5. Contraindications
• Respiratory arrest
• Uncoperative patients
• Inability to protect airways
• Trauma or burns in face
• Facial or GI Surgery
• Apnoea
• Extreme anxiety
• Obesity
6. Types of non invasive ventilators
• Generally classified into 2
1. Volume pre set ventilators
2. Pressure preset ventilators
Pressure pre set ventilators 2 modes
• CPAP
• BiPAP
7. NURSING RESPONSIBILITY
• Check patients breath rate and ausculate
• Maintain spo2 100%
• Inform the physician regarding any abnormality in ABG Values
• Always check for air leake
• Give more importance to patients needs like suctioning ,or giving
sputum cups if secretions are present
• Maintain a ABG CHART
8. Complications of CPAP and BiPAP
• Insufficient ventillatory support
• Mask leake
• Skin trauma
• Sputum retention
• Nutritional deficiencies
• Abdominal discomfort
9. OXYGEN DELIVERY METHODS /SYSTEMS
• 2 SYSTEMS
• LOW FLOW DELIVERY SYSTEMS
• HIGH FLOW DELIVERY SYSTEMS
11. HIGH FLOW DEVICES /SYSTEMS
• TRANS TRACHEAL CATHETRES
• VENTURI MASK
• AEROSOL MASK
• TRACHEOSTOMY COLLARS
• T –PIECE
• NON REBREATHING MASK WITH RESERVOIR AND ONE WAY VALVE
• HIGH HUMIDITY FACE TENTS
12. Formula for calculating percentage of Fio2%
• Fio2= 20% + (4 X oxygen liter flow)
• 1 liters = 24 %
• 2 liters =28 % etc
13. • Suppose if we deliver 6 litres of oxygen per min ,what is the Fio2
• ANS- Fio2 = 44% with 6 litres of O2 P/M
14. NASAL CANNULA
• Flow rate - 2-6 litres per min
• 24-45 percentage
• Advantage – light weight ,comfortable,inexpensive and continuous
use with meals and activity.
• Disadvantage – nasal mucosa drying
16. Oropharyngeal catheter
• Flow rate – 1-6 Litres
• Deliver 22-44 %
• Adv – inexpensive and no need for tracheostomy
• Dis adv – mucosal drying ,catheter should be changed frequently to
both nostrils
27. Venturi mask
• Flow rate – 4-6 l/min
• Deliver 24-40 %
• Adv – precise fio2 and additional humidity available
• Dis adv – must be removed to eat
Colour Fi O2 O2 flow
Blue 24% 2 l/min
White 28% 4 l/min
Orange 31% 6 l/min
Yellow 35% 8 l/min
Red 40% 10 l/min
Green 60% 15 l/min
28.
29. Trans tracheal catheter
• Flow rate – 4 Litres/min
• Deliver 60=100 %
• Adv – more comfortable , concealed by clothings ,less o2 is needed to
achieve 100% saturation
• Dis adv – requires frequent and regular cleaning and needs surgical
intervention
30. Aerosol mask
• Flow rate – 8-10 Litres/min
• Deliver 21- 100% fio2 based on nebulizer setting
• Adv – good humidity and accurate Fio2
• Dis adv – uncomfortable for some