High Flow Nasal Cannula and 
Non-Invasive Ventilation: 
Current Evidence and Practice



Thomas Piraino, RRT, FCSRT

Clinical Specialist- Mechanical Ventilation

St. Michael's Hospital

Centre of Excellence in Mechanical Ventilation (CoEMV)

Toronto, Ontario


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 failure.  


Learning Objectives:

To review the evidence based practice of non-invasive ventilation (NIV). 

  1. Describe the delivery and mechanism of action related to high flow nasal cannula (HFNC).

  2. To review the literature landscape comparing NIV to HFNC.

Supported by an educational grant 

Philips Healthcare

Continuing Education for Nurses and Respiratory Therapists 

This program has been approved for 1.0 contact hour. Continuing Respiratory Care Education (CRCE) credit by the American Association of Respiratory Care. 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