TraumaSurfer 9,188 Views
Joined: Aug 8, '10;
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It depends on the level of support. V60s are considered BiPAP machines and ventilators. They can be hooked up to an ETT, trach or face mask. The Vision and most BiPAP or CPAP machines can be also attached to trachs. Many people in home care and long term care are dependent upon BIPAP machines for ventilation and would die without it. This includes ALS, MDS and many other respiratory compromised patients for whatever reasons including neuro and cardiac. The long term ventilations can be through a trach or a mask. Many children are in the home setting with a trach attached to what some would consider just a sleep apnea machine but they do provide enough support to keep the patient's CO2 and O2 within a normal range. Some patients such as those with ALS know their life expectancy is not long and prefer not to be trached. They can still be very "vent" dependent with a BiPAP machine. Even those with a trach are dependent on the ventilator support of a BiPAP machine. CP children and adults are also dependent on BiPAP and CPAP machines to keep their airways open when they are prone to obstruction. Some are also trached and must be on ventilation with a BiPAP machine due to hypoventilation from some form of restrictive disease. Patients with CCHS or Congenital Central Hypoventilation Syndrome (formerly Ondine's Curse) might use a BiPAP machine with or without a trach to maintain life when they sleep.
Depending upon the settings some hospitals will consider a BiPAP machine the same as a ventilator which is why they must be moved to tele, a stepdown or an ICU. Check you hospital's policy to see at what point a BiPAP machine is crossing the line of support or when some patients must come off the BiPAP and onto a ventilator.
Lots of good information in this thread . Im also an ED RN looking into pre hospital medicine just to volunteer at my local FD. im from FL and i was told i could challenge the paramedic exam after getting my EMT. Anyone else from FL here? i have BCLS, ACLS, PALS, TNCC already
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