Table 3.
Mode of NIV | Initial settings | Max settings | Weaning parameters | Lowest settings |
---|---|---|---|---|
NCPAP | 5–6 cmH2O | 8–10 cmH2O | 1 cmH2O | 4 cmH2O |
Bi-PAP | High Pressure 10 cmH2O Low Pressure 5 cmH2O Rate 20/min |
High Pressure 15 cmH2O Low Pressure 8 cmH2O Rate 30/min |
1 cmH2O wean the rate by 2–4 /min every 6 h |
High/Low Pressure 8/5 cm H2O Rate 0 |
NIPPV | PIP 20 cmH2O PEEP 6 cmH2O Inspiratory time 0.5 s Rate 40/min |
PIP 35-38 cmH2O PEEP 8–10 cmH2O Rate 50/min |
wean PIP first by 1–2 until lowest possible PIP wean the rate by 2–4 /min every 6 h |
PIP 12 or 15 cmH2O PEEP 4–5 cmH2O Rate 20/min |
HFNC gas flow | 4–6 L/min | 8 L/min. | 0.5–1.0 L/min | 1–4 L/min |
NIV, non-invasive ventilation; NCPAP, nasal continuous positive airway pressure; NIPPV, nasal intermittent positive pressure ventilation; HFNC, high flow nasal cannula; PIP, peak inspiratory pressure; PEEP, positive end expiratory pressure.