Pre-course: Basics on Non-Invasive Ventilation

Monday 1 October 2012: 8:30 - 17:30

Course Director

  • Roberta Petrino, Director Emergency Medicine Unit, Ospedale S. Andrea, Vercelli, Italy
    EuSEM Vice-President


  • Paolo Groff, Director Emergency Department, San Benedetto del Tronto, Italy
  • Roberto Cosentini, Director Non Invasive Ventilation group, Policlinico Mangiagalli & Regina Elena, Milano  Italy 
  • Roberta Marino, Emergency Medicine Unit, Ospedale S. Andrea, Vercelli,  Italy


30 physicians maximum. 
The course shall be cancelled if less than 12 participants are registered. 

Course description

 The course will give an overview of the pathophysiological basis, rational limits and objectives of the use on Non Invasive Ventilation in the ED. It will present also the different types of NIV, the ventilators and interfaces, and how to treat patients through different clinical scenarios that will be presented in the hands-on part of the course. 

The format of the course will be: a few frontal lectures with interaction between teacher and audience, and a full afternoon spent on practical exercise on ventilators, interfaces, and clinical simulated scenarios. 

Learning objectives

 Upon completion of this course participants will be able to:

  • understand pathophysiology of  acute hypoxaemic and hypercapnic respiratory failure and the rationale of applying a positive pressure non invasive ventilation as early treatment in the ED
  • know goals, indications and limits of non invasive ventilation 
  • understand mechanism of action of  C-PAP and PEEP and know the principal modalities of ventilation, and their use in several pathological conditions frequently encountered in the emergency setting
  • know how a ventilator is made, it’s function and setting and the different interfaces to the patient

Proposed schedule

08:30 Pathophysiology of respiratory failure - hypoxemia and hypercapnia.
09:15 Pathophisiology of respiratory failure - respiratory mechanics, PEEPi, motion equation,WOB.
10:15 Goals and limits of Non Invasive Mechanical Ventilation.
10:45 Coffee break
11:00 PEEP and C-PAP: Mechanism of action, indications and contra-indications.
11:45 Ventilation modalities and indications.
12:30 Setting the ventilator
13:00 Lunch break
14:00 Monitoring during NIV.
14:30 Interfaces: masks, helmets and accessories.
15:00 Clinical case discussion with practical demonstration – (the students will be divided in 3 groups rotating in 3  40 minutes skill station)  (All faculty)
  • Acute cardiogenic pulmonary oedema
  • COPD exacerbation  
  • Hypoxemic respiratory failure (pneumonia, ARDS)
17:00 Multiple choice questions
17:30 End of course