The full form of BiPAP is a bilevel positive airway pressure machine. It is a type of ventilator which is small and easily operatable. It helps in pushing air into the lungs. It is mainly used in conditions that affect breathing.
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Query: Hello doctor, I am a female, weighing 120 pounds and standing 4 feet 11 inches tall. I have been diagnosed with severe obstructive sleep apnea and also have marble bone disease. I am concerned that using a BIPAP machine could potentially disrupt or damage cutaneous surgical stitches. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Yes, the BIPAP (bilevel positive airway pressure) machine can open cutaneous stitches due to high oxygen perfusion pressure—follow-up in case of any doubt. I hope this information will help you. Thank you. Read Full »
What is COVID-induced pneumonia?
Query: Hi doctor, Please tell me an opinion on the prognosis for a patient being treated for COVID-induced bilateral pneumonia. Also, kindly tell me if she is responding to the treatment well, and do we need to get her blood reports or X-rays checked? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on the reports sent (attachment removed to protect the patient's identity), my observations are 1) Initially, pneumonia was present in the lower zone in both the lungs. In the last X-ray, only the right lung is affected (although improved from earlier). 2) Patien... Read Full »
Can a patient having closed head injury use BCV for ventilation?
Query: Hi doctor, My patient is 49 years old who suffered from a closed head injury at 16 years old. More recently, he has been using his noninvasive ventilator almost continuously. We wish to try out a Hayek BCV to help him reduce using his non invasive ventilation (NIV) less often. Can you recommend the ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, your patient had a history of head injury at 16 years old. Biphasic Cuirass Ventilation or Hayek BCV is an effective way of non-invasive external ventilation and an alternative to other ... Read Full »
My mother spits back her oral feeds. Please help.
Query: Hi doctor, My mom has had issues with eating. She has a PEG tube, which was placed for this reason. She does not vomit the tube feeding, but she spits back up what she takes orally. Whatever food she takes, it comes back and is full of phlegm. She is an end stage COPD patient and BiPAP dependent. Wh... Read Full »
Answer: Hello, Welcome to icliniq.com. As per your mother's history, there are two different infections. They are Clostridium difficile infection and yeast infection. The site of yeast infection is not mentioned in the question, though esophageal yeast infection is common. C.difficile coli... Read Full »
How long should my mother stay on a ventilator?
Query: Hello doctor, My 98 year old mother is on a ventilator. Yesterday, they did a T-piece trial and for an hour everything looked good. But, the blood gases showed 61% Co2 and her last blood gas was 51% while on continuous positive airway pressure (CPAP). They are going to do another test in a few days.... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. It all depends on the primary cause leading her to a ventilator. In case it is an acute pneumonia or bronchitis, once the infection settles, then the partial pressure of carbon dioxide (pCo2) levels settle automatic and the lung function will imp... Read Full »
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