How did NIV start?

فهرست عناوین اصلی در این پاورپوینت

فهرست عناوین اصلی در این پاورپوینت

● Non Invasive Ventilation and Cough Assist
● What is NIV?
● History of NIV
● How did NIV start?
● Why Does NIV Work?
● Types of NIV
● Different types of NIV
● Bipap
● What are the indications for the use of NIV?
● What are the contraindications?
● Precautions to NIV
● Evolution of respiratory failure in
Neuromuscular disease/ restrictive lung disorders
● Possible Indications for NIV Support in NMD Patients
● When should I consider domicillary NIV?
● Assessment for NIV
● Interfaces
● Nasal Masks
● Full face masks
● NIV and Palliative care
● Indications for NIV in palliative care
● Think first…
● NIV in end stage COPD patients
● NIV in NMD
● Buying time
● Terminal breathlessness
● NIV and caregivers
● Ethical issues
● The Cough Assist
● Components of Coughing
● Problems of Ineffective Coughing
● Rationale
● High Risk Patients
● Peak Cough Flow
● Rationale for Prophylactic Treatment with cough assist
● Cough Assist
● What does it Do?
● Auto vs Manual
● Using the Device
● Contra-Indications
● References
● Contact

نوع زبان: انگلیسی حجم: 1.13 مگا بایت
نوع فایل: اسلاید پاورپوینت تعداد اسلایدها: 54 صفحه
سطح مطلب: نامشخص پسوند فایل: ppt
گروه موضوعی: زمان استخراج مطلب: 2019/06/05 08:58:25

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عبارات مهم استفاده شده در این مطلب

عبارات مهم استفاده شده در این مطلب

niv, ., patient, respiratory, ventilation, pressure, chest, failure, mask, nmd, copd, positive,

توجه: این مطلب در تاریخ 2019/06/05 08:58:25 به صورت خودکار از فضای وب آشکار توسط موتور جستجوی پاورپوینت جمع آوری شده است و در صورت اعلام عدم رضایت تهیه کننده ی آن، طبق قوانین سایت از روی وب گاه حذف خواهد شد. این مطلب از وب سایت زیر استخراج شده است و مسئولیت انتشار آن با منبع اصلی است.

https://www.csp.org.uk/system/files/documents/2018-10/niv_and_cough_assist.ppt

در صورتی که محتوای فایل ارائه شده با عنوان مطلب سازگار نبود یا مطلب مذکور خلاف قوانین کشور بود لطفا در بخش دیدگاه (در پایین صفحه) به ما اطلاع دهید تا بعد از بررسی در کوتاه ترین زمان نسبت به حدف با اصلاح آن اقدام نماییم. جهت جستجوی پاورپوینت های بیشتر بر روی اینجا کلیک کنید.

عبارات پرتکرار و مهم در این اسلاید عبارتند از: niv, ., patient, respiratory, ventilation, pressure, chest, failure, mask, nmd, copd, positive,

مشاهده محتوای متنیِ این اسلاید ppt

مشاهده محتوای متنیِ این اسلاید ppt

non invasive ventilation and cough assist sarah ewles clinical specialist physiotherapist suht what is niv niv is the use of either negative positive pressure volume ventilation without the use of an endotracheal tube to augment an individual’s ventilation and correct hypercapnic respiratory failure. non invasive ventilation niv refers to the provision of ventilatory support through the patients upper airway using a mask or similar device bts guidelines ۲ ۲ history of niv iron lung ۱۹۲۹ drinker negative pressure devices cuirass polio outbreak ۱۹۳۸ ۱۹۵ ’s history of niv manual ippv introduced ۱۹۵۲ larssen and ibsen negative pressure replaced by positive pressure intensive care units successful application of nasal cpap for osa ۱۹۸ ’s improved mask design led to niv being used in the itu setting with copd patients how did niv start the demonstrated effectiveness of niv in the treatment of acute copd was a catalyst to respiratory clinicians all over uk learning the technique and they began to extrapolate the technique to the home domiciliary setting for the long term treatment of hypercapnic respiratory failure. how did niv start with this came a change in indications for referral and patients are referred with a range of conditions for both acute and or home ventilation. e.g. chest wall deformity nmd long term weaning from itu. why does niv work improves ventilatory mechanics rests fatigued respiratory muscles thereby improving strength and endurance enhances ventilatory sensitivity to co۲ improves sleep stage distribution which may increase chemosensitivity and enhance sleep quality. hill n noninvasive ventilation does it work for whom and how am rev respir dis ۱۹۹۳ ۱۴۷ ۱ ۵ ۱ ۵۵ types of niv cpap bipap psv pcv vcv avaps different types of niv cpap continuous positive airways pressure throughout both inspiration and expiration different types of niv bipap bi level positive airway pressure delivers pre determined positive pressure to a spontaneously breathing patient on inspiration and expiration independent control of inspiratory and expiratory pressures bipap ipap inspiratory positive airway pressure pressure given on inspiration to increase tidal volume epap expiratory positive airway pressure peep what are the indications for the use of niv type ii respiratory failure bilevel pcv vcv copd obesity hypoventilation ohs nmd chest wall deformity weaning from mechanical ventilation note consensus document nmd and copd pco۲ ۶ nmd pco۲ ۷.۵ copd chest ۱۹۹۹ type i respiratory failure cpap pulmonary oedema osa what are the indications for the use of niv treatment of nocturnal hypoventilation associated chest wall disease muscle weakness and neurological disorders weaning from invasive ventilation bridge to transplant cardiogenic pulmonary oedema ventilatory support for patients that are not suitable for intubation and ventilation acute on chronic respiratory failure with chest wall deformity or neuromuscular disease acute pneumonia what are the contraindications undrained pneumothorax severe hypotension severe bullous lung disease cardiac arrythmias neurological instability facial trauma for nasal full face masks precautions to niv copious bronchial secretions severe co morbidity confusion agitation upper gastrointestinal surgery cvs instability lung abscess haematemesis proximal lung tumours evolution of respiratory failure in neuromuscular disease restrictive lung disorders natural history of the evolution of respiratory insufficiency in patients with neuromuscular disease. nrem non rem pred predicted. simmonds ak chest. ۲ ۶ ۱۳ ۱۸۷۹ ۱۸۸۶. possible indications for niv support in nmd patients when to start niv to prevent respiratory decompensation to alter chest wall lung growth characteristics during intercurrent chest infections for perioperative period gastric tube placement during pregnancy to rest respiratory muscles to control nocturnal hypoventilation with or without symptoms to treat established hypercapnic ventilatory failure to palliate symptoms end of life care when should i consider domicillary niv failure to wean from niv acute osa cpap hypercapnic respiratory failure secondary to chest wall deformity sci nmd obesity hypoventilation syndrome copd recurrent ahrf ۳ episodes or intolerance of ltot assessment for niv domicilliary abgs preferably early am spirometry overnight oximetry mouth pressure mip mep nmd symptoms interfaces nasal masks full face masks nasal pillows mouth piece tracheostomy nasal masks advantages speech patient can drink with mask on machine must be switched off allows effective clearance of secretions disadvantages mouth closed if talking with machine on machine can have difficulty synchronising with the patient’s breathing full face masks advantages mouth can be open can use on the comatose patient can use on the mouth breathing patient disadvantages claustrophobic risk of aspiration unable to effectively communicate more difficult to get adequate seal can’t clear secretions niv and palliative care ‘just because a technique is available does not necessarily mean it should be used… ..much thought should be given before using niv for palliation and the techniques should not be used indiscriminately in the dying’ non invasive ventilation and palliation experience in a district general hospital and a review palliative medicine ۲ ۳ ۱۷ ۲۱ ۲۶ indications for niv in palliative care niv can also be useful for providing time to clarify the diagnosis or response to treatment to enable the patient to get well enough to get home patients and families are given extra time to come to terms with dying and achieve closure’ think first… not all patients are able to tolerate niv the technique may not be successful in confused people and in coma and with bulbar problems it may not be possible to protect the airways the masks can be uncomfortable and claustrophobic and can cause facial skin necrosis. intervention should be carefully assessed lest it become a barrier to communication between the dying patient and carers. the aim of niv is to palliate symptoms and not primarily to extend life. non invasive ventilation and palliation experience in a district general hospital and a review palliative medicine ۲ ۳ ۱۷ ۲۱ ۲۶ niv in end stage copd patients niv increases the tidal volume whilst reducing respiratory effort. support can be intermittent as well as continuous. niv can be offered as a palliative treatment for distress and breathlessness is it justified to use niv to prolong survival if death is imminent anyway niv in nmd mnd patients often report ‘choking attacks’ and poor sleep offered niv nocturnally domicillary use median survival of mnd patients using niv is about ۱ months. simonds ak. neuromuscular disease. in muir jf ambrosino n simonds ak eds. non invasive mechanical ventilation. european respiratory monograph ۱۶ . shef ®eld european respiratory society ۲ ۱ ۲۱۸ ۲۶. patients offered niv are …

کلمات کلیدی پرکاربرد در این اسلاید پاورپوینت: niv, ., patient, respiratory, ventilation, pressure, chest, failure, mask, nmd, copd, positive,

این فایل پاورپوینت شامل 54 اسلاید و به زبان انگلیسی و حجم آن 1.13 مگا بایت است. نوع قالب فایل ppt بوده که با این لینک قابل دانلود است. این مطلب برگرفته از سایت زیر است و مسئولیت انتشار آن با منبع اصلی می باشد که در تاریخ 2019/06/05 08:58:25 استخراج شده است.

https://www.csp.org.uk/system/files/documents/2018-10/niv_and_cough_assist.ppt

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