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Respiratory · Non-Invasive Ventilation

BiPAP Machine

Delivers two levels of positive airway pressure.

Skantra Resource

AI overview

BiPAP provides higher inspiratory (IPAP) and lower expiratory (EPAP) pressures to support patients with respiratory distress without intubation.

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Common uses

  • Acute COPD exacerbation
  • Cardiogenic pulmonary edema
  • Obstructive sleep apnea

Safety notes

  • Contraindicated in unconscious patients or with vomiting risk
  • Monitor for gastric distension and skin breakdown at mask

Setup instructions

  1. 1
    Select properly fitting mask (nasal or full-face)
  2. 2
    Connect circuit, humidifier and oxygen bleed-in if ordered
  3. 3
    Set initial IPAP 10 / EPAP 5 cm H₂O, titrate to comfort and SpO₂
  4. 4
    Coach the patient on synchronized breathing

Troubleshooting

  • Large air leak

    Refit mask; check headgear tension; consider full-face mask.

  • Patient asynchrony

    Adjust rise time and trigger sensitivity.

  • SpO₂ not improving

    Increase FiO₂ and IPAP; reassess for intubation.

Training video

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