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Supported By Philips Healthcare

Continuing Education for Nurses and Respiratory Therapists

This education activity is approved for 1.0 contact hour. Provider approved by California Board of Nursing, Provider # 14477  and the Florida Board of Nursing Provider # 50-17032

This program has been approved for 1 non-traditional contact hour Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd., Suite 100, Irving TX 75063

Ventilatory Strategies for
the Flu Patient


John Davies, MS, RRT, FAARC, FCCP

Clinical Research Coordinator

Duke University

Durham, NC



Learning Objectives:

Upon completion of this activity, the participant will be able to:


  1. Examine strategies such as NIV, directed at preventing intubation and mechanical ventilation
  2. Discuss the use of conventional ventilation to optimize oxygenation and ventilation while, at the same time, preventing ventilator induced lung injury
  3. Examine strategies available for use when conventional ventilation fails



This presentation will follow the progression of a patient presenting with a serious case of the flu. It follows the hypothetical patient through the continuum of care from ER to the intensive care unit.  In the ICU, ventilatory strategies aimed at optimizing conventional ventilation and prevention of ventilator-induced lung injury will be discussed. The case then progresses to the scenario of failing conventional ventilation and other strategies that come into play. The evidence regarding the following strategies will be discussed: Noninvasive ventilation, use of neuromuscular blockers, prone ventilation, airway pressure release ventilation, high frequency oscillatory ventilation, nitric oxide, and extracorporeal membrane oxygenation.



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