How to enhance experience and skill of non invasive ventilation: suggestions from the literature

Abstract

SummaryThe literature relevant to non invasive ventilation (NIV) synthesizes the most recent trends in enhancing experience and skill of NIV team care. Studies concerning ventilation team-based practices but also single respiratory health professional education and training were included in our research. Critical care education and training and inter-professional education should start in medical and post graduated school. Curriculum design, implementation, and assessment of clinical skills completed by the trained medical expert are essential components of competency-based education. Nurses, respiratory therapists and physiotherapists have different roles in ventilation team care around the world. Delivering effective training for NIV is challenging. Team-based care using patient simulation education as an adjunct to traditional clinical training (patient care, didactics, small group teaching and protocols) is superior to traditional clinical training alone and can affect positively patient and provider outcomes.

Daytime noninvasive ventilatory support for patients with ventilatory pump failure: a narrative review

“…With staff experience, sessions can then be distanced in time. Quantifying the experience and skill of a unit’s staff is challenging because individuals differ considerably and personnel changes can have important effects [105]. Optimal noninvasive management for daytime, as well as sleep support, requires all team members to be experienced.…”

Real‐time visual‐feedback mask‐fitting during non‐invasive ventilation: A ‘technological’ gain over ‘human’ sensing?

“…emergency department, internal medicine or geriatric department) is the main reason for high rates of mask‐associated complications . Proper training for the clinicians to achieve the best NIV fitting is crucial to obtain maximum comfort for the patients and to prevent serious mask‐related complications, thereby ensuring success …”

“…‘Conventional’ training in NIV units consists of theoretical lectures and practical sessions dealing with optimal fitting of different interfaces. Unfortunately, these educational tracks often do not include objective measures of mask wearing that aim to impart knowledge‐based learning to individuals in the team . To date, there is limited literature data on ‘how to fit an NIV mask’.…”

“…6 Proper training for the clinicians to achieve the best NIV fitting is crucial to obtain maximum comfort for the patients and to prevent serious mask-related complications, thereby ensuring success. 7 'Conventional' training in NIV units consists of theoretical lectures and practical sessions dealing with optimal fitting of different interfaces. Unfortunately, these educational tracks often do not include objective measures of mask wearing that aim to impart knowledgebased learning to individuals in the team.…”

“…Unfortunately, these educational tracks often do not include objective measures of mask wearing that aim to impart knowledgebased learning to individuals in the team. 7,8 To date, there is limited literature data on 'how to fit an NIV mask'. In an experimental setting, Schettino et al showed that there is no point to tightly fit the mask over the face because significant air leak from the mask during NIV could be prevented by using a maskocclusion pressure of only 2 cm H 2 O.…”