Noninvasive Ventilation: Application, Complications and Solutions


Billy Hutchinson
Billy Hutchinson,
Chair of the Transport Section AARC
Clinical Specialist, CareFusion

Sr. Transport Therapist, Texas Children's Hospital
Published Neonatal Transport,
Waypoint Magazine, October 2009
Haiti Earthquake Support,
Miller School of Medicine, University of Miami

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Webinar summary

Noninvasive ventilation (NIV) is a proven integral tool that can reduce length of stay, morbidity, risks of infection and cost of care.1,2 Noninvasive ventilation is preferable to invasive ventilation when medically feasible.3,4

However, NIV is underutilized. Approximately 30 to 40% of patients do not receive noninvasive ventilator care according to best evidence.5 Further, the perceived complexity of NIV can substantially impede adoption.5

The goal of this hour-long session is to reduce that perception. The success of NIV depends on the selection of an appropriate patient, interface, ventilator and ventilator settings, and the skill of the clinician.5 This webinar will discuss these facets. You will learn about common obstacles related to noninvasive ventilation in critical care transport and gain practical considerations for pre-hospital to hospital settings.

Learning objectives

  • Learn about different interface options
  • Learn techniques for proper mask fitting
  • Understand leak compensation and its purpose
  • Learn the optimal settings for certain patients
  • Learn from complicated NIV case studies and possible solutions

  1. Winters, Michael. Noninvasive Ventilation in the Emergency Department: Where Are We Now? 2009. Retrieved on August 18, 2009, from:
  2. Bersten, A. Best practices for noninvasive ventilation. CMAJ, February 14, 2011, 183(3):293-294.
  3. Centers for Disease Control and Prevention. Guidelines for Preventing Healthcare-associated Pneumonia, 2003. Atlanta: CDC, March 2004, 53:RR-3.
  4. Hess, D. The growing role of noninvasive ventilation in patients requiring prolonged mechanical ventilation. Respiratory Care, June 2012, 57:6.
  5. Hess, D. How to initiate a noninvasive ventilation program: bringing the evidence to the bedside. Respiratory Care, February 2009, 54:2.