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Review

Noninvasive Ventilation: Education and Training. A Narrative Analysis and an International Consensus Document

by
Habib Mohammad Reazaul Karim
1,
Karen E. A. Burns
2,
Laura D. Ciobanu
3,4,
Mohamad El-Khatib
5,
Antonello Nicolini
6,
Nicola Vargas
7,
Thierry Hernández-Gilsoul
8,9,
Szymon Skoczyński
10,
Vito Antonio Falcone
11,
Jean-Michel Arnal
12,
John Bach
13,
Luca Salvatore De Santo
14,
Alberto Lucchini
15,
Joerg Steier
16,
Andrea Purro
17,
Angelo Petroianni
18,
Catherine S. Sassoon
19,20,
Stefano Bambi
21,
Margarida Aguiar
22,
Ayman O. Soubani
23,
Corinne Taniguchi
24,
Corrado Mollica
25,
David A. Berlin
26,
Edoardo Piervincenzi
27,
Fabrizio Rao
28,
Ferini-Strambi Luigi
29,
Rodolfo Ferrari
30,
Giancarlo Garuti
31,
Gerhard Laier-Groeneveld
32,
Giuseppe Fiorentino
33,
Kwok M. Ho
34,35,36,
Jaber Saud Alqahtani
37,
Manuel Luján
38,
Onnen Moerer
39,
Onofrio Resta
40,
Paola Pierucci
41,
Peter Papadakos
42,
Stephan Steiner
43,
Sven Stieglitz
44,
Yalim Dikmen
45,
Jun Duan
46,
Pradipta Bhakta
47,
Alejandro Ubeda Iglesias
48,
Nadia Corcione
49,
Vânia Caldeira
50,
Zuhal Karakurt
51,
Gabriele Valli
52,
Eumorfia Kondili
53,
Maria Pia Ruggieri
54,
Margarida Simões Raposo
55,
Fabrizio Bottino
56,
Rafael Soler-González
57,
Mohan Gurjar
58,
José Luis Sandoval-Gutierrez
59,
Behrouz Jafari
60,
Marta Arroyo-Cozar
61,
Ana Roca Noval
62,
Nadia Corcione
63,
Igor Barjaktarevic
64,
Irena Sarc
65,
Bushra Mina
66,
Zbigniew Szkulmowski
67,
Corinne Taniguchi
68 and
Antonio M. Esquinas
69,*
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1
Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Great Eastern Road, Tatibandh, Raipur, India
2
Critical Care Medicine, Li Ka Shing Knowledge Insitute, St. Michael’s Hospital, Toronto, ON, Canada
3
University of Medicine and Pharmacy “Grigore T. Popa” Iasi, Iasi, Romania
4
Clinical Hospital of Rehabilitation, Iasi, Romania
5
Department of Anesthesiology, American University of Beirut Medical Center, School of Medicine, Beirut, Lebanon
6
Unit of Respiratory Diseases, Hospital of Sestri Levante, Sestri Levante, Italy
7
Geriatric and Intensive Geriatric Cares, “San Giuseppe Moscati” Hospital, Avellino, Italy
8
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
9
Critical Care, Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas, Mexico City, Mexico
10
Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
11
Department of Basic Medical Sciences, Neurosciences and Sense Organs—Section of Respiratory Disease, University of Bari Aldo Moro, Bari, Italy
12
Intensive Care Department, Sainte Musse Hospital, Toulon, France
13
Rutgers University New Jersey Medical School, Newark, NJ, USA
14
Napoli and Cardiac Surgery Unit, Università della Campania "Luigi Vanvitelli", AORN dei Colli, Napoli, Italy
15
General Intensive Care Unit—San Gerardo Hospital, Milano-Bicocca University, Milan, Italy
16
Faculty of Life Sciences and Medicine, King’s College London, London, UK
17
Head of Intensive Care Unit, Humanitas Gradenigo Hospital, Turin, Italy
18
Respiratory Diseases Unit, Department of Cardiovascular and Respiratory Diseases, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy
19
Division of Pulmonary and Critical Care Medicine University of California, Irvine, CA, USA
20
VA Long Beach Healthcare System, Long Beach, CA, USA
21
Medical & Surgical Intensive Care Unit, Careggi University Hospital, Florence, Italy
22
Pulmonologist, Pulmonary service, Hospital Beatriz Ângelo, Loures, Portugal
23
Division of Pulmonary, Critical Care and Sleep Medicine, Wayne State University School of Medicine, Detroit, MI, USA
24
Intenvise Care and Pneumology, Brazil
25
High Dependency Respiratory Care Unit (STIRS) “S. Camillo-Forlanini” Hospital, Rome, Italy
26
Department of Medicine, Weill Cornell Medicine, New York, NY, USA
27
Università Sapienza di Roma, Rome, Italy
28
Respiratory Unit, Neuromuscular OmniCentre (NeMO), Neurorehabilitation, University of Milan, Niguarda Hospital, Milan, Italy
29
Sleep Disorder Unit, San Raffaele Hospital, Milan, Italy
30
Emergency Department, University Hospital Sant’Orsola—Malpighi, Bologna, Italy
31
Respiratory Unit, Santa Maria Bianca Hospital, Mirandola (MO), ASL Modena, Modena, Italy
32
Department of Respiratory Medicine, Evangelisches Klinikum Niederrhein, Oberhausen, Germany
33
Respiratory Unit, AO Ospedali dei Colli Naples PO Monaldi, Naples, Italy
34
Department of Intensive Care Medicine, Royal Perth Hospital, Perth, WA, Australia
35
School of Population & Global Health, University of Western Australia, Crawley, WA, Australia
36
School of Veterinary & Life Sciences, Murdoch University, Perth, WA, Australia
37
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
38
Pneumology Service, Hospital of Sabadell, Universitat Autónoma de Barcelona, Sabadell, Spain
39
Department of Anaesthesiology, Georg-August-University, University Medical Center Göttingen, Göttingen, Germany
40
Cardiothoracic Department, Respiratory and Sleep Medicine Unit, Policlinic, Bari “Aldo Moro” University, Bari, Italy
41
Cardio-Thoracic Department, Respiratory and Sleep Unit, Policlinic, Bari University Medical School, Bari, Italy
42
Department of Anesthesiology and Surgery, Director CCM, University of Rochester, Rochester, NY, USA
43
Departement of Cardiology, Pneumology and Intensive Care, St. Vincenz Hospital Limburg, Limburg, Germany
44
Petrus Hospital Wuppertal, Academic Teaching Hospital of the University of Duesseldorf, Clinic for Pneumology, Allergology, Sleep- and Intensive Care, Wuppertal, Germany
45
Department of Intensive Care, Cerrahpasa School of Medicine, Istanbul University-Cerrahpasa, Istanbul 34320, Turkey
46
Department of Respiratory Medicine, First Affiliated Hospital of Chongqing Medical University, Chongqing, China
47
Department of Anaesthesia and Intensive Care, University Hospital Limerick, Dooradoyle, Limerick, Ireland
48
Intensive Care Unit, Hospital Punta de Europa, Algeciras, Cádiz, Spain
49
Departement of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca’ Granda—Ospedale Maggiore Policlinico, Milano, Italy
50
Pneumology Department, Hospital Santa Marta, Lisboa, Portugal
51
Pulmonary and Critical Care Department, Pulmonology and Intensivist, Dean in Hospital, University of Health Sciences, Istanbul, Turkey
52
Department of Emergency Medicine, San Giovanni Addolorata, Rome, Italy
53
Intensive Care Medicine, Medical School, University of Crete Greece, ICU University Hospital of Heraklion, Heraklion, Greece
54
UOC PS-Breve Osservazione DEAI II livello AO San Giovanni Addolorata, Roma, Italy
55
Centro Hospitalar de Lisboa Ocidental Egas, Moniz Hospital, Lisboa, Portugal
56
Emergency Department, ASL 8, Arezzo, Italy
57
Neurology Department, University Hospital of Melilla, Melilla, Spain
58
Department of Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India
59
Instituto Nacional de Enfermedades Respiratorias, Mexico, Mexico
60
Section of Pulmonary and Critical Care Medicine, University of California, Irvine, VA Long Beach Healthcare System, Irvine, CA, USA
61
Servicio de Neumología, Hospital Universitario Infanta Cristina, Madrid, Spain
62
Servicio de Neumologia, Hospital Universitario La Princesa, Madrid, Spain
63
Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
64
Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at University of California, Los Angeles, CA, USA
65
Noninvasive Ventilation Department, University Clinic for Pulmonary and Allergic Diseases, Golnik, Slovenia
66
Department of Medicine, Pulmonary and Critical Care Medicine, Northwell Health, Lenox Hill Hospital, New York, NY, USA
67
Departament of Anesthesia and ICU. University Hospital No 1 in Bydgoszcz, Collegium Medicum in Bydgoszcz, University Nicolaus Copernicus in Toruń, Bydgoszcz, Poland
68
Hospital Israelita Albert Einstein, São Paulo, Brasil
69
Director International School of Non Invasive Mechanical Ventilation, Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2019, 87(1), 36-45; https://doi.org/10.5603/ARM.a2019.0006
Submission received: 12 December 2018 / Revised: 5 February 2019 / Accepted: 5 February 2019 / Published: 4 March 2019

Abstract

Noninvasive ventilation (NIV) is an increasingly used method of respiratory support. The use of NIV is expanding over the time and if properly applied, it can save patients’ lives and improve long-term prognosis. However, both knowledge and skills of its proper use as life support are paramount. This systematic review aimed to assess the importance of NIV education and training. Literature search was conducted (MEDLINE: 1990 to June, 2018) to identify randomized controlled studies and systematic reviews with the results analyzed by a team of experts across the world through e-mail based communications. Clinical trials examining the impact of education and training in NIV as the primary objective was not found. A few studies with indirect evidence, a simulation-based training study, and narrative reviews were identified. Currently organized training in NIV is implemented only in a few developed countries. Due to a lack of high-grade experimental evidence, an international consensus on NIV education and training based on opinions from 64 experts across the twenty-one different countries of the world was formulated. Education and training have the potential to increase knowledge and skills of the clinical staff who deliver medical care using NIV. There is a genuine need to develop structured, organized NIV education and training programs, especially for the developing countries.
Keywords: noninvasive ventilation; training; education; programs; staff noninvasive ventilation; training; education; programs; staff

Share and Cite

MDPI and ACS Style

Karim, H.M.R.; Burns, K.E.A.; Ciobanu, L.D.; El-Khatib, M.; Nicolini, A.; Vargas, N.; Hernández-Gilsoul, T.; Skoczyński, S.; Falcone, V.A.; Arnal, J.-M.; et al. Noninvasive Ventilation: Education and Training. A Narrative Analysis and an International Consensus Document. Adv. Respir. Med. 2019, 87, 36-45. https://doi.org/10.5603/ARM.a2019.0006

AMA Style

Karim HMR, Burns KEA, Ciobanu LD, El-Khatib M, Nicolini A, Vargas N, Hernández-Gilsoul T, Skoczyński S, Falcone VA, Arnal J-M, et al. Noninvasive Ventilation: Education and Training. A Narrative Analysis and an International Consensus Document. Advances in Respiratory Medicine. 2019; 87(1):36-45. https://doi.org/10.5603/ARM.a2019.0006

Chicago/Turabian Style

Karim, Habib Mohammad Reazaul, Karen E. A. Burns, Laura D. Ciobanu, Mohamad El-Khatib, Antonello Nicolini, Nicola Vargas, Thierry Hernández-Gilsoul, Szymon Skoczyński, Vito Antonio Falcone, Jean-Michel Arnal, and et al. 2019. "Noninvasive Ventilation: Education and Training. A Narrative Analysis and an International Consensus Document" Advances in Respiratory Medicine 87, no. 1: 36-45. https://doi.org/10.5603/ARM.a2019.0006

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