Knowledge Bomb

Knowledge Bomb: High-Velocity Nasal Insufflation for Respiratory Failure

We continue the series with Knowledge Bomb #19. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry. Background Dyspnea and acute respiratory failure are among the top 5 reasons for patients to present to the Emergency Department. High-velocity nasal insufflation (HVNI), a type of high-flow nasal

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 2 Remember our 60 yo male with COPD who has been on NIV for about an hour, he was looking a little less sick, let’s check back in with him. (If you missed the last post click here) Our initial settings for the BiPAP: rate 8,

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 1 It’s a busy night in the ED and in comes… …a 60 y/o male with OSA and COPD in extremis, sitting up on the gurney gripping the side rails, huffing and puffing, struggling to breathe.  You are informed that he has not used his CPAP in