NIV vs HFT Quiz

NIV vs HFT Quiz
Which therapy would you use for a COPD patient with exacerbration?
NIV vs HFT Quiz
Answer
NIV vs HFT Quiz
Which therapy would you use for a COPD patient with community-acquired pneumonia?
NIV vs HFT Quiz
Answer
NIV vs HFT Quiz
Which therapy would you use for a Immunocompromised patient?
NIV vs HFT Quiz
Answer
NIV vs HFT Quiz
Which therapy would you use when treating a hypoxemic?
NIV vs HFT Quiz
Answer
NIV vs HFT Quiz
Which therapy would you use when managing a cardiogenic pulmonary edema patient?
NIV vs HFT Quiz
Answer
NIV vs HFT Quiz
Which therapy would you use when treating a post-extubation patient?
NIV vs HFT Quiz
Answer
NIV vs HFT Quiz
Which therapy would you use when managing a postoperative abdominal patient?
Stay up-to-date and subscribe.
Join your peers, sign-up to stay informed and receive insights into healthcare innovations,
straight to your inbox.
(Please be sure to check the box to receive communications from Philips)
Why NIV over invasive ventilation?
Clinicians understand that while invasive ventilation can be lifesaving, the risk of potential complications – like infections and injury to the lungs and other organs – runs high. That’s why NIV has become a widely used therapy option and is now considered the mode of choice for some conditions.
NIV has also been associated with reduced length of hospital stay and reduces mortality, patient discomfort and length of-stay for exacerbations of COPD compared to standard therapy.5
Application
- Avoid intubation
- Patient discomfort
- Upper airway trauma
Minimize ventilator acquired pneumonia6
- Intubation is associated with GI bleeding
- Less chance of barotrauma
Decreases work of breathing
- Improves alveolar ventilation
- Improves gas exchange
- Counterbalances intrinsic PEEP
Oral patency
- Preserves efficiency of cough and secretion clearance
- Allow speech, allowing the patient to communicate
- Preserves ability to swallow
- Reduces need for NG tube
Here are some tips:
Set realistic expectations – NIV does not avoid intubation in all cases – a NIV failure rate of 20-40% is expected based on current clinical evidence.7
Experience matters – Only practice of NIV will lead to the needed experience to perform successful NIV.
Noninvasive ventilation is one of those rare medical technologies that both improves patient outcomes and reduces treatment costs.”
– Adam Seiver, MD, PhD, MBA, Chief of Medical Affairs, Philips Monitoring and Analytics & Therapeutic Care
Avoid NIV complications
Complications with NIV can be pressure-related
Complication | Remedy8 |
Nasal congestion | Try humidification or speak to the physician for various remedies to assist with this problem |
Nasal or oral dryness | Add humidification, nasal saline, oral/nasal hygiene, or decrease leak |
Sinus or ear pain | Lower inspiratory pressure |
Gastric inflation | Avoid excessive inspiratory pressures (over 20 cmH2O) |
Eye irritation | Check mask fit, readjust bottom headgear straps, and be aware of air leaks near eyes |
Failure to ventilate | Use sufficient pressures, optimize patient-ventilator synchrony |
Complication | Remedy8 |
Discomfort | Check fit, adjust straps, or change the mask |
Nasal or oral dryness | Add humidification, nasal saline, oral/nasal hygiene and manage leak by decreasing the amount of leak |
Nasal bridge redness or ulceration | Use an artificial skin, minimize strap tension, use LiquiCell, alternate masks or use a PerforMax or Total face mask |
Skin irritation or rashes | Use a skin barrier lotion and/or topical corticosteroids, change to a mask made from a different material, be sure to properly clean the mask |
Claustrophobic reactions | Try a nasal mask or |
