Table 1

	PIP, cm H₂O		PEEP, cm H₂O		Inspiratory Time, s		Rate, bpm		Rise Time, % or number	Flow rate, LPM
	Initial	Max	Initial	Max	Initial	Max	Initial	Max	Initial	Max
Conventional Ventilator	15 above PEEP	30	5	8	0.5	0.5	40	50	5-9	9	14-20
Avea-NIV mode / Servoi- NIVPC	15 above PEEP	30	5	8	0.5	0.5	40	50	0.1-0.2	0.2	___

NIPPV=Nasal Intermittent Positive Pressure Ventilation
Special Considerations: Bias Flow: 5 -8 LPM; Disconnect Sensitivity: 95% or adjustable with Avea ventilator; Rise Time: When baby requires higher flow rates during spontaneous breathing, consider decreasing Rise Time Settings to allow higher PIFR. If available, leak compensation to be turned on. Heater is set at invasive mode, and if there is too much condensation, heater may be set at noninvasive mode for a few hours. Flow delivered at the nasal interface can be periodically checked with a proximal flow sensor. PIP and PEEP are weaned first before rate. IT with Si-PAP: Up to 1 second.
Weaning: When FiO₂ is < 0.40, PCO₂ < 60 and pH > 7.25:
• Wean PIP and then PEEP and Rate;
• Off NC-IMV when PIP < 10-12, PEEP 5, Rate < 20 to NCPAP
• Off NCPAP when CPAP < 5 to Low Flow NC.

Table 1: Guidelines for starting and weaning during NIPPV/Nasal Cannula Intermittent Mandatory Ventilation (NC-IMV).