Quick Tip for Families in ICU: Not Knowing if My Wife Can Get Off the BIPAP Machine in ICU?

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Quick tip for families in Intensive care: Not knowing if my wife can get off the BIPAP machine in ICU and what are the next steps?

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

So I had a question from Paul, and Paul says, “Not knowing if my wife will be able to get off the BIPAP machine, and what are the next steps in ICU?”

Now, it’s sort of a fairly generic question. But it’s still a very relevant question. Many patients in ICU are on BIPAP.

BIPAP basically means they’re on a ventilator with a mask, not with a breathing tube or a tracheostomy. It’s also referred to as non-invasive ventilation. And it’s often the first step before someone gets intubated or in the ideal world, it’s preventing intubation. And this is probably where Paul is coming in. The ICU team has probably told him that if she can’t come off the BIPAP, she probably needs intubation and go on a ventilator with a breathing tube or an endotracheal tube.

Now you want to avoid that at all costs in ICU, if you can. And how can you do that, if someone is on a BIPAP or a non-invasive ventilation?

So most importantly, you got to put them in the right settings. How much PEEP (positive end-expiratory pressure)? How much pressure support? How much FiO2 (fraction of inspired oxygen)? Monitor arterial blood gases. Monitor tidal volumes. Monitor minute volumes.

Continuation...
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