Non-Invasive Oxygenation Strategies

a review of the evidence

The lecture duration is 17min.

0.5 CPD Points, 0.5 CEUs, 0.5 AMA PRA Category 1 Credits.
Accredited by CPDUK, CBRN and EB Medicine.

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Federico Angriman
Clinical Fellow at Sunnybrook Health Sciences Centre based in Toronto, Ontario
Lecture Summary

Non-invasive oxygenation strategies include standard oxygen therapy, non-invasive ventilation, and high-flow nasal oxygen. Non-invasive ventilation in turn may be delivered via a helmet or a face-mask interface. When deployed for the treatment of acute hypoxemic respiratory failure, on average, all these strategies reduce the risk of intubation and may reduce the risk of all-cause mortality. In addition, when used upon extubation, they appear to reduce the risk of re-intubation in adult critically ill patients. In this setting, it may be especially useful to use both high flow nasal oxygen and non-invasive ventilation. This talk will not describe the use of non-invasive ventilation for classic indications such as acute exacerbation of chronic obstructive pulmonary disease or congestive heart failure.

Target Audience

Critical Care Doctors
Advanced Nurse Practitioners

Learning Objectives:

Upon completion of this activity, you should be able to:

  • describe the most commonly used non-invasive oxygenation strategies for adult patients
  • describe the potential role of non-invasive oxygenation strategies for adult patients with acute hypoxemic respiratory failure
  • describe the potential role of non-invasive oxygenation strategies for the prevention of extubation failure in critically ill adult patients

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

EB Medicine designates this internet-enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Needs Assessment

The need for this educational activity was determined by surveys of the target audience and experts in the specialty. Further assessment was provided by examining the topics of recently published evidence-based medicine reviews, national clinical guidelines, and specialty society recommendations, as well as suggestions from evaluations of previous learning programs to determine practice gaps.

CME Faculty Disclosure

It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME accreditation requirements and policies, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.

Earning Credit

In order to earn CME credit, the participant must take the pre-test, watch the course, take the CME post-test, and complete the post-test evaluation.

Hardware/Software Requirements

Online learners will need a computer or web-enabled device to access the podcast, additional learning materials, and CME test.

Commercial Support

This activity received no commercial support.