Equipment
- Appropriate device to provide NIPPV
- Appropriate type and sized mask interface
- Appropriate securing head gear for mask
- Appropriate circuit
- Appropriate humidification device to provide patient with humidified gas mixture
- Circuit tubing
- Oxygen tubing (optional)
- Oxygen saturation monitor
- Sterile water for inhalation
BCCH Respiratory Care Steering Committee. NON-INVASIVE POSITIVE PRESSURE VENTILATION: INITIATION AND MANAGEMENT AT BCCH [Internet]. 2023. Available from: https://shop.healthcarebc.ca/phsa/BCWH_2/BC%20Children%27s%20Hospital/C-0506-12-62066.pdf
Set Up & Management
*Download guideline for details
- PERFORM hand hygiene and DON personal protective equipment (PPE)
- DETERMINE and OBTAIN appropriate NIPPV delivery device and appropriate sized
mask and headgear for NIPPV - CONNECT all circuit tubing to the NIPPV device
- CONNECT NIPPV device to power source and ensure the power cable is securely
connected to the NIPPV device - ATTACH oxygen if required. Set up according to the device manual
- TURN ON NIPPV device and set appropriate mode and settings. Perform leak check and
confirm pressure remains stable - ENSURE humidification is set-up appropriately for the device. Ensure the humidification device is TURNED ON
- SUCTION patient (if required) before placing mask on patient’s face
- ATTACH the circuit tubing to the patient’s mask. CONFIRM there is flow before
applying the mask to the patient’s face - ATTACH the mask to the patient’s face and secure headgear
- COMPLETE a site-to-source check once headgear is secure and device is on the
patient - ASSESS the patient and perform a site to source check of the NIPPV system Q3H and
as needed.
Settings on BiPAP
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References:
BiPAP: Bilevel Positive Airway Pressure
FRC:Functional Residual Capacity
Vt:Tidal Volume
BC Children’s Hospital PICU Physicians RT. Acute Ventilation in Pediatrics [Internet]. 2024. Available from: https://www.childhealthbc.ca/file/PICU_Ventilation_Pediatrics