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Exploring the Essential Features of “Andrea Pifher – High Flow Nasal Cannula Use in Rapid Response Respiratory Distress Calls”
Speaker: Andrea Pifher, DHSc, RRT-ACCS, RCP
Duration: 1 Hour 58 Minutes
Format: Audio and Video
Copyright: Nov 10, 2023
Media Type: Digital Seminar
Description
High-flow nasal cannula gained popularity in acute care settings during the pandemic. High-flow nasal cannula oxygen therapy has been used in different patient care populations revealing strengths and weaknesses. Each strength and weakness will be discussed in this presentation. Find out if the research findings could lead you to consider this therapy, a new standard for rapid response calls on patients in respiratory distress.
Speaker
Andrea Pifher, DHSc, RRT-ACCS, RCP
Andrea Pifher, DHSc, RRT-ACCS, RCP (BS – The University of Findlay, Findlay, OH., MHSc. – Nova Southeastern University, Fort Lauderdale, FL., DHSc. – A.T. Still University, Mesa, Arizona) has been an associate professor in the Allied Health Department at Columbus State Community College since 2013. Andrea serves as the program coordinator for the respiratory care program. Prior to coming to CSCC, she worked full time in the hospital as a registered respiratory therapist and adult critical care specialist for 8 years in the ICU at hospitals in Columbus, Ohio and Springfield, Ohio.
Speaker Disclosures:
Financial: Andrea Pifher has an employment relationship with Columbus State Community College. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Andrea Pifher is a member of the American Association Respiratory Care.
Objectives
- Distinguish the difference between non-invasive ventilation and high-flow nasal cannula.
- Determine patient populations that benefit from high-flow nasal cannula oxygen therapy.
- Develop initiation and titration strategies for a patient on high-flow nasal cannula.
- Apply the ROX index when assessing a patient for high-flow nasal cannula therapy.
Outline
Media influence on respiratory support during COVID
Message that ventilators were killing covid patients
Praise for the “discovery” of high flow nasal cannulas (HFNC)
What is high flow nasal cannula
- Settings
- Comfort
- Easy to use
- Humidification
Does HFNC provide PEEP?
- Therapeutic PEEP
- Off set intrinsic PEEP
What patient populations benefit form HFNC
- Hypoxic respiratory failure
- Post extubation patients
- CHF
- AE COPD: Oxygen hemoglobin dissociation curve
Monitor a patient on HFNC
- ROX index
- Initiation
- Provide medicated aerosol treatments with HFNC
Titrate and Discontinue HFNC
Clinical Outcomes
- FLORALIS
- HOT-ER
- Smaller trials/studies
Does the data support HFNC to be a routine for RRTs treating respiratory distressed patients?
Target Audience
- NursesÂ
- PhysiciansÂ
- Physician Assistants
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