APP STORE GAMES <| sep |> This is absolutely abhorrent . Who the fuck does this government think they are ? <| sep |> I don ' t know , it looks like it wasn ' t one of the smart dudes <| sep |> Is your favorite song a crab song ? <| sep |> Beron smiled as he spotted old Lord Kevan Lannister across the room . He waded his way through the sea of Lords and Ladies to speak with him . He bowed his head in greeting . Lord Kevan , I am glad that you could attend . I know this was all so last minute , but I wanted to have one last feast to celebrate the life of my uncle . Have you been enjoying yourself ? Did you come alone or do you have family in this crowd here ? <| sep |> You sick fuck , here , take my upvote <| sep |> NIPPV Noninvasive positive pressure ventilation . At my facility it ' s usually synonymous with BIPAP on our V 60 . Remember you can ventilate with BIPAP but not so much with CPAP . So to have tried weaning with NIPPV as opposed to the SBT ' s that were performed you would have to actually extubate the patient , so I ' m a little bit confused on what you ' re asking . But if you meant placing the COPD patient on NIPPV after extubation than that would be a correct decision for this particular patient . That decision actually follows the recent ATS American Thoracic Society guidelines . For patients at high risk for extubation failure who have been receiving mechanical ventilation for more than 24 hours , and who have passed an SBT , we recommend extubation to preventative NIV Strong recommendation , moderate quality of evidence .