Leon Chen, DNP
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ccmdnp.bsky.social
Leon Chen, DNP
@ccmdnp.bsky.social
Critical care DNP | Associate Professor@ColumbiaUniversity | Associate Editor@JAANP | FCCP | FAANP | FCCM | #POCUS enthusiast and educator | Husband | Dad x2 | https://www.nursing.columbia.edu/profile/leon-l-chen-dnp posts reflect personal opinions only
Also decreases any animosity between the two groups
December 21, 2024 at 2:49 AM
A lot of parainfluenza. No flu yet.
December 8, 2024 at 3:29 PM
EM has been arguing this point for a long time
December 7, 2024 at 10:49 PM
Reposted by Leon Chen, DNP
The HAPPEN trial
Go hard or go home because high intensity NIPPV (10-15ml/kg IBW TVs) vs low intensity (6-10) in COPD exacerbations reduced the rate of patients meeting predefined criteria for intubation by 9% (ARR).

jamanetwork.com/journals/jam...
Effect of Noninvasive Positive Pressure Ventilation on the Need for Endotracheal Intubation in COPD
This randomized clinical trial compares the effect of high-intensity noninvasive positive pressure ventilation (NPPV) vs low-intensity NPPV on the need for endotracheal intubation in patients with an ...
jamanetwork.com
December 1, 2024 at 2:15 AM
Oh of course I’d also talk to the pt if they’re able to participate.
November 29, 2024 at 8:27 PM
Look for existing documentation on goals of care. If pt can wait, I’d explore “everything done” with fam. If no documentation going against intubation and family understands what it entails, I’d intubate.
November 29, 2024 at 8:26 PM