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COVID-19 Invasive BiPAP Information Center

These educational materials are being brought to Healthcare Professionals as a
public service


INVASIVE BIPAP (BIPAP WITH INTUBATION) MAY BE USED TO DELAY MECHANICAL
VENTILATION IN PATIENTS WITH COVID-19.

Scroll down for more information

 

 
 

 White Paper

INVASIVE BIPAP USE TO DELAY MECHANICAL VENTILATION IN COVID-19

Paper discussing the need for expanding ventilation options for patients with
COVID-19, how invasive BiPAP can be used as an emergency alternative (including
algorithms) and recommendations for minimizing aerosolization.

Download Paper

Printable Pamphlet

INVASIVE BIPAP ALGORITHM BROCHURE

Detailed guide for use of invasive BiPAP in place of mechanical ventilators for
the management of Acute Respiratory Distress Syndrome (ARDS) in appropriate
COVID-19 patients.   

Download Brochure
 


HOW AND WHEN TO USE INVASIVE BIPAP IN PATIENTS WITH COVID-19

Watch this 6 ½ minute video detailing how to use BiPAP with intubated COVID-19
patients experiencing respiratory distress.  

TRAINING AUDIO REPLAY

Once you have watched the training video, download this audio file for use on
the go and as a refresh.

Download Audio
 

Podcast

CORONAVIRUS SPECIAL EDITION: SURVIVING THE VENTILATOR SHORTAGE

In this episode for physicians on the front lines treating patients with
COVID-19, Keith Robinson, MD, a critical care pulmonologist at Syneos Health,
discusses how, when and in which patients the use of invasive BiPAP can
potentially be used in place of mechanical ventilators.

Listen Now

HCP Community

GET ACCESS TO COVID-19 UNITE, A COVID-19 FOCUSED PHYSICIAN COMMUNITY PLATFORM

Join the Skipta network and have access to medical communities relevant to you.

Join Today
 
 


PRESENTATION PREPARED FOR THE EMERGENCY NURSES ASSOCIATION: 
INVASIVE BI-LEVEL POSITIVE AIRWAY PRESSURE (BIPAP): AN INNOVATIVE ALTERNATIVE TO
VENTILATORY MANAGEMENT FOR COVID-19 PATIENTS

This 60 minute webinar provides emergency clinicians with up-to-date information
on the use of invasive BiPAP—the use of a hospital grade BiPAP device for
intubated patients—to provide ventilation that is safe and beneficial to both
patients and the individuals providing care. Data from COVID-19 hotspots,
including Italy and New York City, will be examined to discuss the therapeutic
and logistic benefits as well as considerations for use in the midst of the
current viral pandemic.

Watch the webinar
Download presentation PDF
 

Prepared with Input from:

Keith Robinson, MD, MS, FCCP
Pulmonary and Critical Care Medicine,
Syneos Health

Hugh Cassiere, MD, FCCP, FACP
Chief, Critical Care Medicine 
North Shore University Hospital,
Northwell Health

Meg Carman
Director of Emergency Nursing Advanced Practice
Emergency Nurses Association  

Jhaymie Cappiello, MS RRT-ACCS RCP
Educator-Respiratory Care Services
Duke University Hospital

 
 

NORTHWELL HEALTH RESOURCES

Northwell Health, the largest healthcare system in New York State, is turning
BiPAP machines into ventilators for COVID-19 patients and incorporating 3D
printed parts. Use the materials here to learn more.

Coronavirus Digital Resource Center
3D Design and Innovation
 
 

Syneos Health makes no representations or warranties of any kind as to the
nature, accuracy or otherwise of the information provided by Northwell Health
nor to the suitability of the information to your particular circumstances.

 


WHY IS INVASIVE BIPAP VENTILATION AN IMPORTANT OPTION FOR COVID-19 PATIENTS
SUFFERING RESPIRATORY INSUFFICIENCY?

 
 


A critical shortage of mechanical ventilators is anticipated in many countries,
including the United States, because of the ongoing COVID-19 pandemic. Evidence
suggests that bi-level positive airway pressure (BiPAP) support may be used in
the hospital setting with appropriate precautions for intubated COVID-19
patients experiencing Acute Respiratory Distress Syndrome (ARDS).1,2

On March 22, 2020 the U.S. Food and Drug Administration released guidance
allowing the use of certain devices, including noncontinuous ventilators
delivering BiPAP, to treat patients with respiratory insufficiency on an
emergency basis provided that appropriate design mitigations are in place to
minimize aerosolization.

Use of invasive BiPAP on an emergency basis may delay or remove the need for
mechanical ventilation for COVID-19 patients in the hospital setting with
appropriate precautions.

Download FAQ
 

1 WHO. 2020. Clinical management of severe acute respiratory infection when
novel coronavirus (nCoV) infection is suspected. WHO REFERENCE NUMBER:
WHO/2019-nCoV/clinical/2020.4.
https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected.

2 CDC COVID-19 Response Team. 2020. Severe Outcomes Among Patients with
Coronavirus Disease 2019 (COVID-19) — United States, February 12–March 16, 2020.
MMWR. Accessed March 20, 2020. doi:10.15585/mmwr.mm6912e2.

 
 

NIH Guidance

NATIONAL INSTITUTES OF HEALTH TREATMENT GUIDELINES: CARE OF CRITICALLY ILL
PATIENTS WITH COVID-19

The National Institutes of Health (NIH) provides summary recommendations for
treatment of critically ill patients with COVID-19 covering infection control,
hemodynamic support, ventilatory support and drug therapy.  

--------------------------------------------------------------------------------

HHS Guidance

OPEN LETTER FROM THE ASSISTANT SECRETARY FOR HEALTH AND THE U.S. SURGEON GENERAL
ON OPTIMIZING VENTILATOR USE DURING THE COVID-19 PANDEMIC

The Department of Health and Human Services (HHS) Assistant Secretary for Health
and U.S. Surgeon General issued an open letter to the healthcare community
stressing the need to aggressively implement measures to optimize ventilator use
during the COVID-19 pandemic, stating that “BiPAP may be used for invasive
ventilation.”

--------------------------------------------------------------------------------

 AARC Guidance

GUIDANCE DOCUMENT FOR SARS COV-2

The American Association for Respiratory Care (AARC) has issued guidance to the
medical community to address ventilation options for patients with COVID-19,
including specific recommendations for use of invasive BiPAP.

Recommendations relevant to invasive BiPAP

 * “Bilevel devices are ventilators and can be used for invasive ventilation.”

 * “In severe respiratory distress, do NOT delay intubation.”

Recommendations against certain other modalities

 * “Do not attempt to ventilate multiple patients with a single ventilator.”

 * “Because of high failure rate and the possibility of environmental
   contamination, we suggest avoiding NIV” (non-invasive ventilation). 

--------------------------------------------------------------------------------

FDA Guidance

ENFORCEMENT POLICY FOR VENTILATORS AND ACCESSORIES AND OTHER RESPIRATORY DEVICES
DURING THE COVID-19 PUBLIC HEALTH EMERGENCY

Guidance to industry and FDA staff to help increase the availability of
ventilators and accessories, including BiPAP, during the COVID-19 pandemic to
support patients with respiratory failure or difficulty breathing.

--------------------------------------------------------------------------------

FDA Letter to Healthcare Providers

VENTILATOR SUPPLY MITIGATION STRATEGIES

Recommendations for healthcare providers and facilities regarding the use of
devices with patients who develop respiratory compromise from COVID-19 or other
respiratory disorders.

 

PRESS RELEASES

Syneos Health Responds to COVID-19 Public Health Challenge by Joining Call to
Action to Activate Clinically-Qualified Healthcare Professionals

April 03, 2020

Syneos Health Launches Ventilator Initiative to Raise Awareness of Bridging
Option to Address Ventilator Shortage for COVID-19 Patients

March 27, 2020


ABOUT THE VENTILATOR INITIATIVE TASK FORCE

At Syneos Health, we are using our expertise, relationships and resources to
help during this time in any way we can. We have launched a Task Force to
mobilize awareness and action responsive to the critical shortage of mechanical
ventilation in the United States and globally. In addition, the Task Force is
developing educational and training materials for healthcare providers.

Skipta, the largest social network of online medical communities part of Informa
Pharma Intelligence, has joined the effort, and will share BiPAP educational
materials with their 700,000 strong online healthcare provider social network by
launching a new COVID-19 focused physician community platform.

For more information on COVID-19, please visit Syneos Health.

 

This site is intended for use by healthcare professionals. If you are an
individual, call your doctor for medical advice, or if you are experiencing a
medical emergency, call the emergency medical services number for your
jurisdiction.  When contacting Syneos Health, LLC, please do not provide any
identifiable patient information or any other protected health information.



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