Noninvasive Ventilation and HFNP Oxygen in Clinical Care Online Course

Please note for security purposes access to this course is required to be manually processed by LearnEM staff. Your access will be processed as soon as possible but please be aware there will be a delay when purchased outside of normal business hours or on weekends.

Ventilation plays an increasing role in the management of seriously ill patients in the emergency department. Traditionally, ventilation has been limited to the delivery of positive pressure ventilation in the unconscious, intubated (often paralysed) patient. This is generally referred to as "assisted" or "mechanical" ventilation. In recent years, the use of noninvasive ventilation has become widespread due to research that has demonstrated the benefit of CPAP and BiPAP in patients with chronic obstructive pulmonary disease (COPD) and acute pulmonary oedema, two of the most common causes for life-threatening presentations due to acute respiratory distress to the emergency department.

Another method of Noninvasive respiratory support, Humidified High Flow Nasal prong Oxygen (HFNP) is being increasingly used in the management of adults with severe respiratory distress and hypoxia. With a primary role as a bridge between low flow oxygen therapy (e.g., nasal specs at 2 l/min) and CPAP it may be often considered in patients with hypoxia receiving high flow oxygen mask therapy and in patients with severe respiratory distress requiring non-invasive ventilation. In this topic we will explore the evolving role of HFNP oxygen in clinical practice and distinguish which patients may be suitable for HFNP therapy and those in whom BIPAP should be used.

This course explores the following topics:
1. Noninvasive Ventilation: Basic principles
2. Using CPAP in Acute Pulmonary Oedema
3. Using BiPAP in Chronic Obstructive Pulmonary Disease
4. Humidified High Flow Nasal Prong Oxygen in Clinical Practice
Optional Module: Setting up the Oxylog ventilator for Noninvasive Ventilation