Noninvasive ventilation: education and training. A narrative analysis and an international consensus document

Area of Science:

• Respiratory Medicine
• Medical Education

Background:

• Noninvasive ventilation (NIV) is a vital respiratory support method with expanding use.
• Proper application of NIV is critical for patient survival and long-term prognosis.
• Adequate knowledge and skills in NIV are paramount for healthcare providers.

Purpose of the Study:

• To systematically review and assess the importance of education and training in noninvasive ventilation.
• To identify existing evidence on the impact of NIV education and training programs.

Main Methods:

• A systematic literature search was conducted using MEDLINE (1990–June 2018).
• Included randomized controlled trials and systematic reviews were analyzed by international experts.
• Due to limited direct evidence, an international consensus was formulated based on expert opinions.

Main Results:

• No clinical trials directly examined the impact of NIV education and training as a primary objective.
• Limited indirect evidence, one simulation-based training study, and narrative reviews were identified.
• Organized NIV training is currently limited to a few developed countries.

Conclusions:

• Education and training have the potential to enhance clinical staff knowledge and skills in NIV.
• There is a significant need for structured, organized NIV education and training programs.
• Developing these programs is especially important for healthcare systems in developing countries.