Sunday 3rd September 2017 - Pre-Conference Masterclasses

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Avoiding Intubation in the Critically Ill Patient: Non-invasive Ventilation Strategies

11.30 - 17.30 

Gemma Ellis: Consultant Nurse Adult Critical Care  Cardiff and Vale uLHB, Senior Lecturer at Cardiff University, Wales College of Medicine, Nurse Clinical Co-ordinator at NCEPOD @tymawr50

Gavin Denton: Advanced Critical Care Practitioner, Heartlands Hospital, Birmingham @DentonGavin

Rachael Moses: Consultant Physiotherapist Ventilation Services, Respiratory and Emergency Medicine, Royal Preston Hospital @rachaelmoses

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Non-invasive ventilation (NIV) refers to the administration of ventilatory support without using an invasive artificial airway. The use of varying NIV strategies, such as BiPAP, CPAP and Nasal High Flow has markedly increased over the last two decades, and has now become an integral tool in the management of acute respiratory failure. 

The ever increasing pressure on intensive care beds means that the varying NIV strategies are now being used in many other clinical areas (outside of the traditional walls of critical care) and also at an much earlier stage in order to prevent / hold off tracheal intubation in the deteriorating patient.

NIV is not suitable for all patients in acute respiratory failure and if used indiscriminately, patients who would be managed more appropriately with tracheal intubation can end up receiving suboptimal treatment. The use of NIV in patients whom it is unlikely to be beneficial is also undesirable.

It’s therefore essential that any NIV ventilatory strategies are applied in an appropriate clinical area by appropriately trained staff using the most optimal methods, settings and interfaces, alongside adequate monitoring to provide safe and effective treatment and care to the critically ill patient.

Learning outcomes: 

  • Develop an understanding of the theory behind using BiPAP and nasal high flow
  • Explore and understand the avoidable and remediable factors in the process of care for patients treated with non-invasive ventilation within acute care settings
  • Interactive practical session in the delivery of BiPAP and nasal high flow
Attendees to this Masterclass will receive a CPD Certificate for 4 hours of participatory learning.
Essentials of Safe Prone Positioning

14.00 - 17.30


Kelly Fielding: Clinical Educator in Critical Care, Royal Preston Hospital @kelly_educator

Jeanette Hartley: Senior Sister in Critical Care and Moving & Handling, Royal Preston Hospital 

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Mechanical ventilation is traditionally delivered with the patient in a mainly supine position. Prone ventilation is one strategy that can be used for the treatment of acute respiratory distress syndrome (ARDS) when the more traditional modes of ventilation fail.

It’s important to remember that prone ventilation is not considered a “mode of ventilation”, but rather refers to the position the patient is in whilst being ventilated. The overall aim is to alter the mechanics and physiology of gas exchange to improve oxygenation. Most trails have demonstrated an improved oxygenation with an improved mortality benefit to those in severe ARDS.

There is no standard method for moving a critically ill patient from supine to the prone position. It’s vitally important though that where prone positioning is being considered that all staff is educated and well practiced in its use and have a readily accessibly policy describing all aspects of the procedure. Regardless of the technique being employed moving a patient into a prone position is labour intensive requiring a coordinated effort from the multidisciplinary critical care team.

Through the use of immersive simulation techniques delegates will be able to explore & actively practice all aspects involved in this complicated, high risk procedure:

  • Indications for and correct patient selection
  • Contraindications
  • Prone procedure including: positioning, monitoring and duration
  • Sedation, feeding, pressure & skin care
  • Complications including emergency response
  • Assessing the overall response
  • Human factors and staff welfare
Attendees to this Masterclass will receive a CPD Certificate for 2 hours of participatory learning.

Masterclasses can be registered for as part of your conference registration, or as a standalone. For prices and to book, please go to the bookings page here.

Places are limited so please do book early to avoid disappointment.

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