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What is BiPAP? This video will teach you all about Bilevel Positive Airway Pressure! 💥Full Guide on BiPAP ➜ ➜ ➜ https://bit.ly/2Ste6Ms What is BiPAP? As I mentioned, BiPAP is a type of noninvasive ventilatory support that gets its name because it provides two levels of pressure: 1. IPAP 2. EPAP Inspiratory Positive Airway Pressure (IPAP) – An airway pressure that is above 0 cmH2O during the inspiratory phase of breathing. It works similar to the peak airway pressure in traditional mechanical ventilation. So if you increase the IPAP setting, this will increase the delivered tidal volume. Expiratory Positive Airway Pressure (EPAP) – An airway pressure that is above 0 cmH2O during the expiratory phase of breathing. It works similar to the PEEP in traditional mechanical ventilation or CPAP during spontaneous breathing. Increasing the EPAP setting improves the patient's oxygenation by increasing the Functional Residual Capacity (FRC). So essentially, you can make adjustments to the IPAP and EPAP settings depending on the patient's ventilatory and oxygenation status. IPAP is what controls the tidal volume that is delivered. EPAP functions as PEEP and supports the patient's oxygenation. There are (2) primary indications for BiPAP: 1. Acute respiratory failure 2. Acute exacerbation of COPD And the best way to determine if BiPAP is indicated is to look at the patient's ABG results. If a patient has a decreased pH and an increased PaCO2, you could recognize that ventilatory issues are present and BiPAP would be indicated. Cardiogenic Pulmonary Edema is another common indication for BiPAP and it's been shown to decrease the need for traditional mechanical ventilation in these patients. Contraindications for BiPAP: Apnea Unmanageable secretions Facial burns or trauma Claustrophobia Making Changes to BiPAP Settings Depending on the patient's needs, you can make adjustments to the IPAP and EPAP pressure levels in the settings of the machine. This is not always the case, but in general, a good starting point is 10/5. IPAP = 10 cmH2O EPAP = 5 cmH2O The appropriate initial pressure setting for IPAP can range from 8-12 cmH2O. The initial EPAP setting can range from 4-5 cmH2O. The IPAP and EPAP settings can be adjusted in increments of 1-2 cmH2O depending on the needs of the patient. For example, if the patient is in respiratory acidosis and needs a larger tidal volume to try to decrease the PaCO2 value, you would increase the IPAP. Or, to improve the patient's oxygenation, you would increase the EPAP which essentially is the same thing as increasing the level of PEEP. 💥Full Guide on BiPAP ➜ ➜ ➜ https://bit.ly/2Ste6Ms ————— 📗 BEST STUDY GUIDES FOR YOU ▪ TMC Test Bank 👉 http://bit.ly/2IGeqSu ▪ Hacking the TMC Exam 👉 http://bit.ly/2XBc8do ▪ TMC Exam Bundle (Save $) 👉 https://bit.ly/34pqEsV ▪ Daily TMC Practice Questions 👉 http://bit.ly/2NnXh3C 💙MORE FROM RTZ ▪ Free TMC Practice Exam 👉 http://bit.ly/2XlwASL ▪ Free RRT Cheat Sheet 👉 http://bit.ly/2IbmOKB ▪ Resources for RT's 👉 http://bit.ly/2WVV5qo ▪ Testimonials 👉 http://bit.ly/2x7b5Gl 🌐FOLLOW US ▪ Instagram 👉 http://bit.ly/2FhF0jV ▪ Twitter 👉 http://bit.ly/2ZsS6T1 ▪ Facebook 👉 http://bit.ly/2MSEejt ▪ Pinterest 👉 http://bit.ly/2ZwVLPw 🚑MEDICAL DISCLAIMER Medicine and Respiratory Therapy are continuously changing practices. The information in this video is for educational and entertainment purposes only. For medical advice, please consult with a physician or qualified medical professional. 💡AFFILIATE DISCLAIMER This description contains affiliate links. If you decide to purchase a product through one of them, we receive a small commission at no cost to you. ————— ⏰TIMESTAMPS 0:00 - Intro 0:27 - What is BiPAP? 0:32 - Inspiratory Positive Airway Pressure (IPAP) 1:00 - Expiratory Positive Airway Pressure (EPAP) 1:50 - Primary Indications for BiPAP 1:53 - Acute Respiratory Failure 2:20 - Cardiogenic Pulmonary Edema 2:39 - Contraindications for BiPAP 2:57 - Making Changes to BiPAP Settings 3:11 - BiPAP Starting Point ————— 🖼CREDIT FOR MUSIC AND GRAPHICS: ▪ Music provided by NoCopyrightSounds. ▪ Check It Out: http://bit.ly/2WtPq7h ▪ Graphics: www.canva.com ▪ Graphics: www.freevector.com ▪ Graphics: www.vecteezy.com ▪ Graphics: www.pngtree.com ▪ Graphics: www.freepik.com #RespiratoryTherapy #RespiratoryTherapist #RespiratoryTherapySchool
