Thread by @m_zawadka

#LIVES2022 #IntensiveCare #MechanicalVentilation @ESICM

Start with NIV in acute hypoxemic failure

Standard Oxygen, NIV, HFNC, CPAP ?

Coma 😵

Consider intubation as first line

Guidelines on HFNC

How to setup HFNC
🎯 High flow is beneficial - start 50-60l/min
🎯 Target fio2 to sats, avoid hyperoxia

Monitoring HFNC
❗fio2 > 60 be worried
Intubation migh be risky

Risk of NIV in acute respiratory failure
Think traspulmonary pressure

Warning shots

What are the options?

NIV may delay intubation and worsen the outcome

And take home points

And comments from @gattinon
How do we monitor patient on NIV?

Esophageal pressure? 🤯

Brilliant talk by Professor @AlexDemoule

SoMe team @avkwong
@KatiaDonadello
@iceman_ex
@FOAMecmo
@pereztorresICU
@DrGScaramuzzo
@teddyhla
@WhistlingDixie4
@katinthelair