the normal arterial O2 and CO2 level. It is divided in to type I and II in relation to the presence.

3 nd LECTURE VENTILATORS Part One. Ventilators One of the major life support systems. Ventilators take over the vital role of the respiratory muscles.

Asthma Guidelines, Diagnosis and Management Alison Hughes Respiratory Specialist Nurse Solent NHS Trust.

BTS/ICS Guidelines for the ventilatory management of acute hypercapnic respiratory failure in adults British Thoracic Society Intensive Care Society.

Respiratory Failure. 2 key processes ■ Ventilation ■ Diffusion.

NON INVASIVE VENTILATION IN OBESE HYPOVENTILATION SYNDROME:

Simon Barry Cardiff November 2015

Copyright © 2006 by Mosby, Inc. Slide 1 Chapter 44 Postoperative Atelectasis Figure Alveoli in postoperative atelectasis. A, Total alveolar collapse.

COMMON EMERGENCIES IN DETOX Paula J. Colescott MD Diplomat of the American Board of Addiction Medicine COMMON EMERGENCIES IN DETOX Paula J. Colescott MD.

NIV Why? How?. Non Invasive Ventilation – a guide to difficult choices Dr Sanj Fernando.

+ Non-invasive Positive Pressure Ventilation (NPPV) Basheer Albahrani, RT.

PEEP Residual Volume Forced Vital Capacity EPAP Tidal Volume A-a gradient IPAP PaCO2 RR ARDS BIPAP BiPAP NIV PaO2 IBW Plateau Pressure FiO2 A/C SIMV.

Acute Respiratory Failure: 5 types of Hypoxemia

Prof. Dr. ABDUL HAMEED AL QASEER

Weaning From The Ventilator

Respiratory System Diseases and Management Part IV

Management of Pulmonary Conditions

Ventilator Management in Neuromuscular Diseases

Chronic heart failure.

The Sky is falling: Difficult Patient’s in our Labs

Phyllis Murphie- Respiratory Nurse Consultant/PhD candidate

Amyotrophic Lateral Sclerosis

Respiratory Failure Dr. Nick Weatherley Respiratory Registrar.

Respiratory Failure Acute/Chronic

Session 4: Living with and managing nocturnal hypoventilation in MND

Session 4: Living with and managing nocturnal hypoventilation in MND

Myotonic Dystrophy Respiratory Complications Mike Czervinske RRT-NPS

Monica M. Vasquez, MPH, Leslie A. McClure, PhD, Duane L

Session 2: Respiratory and cough failure in MND – an overview

Respiratory Management in MND

Updates on Noninvasive Ventilation in COPD

You could ventilate a patient

Session 2: Respiratory and cough failure in MND – an overview

Session 3: Living with and managing nocturnal hypoventilation in MND

Nathir Obeidat University of Jordan

High flow cannula oxygen delivery and the hypoxemic patient

Respiratory Management in MND

Obesity hypoventilation syndrome (OHS) management strategy.

Positive airway pressure adjustment in acute decompensated obesity-related respiratory failure. Positive airway pressure adjustment in acute decompensated.

PALLIATIVE CARE FOR COPD PATIENTS:

Distribution and change of the underlying disease in patients discharged with home mechanical ventilation (n = 854). ♦: chronic obstructive pulmonary disease;

KUMC Myotonic Dystrophy Day Pulmonary Treatments July 20, 2019

Presentation transcript:

Indication and use of Domiciliary NIV Laura Bryant Specialist Respiratory Practitioner Wrexham Maelor Hospital 01978 318262 28th November 2016 Laura Bryant 28th November 2016

Laura Bryant 28th November 2016

Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 Aims of session To understand how sleep may affect breathing To provide understanding of patient selection To provide an understanding of the role of NIV (BiPAP) To discuss considerations for patient selection/care/management Laura Bryant 28th November 2016

What happens when we breath? Laura Bryant 28th November 2016

Laura Bryant 28th November 2016

Who may have difficulties? :Obesity :Chest Wall Disease :COPD (LTOT intolerant/multiple admissions) :Neuromuscular Disease Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 What happens? Laura Bryant 28th November 2016

What happens?? Night time.. Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 What happens?? day time... Un refreshing sleep Daytime sleepiness Early morning headaches Swollen ankles Shortness of breath Disturbed sleep Reduced daytime oxygen levels Laura Bryant 28th November 2016

Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 What can we do??? Laura Bryant 28th November 2016

Definition of NIV (B.T.S.) The provision of ventilatory support through the patient’s upper airway using a mask or similar device. CPAP (Continuous Positive Airway Pressure) BiPAP (Bilevel Positive Airway Pressure) BiPAP = pressure on inspiration and expiration Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 When is BiPAP used? Type II Respiratory Failure PaO2 <8 K Pa PaCO2 >6 K Pa Signs of respiratory muscle weakness Signs of nocturnal hypoventilation Associated symptoms Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 What does NIV do? Two levels of respiratory support: IPAP/EPAP Reduce work of breathing Increase tidal volume Improve removal of CO2 Improves oxygenation Reduces symptoms and improves quality of life Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 Why do we do what we do??? Laura Bryant 28th November 2016

What about the practicalities??? Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 Things to consider...... Are there any symptoms??? Diagnosis Patient choice Limb weakness Mask choice Dependency + battery requirements Oxygen requirements Place of residence Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 Practical aspects Patient monitoring Ventilator settings (back up rate) Mask fitting Power failure Mechanical failure Vomiting/choking Disease progression Housework Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 Video clip https://www.google.co.uk/url?url=https://www.youtube.com/watch%3Fv%3DO9tAttK0K1s&rct=j&frm=1&q=&esrc=s&sa=U&ved=0ahUKEwid6Lr6mr_QAhVGBsAKHRJuBbMQtwIIFzAA&usg=AFQjCNE_jQBHOJ1PCi8z8VTicQPtpiaiDQ Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 Summary NIV is an effective treatment for hypoventilation, and some patients can use NIV at home for many years with a good quality of life Its aim is to improve quality of life which is something only the individual can define. Laura Bryant 28th November 2016

Laura Bryant 28th November 2016 Any Questions????? Laura Bryant 28th November 2016