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Home | Articles | Respiratory | Bi-Level NIV S/T Guidelines for CCU Phase

Bi-Level NIV S/T Guidelines for CCU Phase

Last updated 29th April 2024

If ward patient is clinically deteriorating and requires Non Invasive Ventilation:

  1. Ward medical team contact first on call anaesthetist for CCU (not medical 2nd on call)
  2. Referral discussion should include:
    • Clinical urgency (Arterial blood gas and patient’s clinical state)?
    • Is patient safe to transfer or does Non Invasive Ventilation need initiated on ward?
    • Personnel required for safe transfer?
    • Is there a Non Invasive Ventilation machine on the ward?

First on call anaesthetist for CCU should discuss bed availability and staffing with CCU nurse in charge

  1. If delay in bed availability and/or Non Invasive Ventilation needs commenced in ward, first on call anaesthetist ± CCU nurse will attend ward to initiate Non Invasive Ventilation, remain with patient & transfer patient when bed available
  2. CCU staff will liaise with capacity manager to make them aware of situation

Content updated by Dr Alex McDonald