Postgraduate Non Invasive Ventilation for Physiotherapists
The aim of this course is to improve physiotherapists' confidence and competence with using NIV as an adjunct to physiotherapy treatment such as airway clearance or exercise training.
Non-invasive ventilation (NIV) is a commonly used therapy for respiratory failure and fatigue in a range of clinical conditions such as in COPD, cystic fibrosis or neuromuscular conditions. It may be applied on hospital wards, intensive care/high dependency units or in the home by appropriately trained staff from a number of disciplines (doctors, nurses, technicians or physiotherapists).
Assumed Knowledge:
Course participants should already have some cardiorespiratory physiotherapy experience (ideally 2+ years) and work in an environment (such as intensive care) or with patient groups (such as chronic respiratory diseases like COPD or CF) where NIV has shown to be beneficial with physiotherapy.
Course sponsored by:
Learning outcomes
- Describe the indication and uses of non-invasive ventilation for acute and chronic respiratory failure including patients with lung disease and neuromuscular disorders
- Demonstrate an understanding of NIV current practice
- Demonstrate understanding of the pathophysiology of respiratory failure
- Discuss the evidence base for using NIV as an adjunct to physiotherapy practice
- Understand the range of physiotherapy roles and scope of practice around NIV in the hospital and community settings, including barriers
- Apply NIV for physiotherapy treatments – including the correct selection and application of interfaces, machine settings and adjuncts such as airway clearance and volume recruitment techniques
- Demonstrate the ability to trouble-shoot common NIV problems and apply strategies to enhance patient comfort and effectiveness of NIV with physiotherapy
Presenters
David Berlowitz
PhD. PGradDipPhty(Research). BAppSci(Phty)
Professor David Berlowitz is a Physiotherapist with the Victorian Respiratory Support Service who holds the University of Melbourne Chair in Physiotherapy at Austin Health. David was awarded his PhD in 2004 in which he discovered that acute cervical spinal cord injury results in sudden and severe obstructive sleep apnoea. David leads an international team of research collaborators, students and staff who examine the causes and treatments of sleep and breathing disorders in neuromuscular disease, especially Spinal Cord Injury and Motor Neurone Disease. David's other research includes respiratory physiology, sleep, clinical trials of therapies and novel care models, and health systems research.
David has published more than 100 papers and attracted over $11.5million in research funding support.
Professor David Berlowitz is a Physiotherapist with the Victorian Respiratory Support Service who holds the University of Melbourne Chair in Physiotherapy at Austin Health. David was awarded his PhD in 2004 in which he discovered that acute cervical spinal cord injury results in sudden and severe obstructive sleep apnoea. David leads an international team of research collaborators, students and staff who examine the causes and treatments of sleep and breathing disorders in neuromuscular disease, especially Spinal Cord Injury and Motor Neurone Disease. David's other research includes respiratory physiology, sleep, clinical trials of therapies and novel care models, and health systems research.
David has published more than 100 papers and attracted over $11.5million in research funding support.
Amanda Piper
Assoc/Prof Amanda Piper PhD is a Senior Physiotherapist and Manager, Respiratory Failure and Home Ventilation Services, Department of Respiratory and Sleep Medicine at Royal Prince Alfred Hospital Sydney; and an associate editor for Respirology. She has been involved in the assessment and management of patients requiring non-invasive ventilation for more than 25 years. Dr Piper's major research interests include the interaction between sleep and the development of awake hypercapnia, non-invasive monitoring of hypoventilation syndromes, non-invasive in neuromuscular disorders and exercise training with NIV. She has published widely on these topics, producing over 90 journal articles and 11 book chapters. Her other interests lie in the training of health professionals in the use non-invasive ventilation. In addition to speaking engagements, Dr Piper has also designed and conducted numerous courses and workshops across the globe covering the practical aspects of NIV therapy. Dr Piper has been closely involved in the development of clinical practice guidelines for the use of non-invasive ventilation both locally (Agency for Clinical Innovation, NSW Health; “Non-invasive Ventilation Guidelines for Adult Patients with Acute Respiratory Failure” and “Domiciliary Non-Invasive Ventilation in Adult Patients: A Consensus Statement”) and internationally (American Thoracic Society clinical practice guidelines: “Management of stable Ambulatory Obesity Hypoventilation Syndrome” and “ Noninvasive ventilation for stable hypercapnic COPD”).
Caroline Chao
Caroline is a senior respiratory physiotherapist at Austin Health. Caroline completed a Bachelor of Physiotherapy in 2000 followed by a Master of Cardiorespiratory Physiotherapy at the University of Melbourne in 2007. She has worked for over 10 years in 2 specialist services, the Victorian Respiratory Support Service (VRSS) and the Tracheostomy Review and Management Service (TRAMS). Caroline has an interest in the implementation of ventilation in patients requiring long-term ventilation, rehabilitation and weaning of long term ventilated patients and management of patients with tracheostomy and chronic respiratory illness. Caroline has experience as an intervention therapist and outcome assessor in several clinical trials.
Caitlin Devanny
Caitlin Devanny works as a Senior Respiratory Physiotherapist for the Victorian Respiratory Support Service at the Austin Hospital. Her role in the VRSS includes implementing domiciliary ventilation for patients in Victoria with chronic ventilatory failure, as well as the management of patients that require weaning from prolonged mechanical ventilation. Caitlin has a passion for providing care to patients with Spinal Cord Injury and Neuromuscular disease, including rehabilitation and acute respiratory management.
She has been and assessor and interventionist in several clinical trials based in intensive care.
She has been and assessor and interventionist in several clinical trials based in intensive care.
Hannah Verspuy
Hannah Verspuy is a Senior Respiratory Physiotherapist at the Austin Hospital with seven years clinical experience. Austin Health provides a number of specialist services including the Victorian Spinal Cord Service and as part of the Victorian Respiratory Support Service receives referrals across the state for the ventilator weaning unit and chronic ventilation. Hannah's clinical expertise includes facilitating weaning from prolonged mechanical ventilation and management of acute respiratory and neuromuscular patients. Hannah has also co-authored three publications in intensive care, respiratory and neurology research.
Nicole Sheers
Nicole is a senior respiratory physiotherapist with extensive clinical experience in the respiratory management of adults with chronic ventilatory failure. Her role within the VRSS, a specialised state-wide service providing home ventilation for patients within Victoria (population 6 million people), includes implementing non-invasive ventilation and providing physiotherapy management for the acute and long-term respiratory issues of adults on domiciliary ventilation. She is nearing completion of a randomised controlled trial investigating the effects of Lung Volume Recruitment (“breath-stacking”) on respiratory function, symptoms and quality of life of people living with Neuromuscular Disease. She was a member of the 228th ENMC International Workshop on Airway Clearance Techniques in Neuromuscular Disorders which produced two “State of the Art” publications in this field, and has presented at national and international conferences and workshops. B.Physio (Hons), M.Physio (Cardio)Senior Clinician, Victorian Respiratory Support Service (VRSS), Austin Health, Victoria, Australia; PhD Candidate, The University of Melbourne, Victoria, Australia;Research Associate, Institute for Breathing and Sleep (IBAS), Victoria, Australia.
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