James talks to Dr Paul Hamor about modes of non-invasive ventilation, delving deeper into the details in Part 2 of this podcast.
In Part 1 of this podcast, we talked about CPAP and BiPAP and their indications and non-invasive ventilation (NIV) in general.
Script Writer: Sarah Vaughan
Summary Writer: Sarah Vaughan
Editor: Paul Hamor
Interviewee: Paul Hamor
Dr Paul Hamor is a Respiratory Sleep Physician, and recently appointed Director of Prevocational Education and Training at Royal Prince Alfred Hospital. Paul has interests in the formulation of educational programs, presentation skills, delivering best evidence based-practice to the ward, as well as change methodology.
With Dr Paul Hamor, Respiratory & Sleep Physician and Director of Prevocational Education and Training at Royal Prince Alfred Hospital, Clinical Lecturer at University of Sydney, New South Wales, Australia
Case 1- You are a junior doctor working in the ED. A patient comes in with APO – hypertensive, CXR shows APO. You start a GTN infusion and possibly give some IV frusemide. Your registrar says “I think we should start them on CPAP”. What would be your approach to starting this patient on CPAP?
Case 2 – A junior doctor is called to see a patient admitted to the ward with an exacerbation of COPD. The gas result shows acidaemia with a raised CO2. What should they start thinking of?
Case 3 – A patient has borderline hypoxia on 2-4L oxygen. The ABG shows hypercapnia with pO2 of 65. Occasionally a junior doctor will take the oxygen off in an attempt to improve the hypercapnia. What do you think about this?
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