Dr. Louis Philip Rotkowitz is an ER doctor out of Queens, NYC. Like so many other health care professionals, he would find himself fighting COVID-19 as a patient. In this episode, Dr. Rotkowitz reflects on his experience in a conversation with fellow ER physician, Dr. Kirk Hinkley.
Maintain Full Respiratory Support on the Go — Five Things You Can Do When You Have the Freedom to Move Your Patients
Hi-VNI® Technology is a mask-free respiratory support tool as effective as NiPPV. As such, it already brings many benefits to a hospital — it simplifies care, allowing patients in undifferentiated respiratory distress to eat, drink, speak, and take oral medications while maintaining therapy.
The First Major NIV Innovation in the Past 30 Years is Here! — And It May Be a Solution for Anxious Respiratory Distress Patients
Let’s face it, tightly strapped face masks are not exactly pleasant. While many respiratory distress patients tolerate mask and pressure-based therapies just fine, many also experience anxiety and claustrophobia. Yet the gold standard treatment for patients in undifferentiated respiratory distress is Noninvasive Positive Pressure Ventilation (NiPPV), even though about a third of all NiPPV failure is due to mask-intolerance.
Subgroup Analysis Suggests HVNI Non-Inferior to NiPPV in Treatment of Acute Decompensated Heart Failure Patients
In March 2019, Haywood and colleagues published the results of a subgroup analysis in the American Journal of Emergency Medicine titled “HVNI vs NIPPV in the treatment of Acute Decompensated Heart Failure: subgroup analysis of a multi-center trial in the ED.”
How to Treat Respiratory Distress in Acute Decompensated Heart Failure Patients Without Using a Mask?
When it comes to treating patients with acute decompensated heart failure (ADHF), usually an exacerbation of congestive heart failure (CHF), non-invasive positive pressure ventilation (NiPPV) is often the go-to therapy. However, studies show that more than 30% of patients cannot tolerate NiPPV due to mask intolerance.
Hi-VNI Technology is Mask-Free NIV™ for spontaneously breathing patients, and as such it is a viable alternative to non-invasive positive pressure ventilation (NiPPV). It can be an especially useful tool in the Emergency Department (ED) where physicians don’t yet know what exactly is wrong with the patients, but have to treat their respiratory distress quickly.
Mask-Free NIV™ for Spontaneously Breathing Patients in the Emergency Department — ED Doctors Discuss Their Experience
The VP of Medical Education at Vapotherm®, Michael McQueen, MD, MBA, had a conversation with a group of Emergency Department physicians on their use of Hi-VNI® Technology. Hi-VNI Technology is Mask-Free NIV for spontaneously breathing patients and has been found to have equivalent outcomes to Non-Invasive Positive Pressure Ventilation (NiPPV) in adults presenting in the ED in undifferentiated respiratory distress.
Vapotherm’s Hi-VNI® Technology can be used to treat respiratory distress in hospital settings. Vapotherm does not practice medicine or provide medical services. These guidelines are based on an assessment of peer-reviewed published literature, physician interviews, and physiological modeling. Providers should refer to the full indications for use, operating instructions, and prescribing information of any products referenced herein before prescribing them.
In March 2018, Ouchi and colleagues published the results of a retrospective cohort study in the Journal of American Geriatrics Society titled “Prognosis After Emergency Department Intubation to Inform Shared Decision-Making.”
In March 2018, Kline and colleagues published a literature review in Clinical Pediatric Emergency Medicine titled “High Flow Nasal Cannula Therapy in Bronchiolitis Across the Emergency Department and Acute Care Floor.” Given the increased prevalence of High Flow Nasal Cannula (HFNC) use on bronchiolitis patients, the authors set out to review existing studies on the efficacy of this modality as well as its use in acute care settings.
Dr. Doshi on Critical Matters Podcast: High Velocity Nasal Insufflation as an Alternative Noninvasive Ventilation Strategy in the Emergency Department
The podcast, Critical Matters, which specializes in trending clinical topics, recently aired an episode titled “Noninvasive Ventilation (NIV) and High-Flow Oxygen Nasal Cannula.” Dr. Sergio Zanotti interviewed Dr. Pratik Doshi on a range of topics, including the distinction between generic High Flow Nasal Cannula and High Velocity Nasal Insufflation.
Growing Evidence Suggests High Flow Nasal Cannula Is Safe and Effective Tool for Children with Asthma Presenting in the Emergency Department
Asthma is one of the most pervasive chronic pediatric diseases, accounting for about 1.6 million emergency department (ED) visits annually and showing an upward trend. Emergency clinicians have been suspecting that High Flow Nasal Cannula (HFNC) could be a safe and effective tool in the treatment of children with asthma, but research on the subject has been sparse.
Vapotherm Shows Noninferiority to NIPPV for Undifferentiated Respiratory Distress in the Emergency Department
The results of the prospective, multi-center randomized controlled trial were published by Doshi and colleagues in January 2018 in Annals of Emergency Medicine titled High-Velocity Nasal Insufflation in the Treatment of Respiratory Failure: A Randomized Clinical Trial. The trial found no difference between the therapies in intubation rates or treatment failure rates.
High Flow Nasal Cannula as First-Line Therapy in the Emergency Department Setting: a Review of Findings in Six Medical Centers
Since Vapotherm introduced high flow nasal cannula (HFNC) in 2000, its applications and utility has increased to include hospital-wide settings and across all age groups. Additionally, there is some evidence that HFNC may help reduce the cost of patient care by limiting ICU admissions.
The emergency department (ED) can often be a chaotic and high intensity environment. As an ED clinician, it is helpful and important to quickly troubleshoot any problems that may arise during the care of a patient. Noninvasive Positive Pressure Ventilation (NiPPV) is a commonly utilized tool during the treatment of various cardiac and pulmonary conditions seen in the ED.
A call comes in from EMS for a patient being brought to the hospital with the signs and symptoms of respiratory distress, including shortness of breath and chest discomfort. As an emergency department (ED) clinician you begin to quickly take inventory of the different diagnoses for the chief complaint of dyspnea.