Positive-pressure ventilation via mask without endotracheal tube.
Indications
- • COPD exacerbation with respiratory acidosis (BiPAP)
- • Cardiogenic pulmonary edema (CPAP)
- • OSA
Contraindications
- ⚠ Coma / poor mental status
- ⚠ Vomiting / airway compromise
- ⚠ Facial trauma
- ⚠ Cardiorespiratory arrest
Equipment
- • NIV machine
- • Full face mask (initial)
- • Heat & moisture exchanger
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/4)
Tap to complete
Correct size; minimize leak.
Immediate complications
- ⚠ Mask discomfort, aerophagia
- ⚠ Aspiration
Delayed complications
- • Skin necrosis
Recognition
- • Poor response = failure
Initial management
- • Escalate to intubation
Prevention
- • Correct mask fit
- • Patient cooperation
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
