MRCP PACES || Nancy's NIV || Think like a Medical Reg

[@drmshyamala]

Well organized study.. why aren’t any new videos being uploaded ?! Busy ?

[@rahulradhakrishnan5510]

If she is extremely drowsy and not responsive, wouldn't that be a contraindication for NIV ?

[@keenmedic6589]

This depends on how drowsy. If she is not maintaining her airway even, you'd need to consider whether she is a candidate for intubation and ventilation on ITU (in this case, she is not given her co morbidities and functional baseline). This then leaves you with three options- medical treatment only (no NIV), medical treatment with NIV or palliative care only. This is a consideration and discussion you'd need to have with the patient's family - not all patients may want/be suited for/tolerate NIV in which case you'd just trial medical treatment but others might do in which case you trial NIV. This would be on a case by case basis after involving their family and your consultant. Hope that makes sense