S01E10 Mask vs NIV: The 3-Minute Preoxygenation Playbook to Avoid the Crash

In this episode of PRISM Rounds (S1E10), we break down a JoVE video-protocol on preoxygenation for tracheal intubation in critically ill adults. We compare oxygen-mask strategies (non-rebreather and bag-valve-mask with a PEEP valve) with noninvasive ventilation (NIV/BPAP or ventilator NIV modes).We keep it practical and bedside-focused:Why it works: physiology, denitrogenation, and “safe apnea time”How to do it: step-by-step setup, key settings, leak control, and troubleshootingHow to choose: a simple approach for picking mask/BVM vs NIV when the patient is already hypoxemic or deterioratingEducational use only — not medical advice. PRISM Rounds reviews one paper per week to support critical appraisal and real-world translation for ICU/ED clinicians, trainees, nurses, respiratory therapists, and pharmacists. Disclosure: one of the authors is from the PRISM research group.Primary article (PubMed): https://pubmed.ncbi.nlm.nih.gov/41428629/DOI: https://doi.org/10.3791/68479JoVE video page: https://www.jove.com/video/68479PRISM Rounds; Critical Care; ICU; Emergency Medicine; Airway Management; Tracheal Intubation; Rapid Sequence Intubation; Preoxygenation; Noninvasive Ventilation; BiPAP; Bag-Valve-Mask; PEEP; Hypoxemia; Respiratory Therapy; Peri-Intubation Complications; Journal Club