OVERVIEW What Have We Learned About Noninvasive Ventilation in the Past 20 Years? AARC Current Topics in Respiratory Care 2015 – Program 7
Description Twenty years ago, noninvasive ventilation was introduced into acute care practice. This therapy is now widely used in the acute care setting. This lecture will address the evolution of noninvasive ventilation over the past 20 years, presented by an individual who has made much academic contribution to this field.
Objectives At the end of the lecture the learner will be able to: § Discuss the history of noninvasive ventilation § Identify the evidence supporting the use of noninvasive ventilation for patients with COPD § Identify the evidence supporting the use of noninvasive ventilation for patients with pulmonary edema § Identify the evidence supporting the use of noninvasive ventilation for patients with hypoxemic respiratory failure
Lecturer Laurent Brochard, MD Full Professor, Clinician Scientist St. Michael’s Hospital Interdepartmental Division Director for Critical Care University of Toronto Toronto, Ontario, Canada
CRCE® Credit To earn 1 CRCE credit for participating in today’s program: • View entire presentation • Take the 10-question test (available from Proctor/Site Coordinator) • Answer at least 7 questions correctly • Enter your name and AARC member number on the Attendance and CRCE Log (Please do not enter your Social Security Number) • Receive Certificate of Completion from the Proctor/Site Coordinator
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TEST What Have We Learned About Noninvasive Ventilation in the Past 20 Years? AARC Current Topics in Respiratory Care 2015 – Program 7 Mark the Corresponding Box for your Response to each Question 7 Correct Out of 10 is Passing
Name: __________________
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AARC Mbr #: _______________
Email Address:___________________________________
Date: _____________________
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(required for nonmembers)
1. Studies have shown that using NIV with COPD exacerbations does not improve outcomes or reduce admissions. o True o False 2. Cheung et al (2013) showed that NIV at home decreased the development of recurrent acidotic respiratory failure in COPD patients. o True o False 3. Pulmonary edema has not been shown to be responsive to NIV. o True o False 4. There is a significant difference in the effect of CPAP versus BiPAP for patients with cardiogenic pulmonary edema. o True o False 5. NIV is not a treatment for pulmonary edema; it is a support or bridge for the patient to receive good medical therapy. o True o False 6. Data indicates that NIV for acute respiratory failure produces positive outcomes, including shorter length of ICU stay, fewer complications, and improved survival rates. o True o False 7. NIV success rates in patients with hypoxemic respiratory failure may be improved by initiating NIV early in the disease process. o True o False 8. Studies have shown that applying NIV in morbidly obese patients prior to intubation has no positive effect on oxygenation. o True o False 9. NIV can be used to improve quality of life in patients who have a DNI order. o True o False 10. Early studies have shown that HFNC can reduce the probability of intubation. o True o False
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PARTICIPANT EVALUATION What Have We Learned About Noninvasive Ventilation in the Past 20 Years? AARC Current Topics in Respiratory Care 2015 – Program 7
Please help evaluate this program by taking a moment to answer the following questions. Thank you. 1. My current position is: _____Staff Therapist
_____RT Supervisor/Mgr
_____Student
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_____Other (please specify) ________________________________________________ 2. The content of today’s program was relevant and applicable to my job. _____Strongly Disagree _____Disagree _____Neutral _____Agree _____Strongly Agree 3. Presenters were easily understood and presented the topic well. _____Strongly Disagree _____Disagree _____Neutral _____Agree _____Strongly Agree 4. Slides on the video were effective in supporting the information presented. _____Strongly Disagree _____Disagree _____Neutral _____Agree _____Strongly Agree 5. I achieved the learning objectives of today’s program. _____Strongly Disagree _____Disagree _____Neutral _____Agree _____Strongly Agree 6. Provide any comments you have about this program:
7. List any topics that you would like to see presented as future programs.
Participants: Please return this completed form to your Proctor/Site Coordinator.
