Non-Invasive Oxygenation Strategies

a review of the evidence

The lecture duration is 17min.

0.5 CPD Points, 0.5 CEUs, 0.5 CME credits approval pending.
Accredited by CPDUK, CBRN and Provider Pending.

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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

None.