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Hypercapnia and BiPAP

Posted: Mon Dec 07, 2015 1:53 am
by curiousgeorge
XXX is in the hospital and has a high CO2 level (80). The pulmonologist is looking at changing XXX’s BiPAP settings. Do you have any insight on how to properly decrease CO2 levels?

(Asked by a family member)

Re: Hypercapnia and BiPAP

Posted: Mon Dec 07, 2015 1:55 am
by bachjr
He should not be using bi-level PAP in the first place. With CO2 that high he is also probably receiving oxygen! Get him off O2 and on a portable ventilator with an active circuit and 15-mm angled mouthpiece on CMV mode (assist/control) volume 800-1500 ml and backup rate of 12 breaths/min and tell him to keep his O2 sat over 94% by getting deep breaths via the mouthpiece. Use the same settings for sleep nasal ventilation.

JB