When to Stop BIPAP in ICU and What to do if You Can't Stop it! Quick Tip for Families in ICU!

https://intensivecarehotline.com/blog/when-to-stop-bipap-bilevel-positive-airway-pressure-in-icu-and-what-to-do-if-you-cant-stop-it-quick-tip-for-families-in-icu/

When to Stop BIPAP in ICU and What to do if You Can't Stop it! Quick Tip for Families in ICU!

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So, we get asked a lot when to stop BiPAP (bilevel positive airway pressure) in ICU? And I probably need to make a distinction here that there are two forms of BiPAP in ICU. One, is for a patient with a BiPAP mask and another form of BiPAP can be via a tracheostomy most of the time. So when should you stop BiPAP?

Well, quite frankly, when FIO2 (fraction of inspired oxygen) levels are down, probably to less than 30% and when a patient can tolerate getting off the BiPAP mask or getting off the BiPAP on the tracheostomy, you can stop BiPAP. Now that can be verified by simply doing arterial blood gases making sure that PCO2 (partial pressure of carbon dioxide) is down and that PO2 (partial pressure of oxygen) are within a normal range.

When you take a patient off the BiPAP, whether that’s getting them on room air, just breathing spontaneously, getting them on high flow nasal prongs, getting them breathed without oxygen at all, or if someone is on a tracheostomy, just let them breathe on a trach mask or on a trach collar, and if they tolerate all of that...

Continuation:
https://intensivecarehotline.com/blog/when-to-stop-bipap-bilevel-positive-airway-pressure-in-icu-and-what-to-do-if-you-cant-stop-it-quick-tip-for-families-in-icu/