New CE Webinars on Respiratory Care
The use of noninvasive ventilation has markedly increased over the past two decades, and noninvasive ventilation has now become an integral tool in the management of both acute and chronic respiratory failure, in both the home setting and in the critical care unit.
With the widespread utilization of noninvasive ventilation (NIV) for the treatment of respiratory failure, as well as the increasing utilization of humidified high flow oxygen therapy (HFOT) for the treatment of various forms of respiratory compromise, clinicians now have a broader range of noninvasive tools aimed at managing acute respiratory failure. However, the precise indication of each one of these therapies is still a question of debate. This webinar is intended to provide a more detailed comparative understanding of the clinical application of NIV, HFOT and Conventional Oxygen Therapy (COT), to show differences and similarities in modes of action, and to analyze the scientific evidence on the clinical benefits when these technologies are compared.
Intubation in the emergency department is common and can prevent a patient from dying from a reversible condition. However, it is questionable whether the benefits of intubation outweigh the risks in older patients and whether other modes of ventilatory support would be preferable. . A new study by researchers at Brigham and Women's Hospital investigated the outcomes for patients aged 65 and older after emergency department intubation across a variety of conditions and disease. According to the lead author, one in 3 older patients who underwent intubation in the emergency department died in the hospital. The webinar will address explain the significance of emergency department visit in the overall illness trajectory of seriously ill patients, discuss non-invasive ventilation as an alternative to intubation, and best practices for communications regarding ventilatory support in the elderly patient.
Patients requiring specialized respiratory care often have extended stays in the intensive/critical care settings. Financial constraints, patient flow, unit management, and limited resources make finding safe, alternative sites important. A recently completed 13-year study in a Madrid teaching hospital demonstrated that through their protocol including transitioning from the use of mechanical ventilation to non-invasive ventilation, patient outcomes were comparable to patients in the ICU, but at significant cost savings. The speaker, one of the principal investigators, will discuss the study, protocols, and results. She will share insights on how to incorporate their best practices into your hospital.
Non-invasive ventilation (NIV) is a widely used and studied therapy option for the management of acute respiratory failure. High flow nasal cannula is rapidly growing in popularity and in supportive evidence. This presentation will review the current evidence in support of NIV, and discuss the current research evaluating HFNC and its role in the management of respiratory
Coughing is an important component of airway clearance, particularly in individuals with pulmonary disease, respiratory muscle weakness, or central nervous system disease that impairs breathing. The use of an in-exsufflation device to promote airway clearance in individuals with neuromuscular disease is essential to avoid retained secretions that cause infection, inflammation, and respiratory failure. This webinar will focus on the basic theory and clinical goals in the application of an in-exsufflation device, patient selection, indications/contraindications, prescription settings and applications in adults versus pediatric populations.
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: use of neuromuscular blockers, prone ventilation, airway pressure release ventilation, high frequency oscillatory ventilation, nitric oxide, and extracorporeal membrane oxygenation.
Noninvasive ventilation (NIV) or the delivery of positive pressure ventilation delivered through a noninvasive interface has become more common as its benefits are increasingly recognized. NIV has proven efficacy for hypercapnic respiratory failure, especially that due to COPD exacerbations. High-flow nasal cannula (HFNO) comprises an air/oxygen blender, an active humidifier, a single heated circuit, and a nasal cannula. HFNO has shown promise to treat hypoxic respiratory failure. This webinar will explore a new strategy in the treatment of respiratory conditions. Specifically, this presentation will discuss how HFNO may play a useful complementary role during breaks from NIV.