A common error in the ICU/ED we see: intubating patients on BIPAP after 4 hours (or even less!) that look comfortable JUST because their blood gas isn't improving. Retweet if you have seen this practice yourself! Check out my recorded discussion with @paulieac quoted below where we talk about this and MANY more NIV pearls (Paul is a NIV guru btw) Instead: 1) Check to make sure a good mask seal --> if poor seal, your NIV isn't being delivered to pt. 2) Check your minute ventilation. Aim for ~0.1L/kg . So for an average person somewhere around 6-7LPM minute ventilation 3) Ensure appropriate indication (CHF/COPD over pneumonia) 4) Check your settings. For CHF, mean airway pressure more important (increase PEEP). For COPD, driving pressure more important (increase IPAP). 5) Make sure you are thinking about pulmonary toilet (e.g. breaks to cough, cough assist etc.)

(1/x) Performing ultrasound in zero gravity is harder than in the ICU... Here's what we learned from studying AI ultrasound in zero gravity trying to detect celestial dust related lung injury 🌙🚀 A 🧵 Made possible by funding from @csa_asc