I'm a student with a clinical rotation in the MICU, and I was hoping to have an experience clarified.
I recently followed a patient who was on the BiPap with worsening ABG's throughout the day. This patient had a hx of liver cirrhosis. She was scoped for an upper GIB, which was positive, although they didn't band any varices.
The patient ended up being intubated, which was very traumatic and bloody to say the least. Some were saying that the pt should have never been on the bipap with a GIB in the first place. Is this because of a risk of aspiration, or because it made her throat more dry/bloody? Rationale would be appreciated.