IPPB Settings

• IPPB Settings:

  • Delivers approx 40% O2 (100% option)
  • Saline / bronchodilator in nebuliser
  • Must achieve pt synchrony or will further increase work of breath
  • Sensitivity
  • Flow
  • Pressure
• Settings - Sensitivity:

  • Should be able to trigger with minimal effort
  • Increase sensitivity if machine self-triggers

  
• Settings - Flowrate (speed of breath):

  • Slow flowrate to encourage optimal distribution of gas to peripheral lung units
  • Breathless patients will require higher flowrates
  • If machine cuts out before patient has finished inspiring then DECREASE the flowrate
  • If inspiration is too long for the patient then INCREASE the flowrate

  
• Settings - Pressure (size of breath):

  • Increase gradually
  • Look for good thoracic expansion
  • Patient comfort
  • Adults usually require at least 15 cmH2O