USMLE forum
 
USMLE Forum
Step 1
Step 2 CK
Step 2 CS
Matching & Residency
Step 3
Classifieds
 
Archives
 
 
  <<   < *  Step 2 CK   *  >   >>  

* diff between ippv, nippv, peep, cpap, mech vent
 #213584  
  brain - 08/27/07 13:27
 
  xyz13456789's question. I also want to know!!  
Report Abuse

 
 

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896287
  doyoudig - 08/27/07 13:38
 
  Difference btw CPAP vs. PEEP ?

CPAP:
Continuous positive airway pressure. Treatment of Drowning, Obstructive Sleep Apnea to increase alveolar pressure, so try to decrease the Accumulated fluid in this Alveoli

PEEP:
Positive End Expiratory Pressure. A Type of Pressure Controlled Mechanical Ventilation
Treatment for ARDS after Non-Invasive or Mechanically Ventilated Pt to try to elevate the pressure inside the alveoli at the end of expiration to keep them open longer.
Hence if Hypoxemia is not relieved by Non-Invasive (NIPP) or Mechanically Ventilation the Increase the PEEP in the mechanically ventilated Pt to Increase O2 delivery

PPV – Positive Pressure Ventilation ; IPPV – Intermittent PPV
-A Pt w/ Agitation, Restlessness or Sudden Drop in O2 Saturation in a Ventilated Pt should Raise the Suspicion of  Barotrauma (Volume Trauma)

* Barotrauma – Is a Misnomer since the Lung Injury is usually d/t Excess of Volume.
-- Barotrauma can be Dx easily w/ the help of a CXR
-- It can be Fatal if Dx or Treated Late
hence whenever a Pt is on Pressure ventilation & develop a Drop in O2
Saturation get a  CXR Immediately to R/o Barotrauma

* ↓ or ↑ in TV, Ventilatory Rate Setting, should be considered AFTER Barotrauma is R/o, never before

pls add

 
Report Abuse

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896321
  swiftdoc1 - 08/27/07 14:06
 
  that was a good post doyoudig.
thnx :)
 
Report Abuse

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896439
  brain - 08/27/07 15:15
 
  mechanical vent is general term? Or does it refer to respirator (which is used in resp arrest pts)?  
Report Abuse

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896446
  doyoudig - 08/27/07 15:20
 
  mechanical ventilation, a general term for invasive techniques to support ventilation  
Report Abuse

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896491
  xyz12345 - 08/27/07 16:01
 
  thanks for ur post doyoudig

i hv another ques...after u r/o barotraume by xray, you mentioned, then u decide - ↓ or ↑ in TV, Ventilatory Rate - how do u decide these factors?

plz kindly explain
thanks a million
 
Report Abuse

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896510
  doyoudig - 08/27/07 16:17
 
  I posted a site--brain n Others --PEEP . I think it would be good if everyone read it 1st for terminology n indications so we can base discussion on the info provided  
Report Abuse

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896884
  xyz12345 - 08/27/07 21:06
 
  doyoudig...which site did u mention?  
Report Abuse

* Re:diff between ippv, nippv, peep, cpap, mech vent
#896903
  doyoudig - 08/27/07 21:21
 
  its emedicine, just type in mechanical ventilation  
Report Abuse

          Page 1 of 1          

[<<First]   [<Prev]  ... Message ...  [Next >]   [Last >>]

 
Logon to post a new Message/Reply
 
 
 
 

 

 

Google
  Web USMLEforum.com
 

Step 1 Step 2 CK Step 2 CS Matching & Residency Step 3 Classifieds
LoginUSMLE LinksHome