This Professional master’s degree will allow you to incorporate state-of-the-art non-invasive respiratory support procedures into your clinical practice" 

Non-Invasive Mechanical Ventilation is a method that, as a result of continuous medical research, is increasingly used to improve the breathing of patients with various pulmonary diseases. Thanks to its popularization, the scientific community has focused its efforts on designing facial or nasal masks that enhance oxygenation effectiveness, as well as advanced ventilation modes that automatically adapt to changes in an individual's respiratory function. Since these advances help optimize the patient's recovery process, pulmonologists are obliged to have an in-depth understanding of them to ensure their professional development.  

This is why TECH has created this Professional master’s degree, which offers medical professionals an excellent update on Non-Invasive Mechanical Ventilation with both adult and pediatric patients. Over 12 months of intensive study, you will delve into the latest scientific recommendations on ventilatory parameter adjustments based on each individual's characteristics and illness. You will also become familiar with the most cutting-edge technologies used in Intermediate

Respiratory Care Units or explore sophisticated tools for monitoring and evaluating patients with NIMV. All of this without the need to sacrifice your daily personal and professional responsibilities since this program is delivered in an innovative 100% online format. Likewise, it has been designed by high-caliber specialists in the field of Pulmonology who are familiar with advanced Non-Invasive Mechanical Ventilation techniques. This ensures the program's excellent academic quality and the practical applicability of the knowledge acquired in daily practice. 

Through this certificate, you will delve into the cutting-edge tools to undertake the monitoring and evaluation of patients with Non Invasive Mechanical Ventilation"    

This Professional master’s degree in Non-Invasive Mechanical Ventilation contains the most complete and up-to-date scientific program on the market. The most important features include: 

• The development of practical cases presented by specialists in Pulmonology 
• The graphic, schematic, and practical contents with which they are created, provide scientific and practical information on the disciplines that are essential for professional practice
• Practical exercises where self-assessment can be used to improve learning
• Its special emphasis on innovative methodologies 
• Theoretical lessons, questions to the expert, debate forums on controversial topics, and individual reflection assignments 
• Content that is accessible from any fixed or portable device with an Internet connection  

Study from anywhere in the world and 24 hours a day thanks to the 100% online format that offers this program of updating” 

The program’s teaching staff includes professionals from the field who contribute their work experience to this educational program, as well as renowned specialists from leading societies and prestigious universities. 

The multimedia content, developed with the latest educational technology, will provide the professional with situated and contextual learning, i.e., a simulated environment that will provide immersive education programmed to learn in real situations.

This program is designed around Problem-Based Learning, whereby the professional must try to solve the different professional practice situations that arise during the academic year For this purpose, the students will be assisted by an innovative interactive video system created by renowned and experienced experts.

Get up to date in this field of Pneumology through the professional experience of reference specialists in this medical area"

Throughout this certificate, you will delve into the sophisticated technologies used in Intermediate Respiratory Care Units"

The syllabus of this Master’s Degree is made up of 10 modules through which the specialist will obtain an excellent update on the use of Non-Invasive Mechanical Ventilation in different clinical contexts. All the didactic contents that will be available during the duration of this academic program are available in cutting-edge formats such as video, interactive summary or simulation of real cases. This way, enjoying a 100% online methodology and without adhering to pre-established schedules, you will complete an enjoyable and effective academic experience.  

TECH's Relearning methodology will allow you to enjoy the didactic contents based on your own study pace in order to optimize your updating process" 

Module 1. Ventilatory Mechanics
1.1. Anatomy and Physiology of the Respiratory System 

1.1.1. Structure and function of the lungs and their relationship to the rib cage 
1.1.2. Mechanics of Pulmonary Ventilation 
1.1.3. Gas exchange at the alveolar level 

1.2. Ventilation Control and pH Regulation 

1.2.1. Respiratory Control Mechanisms (chemoreceptors, baroreceptors, etc.) 
1.2.2. Regulation of Blood pH and Its Relationship to Ventilation 
1.2.3. Ventilatory Responses in Hypoxia, Hypercapnia, and Acidosis 
1.2.4. Interaction between the Respiratory System and the Central Nervous System 

1.3. Transpulmonary Pressure and Respiratory Mechanics 

1.3.1. Forces Acting on the Lungs During Ventilation (atmospheric pressure, intrapleural pressure, etc.) 
1.3.2. Lung Protective Mechanisms Against Overdistension and Collapse 
1.3.3. Respiratory Mechanics in Pathological Conditions (emphysema, pulmonary fibrosis, etc.) 
1.3.4. Relationship between Respiratory Mechanics and Respiratory Muscle Effort 

1.4. Tidal Volume, Minute Volume, and Vital Capacity 

1.4.1. Definition and Measurement of Different Lung Volumes and Capacities 
1.4.2. Alterations in Lung Volumes and Capacities in Respiratory Diseases 
1.4.3. Interpretation of Spirometric Values and Their Limitations 

1.5. Compliance and Resistance of the Respiratory System 

1.5.1. Concept 
1.5.2. Measurement 
1.5.3. Influencing Factors 
1.5.4. Alterations in Respiratory Diseases 

1.6. Types of Breathing (Spontaneous, Assisted, and Controlled) 

1.6.1. Definition and Characteristics of Different Types of Breathing 
1.6.2. Assessment of Patient Response to Mechanical Ventilation 

1.7. Ventilation-perfusion ratio 

1.7.1. Definition and Physiology of Ventilation-Perfusion Ratio 
1.7.2. Alterations in Ventilation-Perfusion Ratio in Respiratory Diseases 
1.7.3. Methods for Evaluating Ventilation-Perfusion Ratio 
1.7.4. Therapeutic Strategies to Improve Ventilation-Perfusion Ratio 

1.8. Oxygenation and Gas Transport 

1.8.1. Alterations in Oxygenation and Gas Transport in Respiratory Diseases 
1.8.2. Assessment in Oxygenation and Gas Transport in clinical practice 
1.8.3. Treatment of Hypoxemia and Hypercapnia in Respiratory Patients 
1.8.4. Complications of Hypoxemia and Hypercapnia Treatment 

1.9. Effects of Mechanical Ventilation on Respiratory Physiology 

1.9.1. Physiology of Mechanical Ventilation 

1.10. Changes in Ventilatory Mechanics During Non-Invasive Mechanical Ventilation 

1.10.1. Lung Injuries Associated with Mechanical Ventilation 
1.10.2. Optimizing Mechanical Ventilation to Improve Respiratory Physiology 

Module 2. Non-Invasive Mechanical Ventilation and Adjustment of Ventilatory Parameters in Non-Invasive Mechanical Ventilation

2.1. NIV 

2.1.1. Terminology in NIV 
2.1.2. What Each Parameter Used in NIMV Measures 

2.2. Indications and Contraindications 

2.2.1. Indications in Acute Hypoxemic Respiratory Failure 
2.2.2. Indications in Acute Global/Hypercapnic Respiratory Failure 
2.2.3. Indications in Chronic Respiratory Failure 
2.2.4. Other Indications for NIMV 
2.2.5. Contraindications for NIMV 

2.3. Ventilatory Modes 

2.3.1. Spontaneous Mode 
2.3.2. Assisted Mode 
2.3.3. Controlled Mode 

2.4. Interfaces: Types, Selection, and Adjustment 

2.4.1. Face Mask 
2.4.2. Nasal Mask 
2.4.3. Oral Interface 
2.4.4. Oro-Nasal Interface 
2.4.5. Helmet 

2.5. Ventilatory Parameters: Pressure, Volume, Flow, and Ti/Ttot 

2.5.1. Adjustment of Inspiratory and Expiratory Pressure 
2.5.2. Adjustment of Respiratory Rate 
2.5.3. Adjustment of Ti/Ttot 
2.5.4. Adjustment of PEEP 
2.5.5. Adjustment of FiO2 

2.6. Respiratory Cycles and Trigger 

2.6.1. Adjustment of Trigger and Ventilator Sensitivity 
2.6.2. Adjustment of Tidal Volume and Inspiratory Time 
2.6.3. Adjustment of Inspiratory and Expiratory Flow 

2.7. Patient-Ventilator Synchronization 

2.7.1. Trigger Delay 
2.7.2. Auto-Trigger 
2.7.3. Ineffective Inspiratory Efforts 
2.7.4. Inspiratory Time Mismatch Between Patient and Ventilator 
2.7.5. Double Trigger 

2.8. Alarms and Patient Safety 

2.8.1. Types of Alarms 
2.8.2. Alarm Management 
2.8.3. Patient Safety 
2.8.4. Evaluation of NIMV Effectiveness 

2.9. Patient Selection and Initiation Strategies 

2.9.1. Patient Profile 
2.9.2. Initial Parameters for Acute Patients on NIMV 
2.9.3. Initial Parameters for Chronic Patients 
2.9.4. Parameter Adjustment Based on Progress 

2.10. Evaluation of Patient Tolerance and Adaptation to Non-Invasive Mechanical Ventilation 

2.10.1. Criteria for a Good Clinical Response 
2.10.2. Criteria for a Poor Clinical Response 
2.10.3. Adjustments to Improve Tolerance 
2.10.4. Tips for Enhancing Adaptation 

Module 3. Intermediate Respiratory Care Units (IRCU)

3.1. Fundamentals and Objectives of the IRCUs

3.1.1. Evolution Over Time 
3.1.2. Importance and Benefits 
3.1.3. Role of IRCUs in Public Health Management 

3.2. Features and Organization of IRCUs

3.2.1. Structure and Design 
3.2.2. Mechanisms of Coordination and Collaboration Among Various Services 
3.2.3. Development of Personalized Care Plans for Each Patient 
3.2.4. Assessment and Monitoring of Treatment Outcomes 

3.3. Equipment and Technology in IRCUs

3.3.1. Types of Equipment and Technologies Available in IRCUs
3.3.2. Advantages and Disadvantages of Different Available Technologies 
3.3.3. New Trends and Advances in Technology Used in IRCUs 

3.4. Healthcare Personnel in IRCUs: Functions and Competencies 

3.4.1. Professional Profile and Training Requirements for Health Professionals Working in IRCUs
3.4.2. Competencies and Responsibilities of Various Members of Health Personnel 
3.4.3. Teamwork and Coordination Among Different Healthcare Professionals in IRCUs 
3.4.4. Continuing Education and Professional Development of Healthcare Personnel in IRCUs 

3.5. Indications and Criteria in IRCUs 

3.5.1. Criteria for Patient Selection for Admission to IRCUs 
3.5.2. Admission Process and Assessment of Patient's Health Status 

3.6. Monitoring and Follow-Up of Patients in IRCUs 

3.6.1. Capnography 
3.6.2. Continuous Pulse Oximetry 
3.6.3. Respiratory Software 

3.7. Success and Failure Criteria in NIMV 

3.7.1. Prognosis Scales 
3.7.2. Factors Influencing the Success or Failure of NIMV 
3.7.3. Early Identification of NIMV Failures 

3.8. Complications and Their Management in NIMV 

3.8.1. Respiratory Complications
3.8.2. Cardiovascular Complications 
3.8.3. Neurological Complications 
3.8.4. Gastrointestinal Complications 
3.8.5. Dermatological Complications 
3.8.6. Psychological Complications 

3.9. Pharmacological Treatments in IRCUs

3.9.1. Nutrition and Nutritional Support 
3.9.2. Sedation and Analgesia in Patients with NIMV 
3.9.3. Other Medications in IRCUs 

3.10. Discharge Criteria and Patient Follow-Up After Their Stay in IRCUs 

3.10.1. Assessment of Patient's Clinical Stability Before IRCU Discharge 
3.10.2. Discharge Planning and Patient Follow-Up 
3.10.3. Discharge Criteria for NIMV 
3.10.4. Outpatient Follow-Up After IRCU Discharge 
3.10.5. Assessment of Quality of Life After IRCU Stay 

Module 4. Non-Invasive Respiratory Support Techniques

4.1. Assessment of the Required Ventilatory Support Level 

4.1.1. Assessment of Clinical Indication 
4.1.2. Interpretation of Arterial Blood Gas 
4.1.3. Assessment of Respiratory Mechanics 
4.1.4. Determination of the Required Ventilatory Support Level 
4.1.5. Changing Ventilatory Modality 

4.2. Continuous Positive Airway Pressure (CPAP) 

4.2.1. Monitoring and Management of CPAP Complications 
4.2.2. Comparison of CPAP with Other Ventilatory Modalities 
4.2.3. Positive Airway Pressure (BiPAP) 
4.2.4. Monitoring and Management of CPAP Complications 
4.2.5. Comparison of CPAP with Other Ventilatory Modalities 

4.3. Positive Airway Pressure (BiPAP) 

4.3.1. Principles and Mechanics of BiPAP 
4.3.2. Indications for BiPAP Use 
4.3.3. Adjusting BiPAP Parameters 
4.3.4. Monitoring and Management of BiPAP Complications 
4.3.5. Comparison of BiPAP with Other Ventilatory Modalities 

4.4. Pressure Support Ventilation 

4.4.1. Conventional (PSV) 
4.4.2. Proportional (PPSV) 
4.4.3. Adaptive (ASV) 
4.4.4. Intelligent Adaptive (iVAPS) 

4.5. Volume-Controlled Ventilation 

4.5.1. Principles and Mechanics of Volume NIV 
4.5.2. Indications for Volume NIMV Use 
4.5.3. Adjusting Volume Mode Parameters 
4.5.4. Monitoring and Management of Complications in Volume Mode 
4.5.5. Comparison of Volume Mode with Other Ventilatory Modalities 

4.6. High-Flow Nasal Cannula (HFNC) 

4.6.1. Principles and Mechanics of HFNC 
4.6.2. Indications for HFNC Use 
4.6.3. Adjusting HFNC Parameters 
4.6.4. Monitoring and Management of HFNC Complications 
4.6.5. Comparison of HFNC with Other Ventilatory Modalities 

4.7. Combined Ventilation (Positive Pressure (CPAP/BiPAP) + HFNC) 

4.7.1. Principles and Mechanics of Combined Therapy 
4.7.2. Indications for Combined Therapy Use 
4.7.3. Starting Combined Therapy, Simultaneously or Staggered 
4.7.4. Adjusting Parameters for Combined Therapy 
4.7.5. Monitoring and Management of Complications in Combined Therapy 
4.7.6. Comparison of Combined Therapy with Other Ventilatory Modalities 

4.8. High-Frequency Ventilation 

4.8.1. Indications for High-Frequency NIMV Use 
4.8.2. Adjusting Parameters 
4.8.3. Utility in Acute Patients 
4.8.4. Utility in Chronic Patients 
4.8.5. Monitoring and Management of Complications 
4.8.6. Comparison with Other Ventilatory Modalities 

4.9. Others Ventilatory Modes 

4.9.1. Pressure Support Ventilation with Mandatory Flow Control (MFC) 
4.9.2. High-Velocity Nasal Cannula Ventilation 
4.9.3. Other Innovative Ventilatory Modes 

4.10. Humidification and Temperature Adjustment in NIV 

4.10.1. Importance of Adequate Humidification and Temperature in NIV 
4.10.2. Types of Humidification Systems in NIV 
4.10.3. Indications for Adding a Humidifier in Acute Patients 
4.10.4. Indications for Humidifier Use in Chronic Patients 
4.10.5. Methods for Monitoring Humidification in NIV 
4.10.6. Temperature Adjustment in NIV 
4.10.7. Monitoring and Management of Complications Related to Humidification and Temperature in NIV 

Module 5. Beyond Non-Invasive Ventilation in an IRCU Highly Specialized Concepts

5.1. Ventilator Weaning with Tracheostomy in an Intermediate Respiratory Care Unit 

5.1.1. Criteria for Performing Tracheostomy in Patients with Prolonged IMV 
5.1.2. Patient Preparation for Weaning from IMV 
5.1.3. Weaning Techniques from IMV via Tracheostomy 
5.1.4. Assessment of Tolerance during Weaning from IMV via Tracheostomy 
5.1.5. Management of Complications during Weaning 

5.2. Tracheostomy Management in the Intermediate Respiratory Care Unit 

5.2.1. Selecting the Appropriate Tracheostomy Technique for the Patient 
5.2.2. Initial Tracheostomy Care in the Intermediate Respiratory Care Unit 
5.2.3. Tracheostomy Tube Replacement and Maintenance 
5.2.4. Monitoring Complications 
5.2.5. Assessing the Appropriate Time of Tracheostomy Removal 
5.2.6. Decannulation Protocol 

5.3. Utilizing Non-Invasive Respiratory Support in the disconnection of orotracheal intubation 

5.3.1. Selection of patients who are candidates for disconnection
5.3.2. Techniques for disconnection of orotracheal intubation 
5.3.3. Evaluation of tolerance to noninvasive respiratory support during disconnection 
5.3.4. Monitoring and management of complications during disconnection 
5.3.5. Evaluation of the success of noninvasive respiratory support in the disconnection of orotracheal intubation and patient follow-up 

5.4. Secretion Management and Cough Assistance 

5.4.1. Indications 
5.4.2. How to measure it 
5.4.3. Different devices 
5.4.4. Pressure configuration 
5.4.5. How to use it 

5.5. NIMV and polygraphy, indications and interpretation 

5.5.1. Indications for polygraphy in the NIMV patient 
5.5.2. Interpretation of polygraphy results in patients with NIMV 
5.5.3. Identification of abnormal respiratory patterns on polygraph during the use of NIMV 
5.5.4. Monitoring the efficacy of respiratory support during polygraphy 
5.5.5. Interpretation of respiratory complications associated with NIMV on polygraphy 

5.6. Physiotherapy in an IRCU 

5.6.1. Objectives and benefits of respiratory physiotherapy in the IRCU
5.6.2. Respiratory physiotherapy techniques used in the IRCU 
5.6.3. Physiotherapy in the prevention and treatment of respiratory complications in the IRCU 
5.6.4. Evaluation and follow-up of patient progress with respiratory physiotherapy in the IRCU 
5.6.5. Multidisciplinary collaboration in the implementation of respiratory physiotherapy in the IRCU 

5.7. Management of shock and other frequently used drugs in IRCU 

5.7.1. Types of shock and its management in the IRCU 
5.7.2. Indications and dosage of vasopressors in the management of shock in the IRCU 
5.7.3. Use of inotropics and vasodilators in the management of shock in the IRCU 
5.7.4. Management of hypotension in the IRCU with fluid therapy 
5.7.5. Monitoring hemodynamic and patient response to drugs used in the management of shock in IRCU 

5.8. Swallowing Disorders Evaluation 

5.8.1. Prolonged Orotracheal Intubation 
5.8.2. Tracheostomy
5.8.3. Ineffective Swallowing 

5.9. Nutritional study in patients with prolonged admission to the IRCU 

5.9.1. Nutritional and metabolic assessment in patients in the IRCU 
5.9.2. Evaluating Nutritional Status and Energy Needs
5.9.3. Nutritional strategies for patients with prolonged admission to the IRCU 
5.9.4. Monitoring of nutritional support and necessary adjustments in IRCU patients 
5.9.5. Prevention and management of nutritional complications in patients with prolonged admission to the IRCU 

5.10. Management of Unstable Patients 

5.10.1. Management of Rapid Atrial Fibrillation 
5.10.2. Management of Supraventricular Tachycardia 
5.10.3. Management of Cardiopulmonary Arrest 
5.10.4. Orotracheal Intubation 
5.10.5. Sedation in NIV

Module 6. Non-Invasive Mechanical Ventilation in Specific Pathologies

6.1. Non-Invasive Mechanical Ventilation in Acute Chronic Obstructive Pulmonary Disease (COPD) 

6.1.1. Indications and Contraindications in Patients with COPD 
6.1.2. Selection and Adjustment of Ventilatory Parameters in COPD 
6.1.3. Assessment of Efficacy 
6.1.4. Weaning Strategies from NIMV in COPD Patients 
6.1.5. Criteria for NIMV at Hospital Discharge 

6.2. Non-Invasive Mechanical Ventilation in Heart Failure 

6.2.1. Effects of Non-Invasive Mechanical Ventilation on the Hemodynamics of Heart Failure Patients 
6.2.2. Monitoring Heart Failure Patients during Non-Invasive Mechanical Ventilation 
6.2.3. Non-Invasive Mechanical Ventilation in Patients with Acutely Decompensated Heart Failure 
6.2.4. Non-Invasive Mechanical Ventilation in Patients with Chronic Heart Failure and Its Impact on Patient Quality of Life 

6.3. Non-Invasive Mechanical Ventilation in Acute Respiratory Distress Syndrome (ARDS) 

6.3.1. Definition and Diagnostic Criteria for ARDS 
6.3.2. Indications and Contraindications of NIMV in ARDS Patients 
6.3.3. Selection and Adjustment of Ventilatory Parameters in ARDS Patients on NIMV 
6.3.4. Monitoring and Evaluation of Response to NIMV in ARDS Patients 
6.3.5. Comparison of NIMV with IMV in ARDS Patients 

6.4. Non-Invasive Mechanical Ventilation in Diffuse Interstitial Lung Diseases (DILD) 

6.4.1. Pathophysiology of Diffuse Interstitial Lung Diseases (DILD) 
6.4.2. Scientific Evidence in the Management of NIMV in DILD 
6.4.3. Indications for NIMV in Patients with DILD 
6.4.4. Assessment of the Efficacy of NIMV in Patients with DILD 

6.5. Non-Invasive Mechanical Ventilation in Obesity 

6.5.1. Obesity Pathophysiology and Its Relationship with NIMV 
6.5.2. Indications and Contraindications in Obese Patients 
6.5.3. Specific NIMV Adjustments in Obese Patients 
6.5.4. Strategies for Prevention and Treatment of Complications 
6.5.5. NIMV in Patients with Obstructive Sleep Apnea 
6.5.6. Obesity Hypoventilation Syndrome 

6.6. Non-Invasive Mechanical Ventilation in Neuromuscular and Rib Cage 

6.6.1. Indications 
6.6.2. Main Neuromuscular and Rib Cage Diseases 
6.6.3. Selection of Ventilatory Modes 
6.6.4. Adjustment of Ventilatory Parameters 
6.6.5. Assessment of Efficacy and Tolerance of NIMV 
6.6.6. Tracheostomy Indications 
6.6.7. Management of Complications 

6.7. Non-Invasive Mechanical Ventilation in COVID-19 Patients 

6.7.1. Indications for NIMV in COVID-19 Patients 
6.7.2. Adjustment of Ventilatory Parameters 
6.7.3. Safety Considerations in NIMV for COVID-19 
6.7.4. Assessment of Efficacy 
6.7.5. Disconnection Strategies 

6.8. Non-Invasive Mechanical Ventilation in Acute Hypoxemic Respiratory Failure 

6.8.1. Definition of De Novo Respiratory Failure 
6.8.2. Indications and Contraindications for NIMV in Acute Hypoxemic Respiratory Failure 
6.8.3. Parameters and Adjustments in NIMV for Patients with Acute Hypoxemic Respiratory Failure 
6.8.4. Complications Associated with NIMV Use in Acute Hypoxemic Respiratory Failure 
6.8.5. Assessment of NIMV Efficacy in Improving Oxygenation and Reducing Respiratory Work in Acute Hypoxemic Respiratory Failure 
6.8.6. Comparison of NIMV with Invasive Mechanical Ventilation in Patients with Acute Hypoxemic Respiratory Failure 

6.9. Non-Invasive Mechanical Ventilation in the asthmatic patient in exacerbation 

6.9.1. Indications for NIMV in Asthma Attacks 
6.9.2. Ventilatory Parameters to Adjust 
6.9.3. Monitoring of the acutely ill asthmatic patient during NIMV 
6.9.4. Alarm Criteria for Poor Response to NIMV 

6.10. Non-Invasive Mechanical Ventilation in Pre-Intubation Preparation 

6.10.1. Benefits, Risks, and Limitations 
6.10.2. Management of NIMV in Transition to Invasive Mechanical Ventilation

Module 7. Care in Non-Invasive Mechanical Ventilation

7.1. Monitoring of the Patient's Vital Signs 

7.1.1. Importance of Monitoring Vital Signs 
7.1.2. Types of Vital Signs to Monitor
7.1.3. Analysis and Interpretation of Obtained Values 
7.1.4. Adjusting Monitoring According to the Patient's Needs 

7.2. Monitoring Oxygenation and Ventilation of the Patient 

7.2.1. Techniques for Monitoring Oxygenation and Ventilation 
7.2.2. Interpreting Pulse Oximetry and Capnography Values 
7.2.3. Early Detection of Hypoxia and Hypercapnia 
7.2.4. Adjusting Mechanical Ventilation According to the Patient's Needs 

7.3. Monitoring of Interface and Ventilation Circuit 

7.3.1. Identification and Prevention of Leaks in the Interface and Circuit 
7.3.2. Cleaning and Maintenance of the Interface and Circuit 
7.3.3. Changing and Selecting the Interface According to the Patient's Needs 

7.4. Management of Respiratory Secretions 

7.4.1. Assessment Techniques for Respiratory Secretions 
7.4.2. Methods for Mobilizing and Removing Secretions 
7.4.3. Precautions and Measures to Avoid Aspiration of Secretions 
7.4.4. Selection and Adjustment of Secretion Suction Devices 

7.5. Skin Care at the Interface Site 

7.5.1. Assessment and Prevention of Skin Lesions at the Interface Site 
7.5.2. Skin Cleaning and Care Techniques at the Interface Site 
7.5.3. Dressings and Wound Care for Skin Lesions 

7.6. Prevention of Gastric Content Aspiration 

7.6.1. Assessment of Aspiration Risk 
7.6.2. Prevention Measures for Aspiration in Non-Invasive Mechanical Ventilation Patients 
7.6.3. Types of Tubes and Devices Used for Patient Nutrition and Feeding 

7.7. Patient and Family Education on Non-Invasive Mechanical Ventilation 

7.7.1. Importance of Patient and Family Education 
7.7.2. Information to Be Provided to the Patient and Their Family About the Use of Non-Invasive Mechanical Ventilation 
7.7.3. Management of Emergencies and Unexpected Situations by the Patient and Their Family 
7.7.4. Strategies to Promote Adherence to Non-Invasive Mechanical Ventilation 

7.8. Individualized Care Plan for Patients on Non-Invasive Mechanical Ventilation 

7.8.1. General Considerations in Developing the Care Plan 
7.8.2. Nursing Assessment of Patients on NIMV 
7.8.3. NANDA Diagnosis 
7.8.4. Nursing Outcomes and Interventions 

7.9. Tracheostomy care and treatment 

7.9.1. Tracheostomy cleaning and healing techniques 
7.9.2. Selection and adjustment of the tracheostomy device 
7.9.3. Prevention and treatment of complications associated with tracheostomy 

7.10. Infection transmission prevention measures 

7.10.1. Standard Precautions 
7.10.2. Types of hospital isolation 
7.10.3. NIMV patient specifications

Module 8. Non-Invasive Mechanical Ventilation in Pediatrics

8.1. Differences Between Non-Invasive Mechanical Ventilation in Adults and Pediatrics

8.1.1. Lung Physiology in Pediatric Patients
8.1.2. Key Differences in Managing the Pediatric Airway
8.1.3. Common Respiratory Pathologies in Pediatrics Requiring NIMV
8.1.4. Managing Patient Collaboration in Pediatric NIMV 

8.2. Indications and Contraindications of Non-Invasive Mechanical Ventilation in Pediatrics 

8.2.1. Indications for NIMV in Pediatrics 
8.2.2. Absolute Contraindications for NIMV in Pediatrics 
8.2.3. Relative Contraindications for NIMV in Pediatrics 

8.3. Equipment and Modes of Non-Invasive Mechanical Ventilation in Pediatrics 

8.3.1. NIMV Modes in Pediatrics 
8.3.2. Ventilatory Support Equipment in Pediatrics 
8.3.3. Accessories and Circuits for Non-Invasive Mechanical Ventilation in Pediatrics 
8.3.4. Monitoring and Ventilation Adjustment in Pediatrics 

8.4. Adjusting Non-Invasive Mechanical Ventilation in Pediatrics 

8.4.1. Setting Support Pressures and PEEP 
8.4.2. Adjusting Airflow 
8.4.3. Adjustment of Respiratory Rate 
8.4.4. Setting Inspiratory Time 

8.5. Monitoring and Adjustment of Non-Invasive Mechanical Ventilation in Pediatrics 

8.5.1. Clinical Assessment 
8.5.2. Arterial Blood Gas Assessment 
8.5.3. Pulse Oximetry Assessment 
8.5.4. Capnography Assessment 

8.6. Non-Invasive Mechanical Ventilation in Pediatric Respiratory Pathologies 

8.6.1. Prematurity 
8.6.2. Bronchiolitis 
8.6.3. Cystic fibrosis 
8.6.4. Bronchopulmonary Dysplasia 
8.6.5. Neonatal respiratory failure 
8.6.6. Tracheostomy
8.6.7. Neuromuscular Diseases 
8.6.8. Disconnections for Orotracheal Intubation 

8.7. Interfaces in NIMV in Pediatric Patients 

8.7.1. Nasal Mask 
8.7.2. Oro-Nasal Mask 
8.7.3. Face Mask 
8.7.4. Helmet 
8.7.5. Special Considerations in the Use of NIMV Interfaces in Pediatrics 

8.8. Complications of Non-Invasive Mechanical Ventilation in Pediatrics 

8.8.1. Pneumothorax 
8.8.2. Hypotension
8.8.3. Hypoxemia 
8.8.4. Desaturation during support removal 

8.9. Home NIMV in Pediatrics 

8.9.1. Indications for Home NIMV 
8.9.2. Selection of Suitable Patients 
8.9.3. Caregiver Training 
8.9.4. Home Monitoring 

8.10. Weaning Techniques in Pediatrics 

8.10.1. Gradual withdrawal of NIMV 
8.10.2. Assessment of tolerance to NIMV withdrawal
8.10.3. Use of oxygen therapy after withdrawal of NIMV 
8.10.4. Assessment of the patient after withdrawal of NIMV 

Module 9. Ethics, Innovation, and Research

9.1. Ethics and Legality in Non-Invasive Mechanical Ventilation 

9.1.1. Ethical Principles in Non-Invasive Mechanical Ventilation 
9.1.2. Patient Confidentiality and Privacy 
9.1.3. Professional and Legal Responsibility of Healthcare Personnel 
9.1.4. Regulations and Guidelines for Non-Invasive Mechanical Ventilation 
9.1.5. Civil and Criminal Liability in Non-Invasive Mechanical Ventilation 

9.2. Use of NIMV in Emergency Situations 

9.2.1. NIMV in Emergency Situations: Assessing Risks and Benefits in the Context of a Pandemic 
9.2.2. Selecting Patients for NIMV in Emergency Situations:  How to Choose the Most Suitable Patients? 
9.2.3. NIMV in Emergency Situations: Practical and Logistical Aspects in a High-Demand Environment 
9.2.4. The Role of Nursing Staff in the Application and Monitoring of NIMV in Emergency Situations 
9.2.5. Ethical and Legal Considerations in the Application of NIMV in Emergency Situations During and After the Pandemic 

9.3. Use of NIMV in Patients with Limited Decision-Making Capacity 

9.3.1. Ethical Considerations in Decision-Making for Patients with Limited Decision-Making Capacity in NIV 
9.3.2. Role of the Multidisciplinary Team in Assessment and Decision-Making 
9.3.3. Importance of Effective Communication with Family or Caregivers in Decision-Making 
9.3.4. Assessment of the Patient's Quality of Life and Capacity to Tolerate NIMV 
9.3.5. Analysis of the Potential Consequences of NIMV in Patients with Limited Decision-Making Capacity and Its Impact on Medical Decision-Making 

9.4. Use of Non-Invasive Mechanical Ventilation in End-of-Life Patients 

9.4.1. The Role of the Palliative Care Team in the Decision to Use NIMV at the End of Life 
9.4.2. Ethical Considerations in the Use of NIMV in End-of-Life Patients 
9.4.3. Psychological Impact on Patients and Families when Using NIMV at the End of Life 
9.4.4. Identifying Candidates for NIMV at the End of Life 
9.4.5. Alternatives to NIMV in Palliative Care 

9.5. Effective Communication in Non-Invasive Mechanical Ventilation 

9.5.1. Importance of Effective Communication in Healthcare 
9.5.2. Techniques for Effective Communication with Patients and Their Families 
9.5.3. Non-Verbal Communication in Non-Invasive Mechanical Ventilation 
9.5.4. Effective Communication in Planning the Discharge of Patients with Chronic NIMV 

9.6. Education and Training of Healthcare Personnel, Patients, and Families in Home NIMV Management 
9.7. Conflict Situations in the Management of Non-Invasive Mechanical Ventilation 

9.7.1. Challenges in the Application of NIMV in Morbidly Obese Patients 
9.7.2. Intolerance to Non-Invasive Mechanical Ventilation: Causes and Alternatives 
9.7.3. Approach to NIMV in Patients with Advanced Neuromuscular Disorders 

9.8. NIMV in Patient Care in the Context of Palliative Care 

9.8.1. Indications and Ethical Considerations 
9.8.2. NIMV in Patients with Terminal Illness: When to Initiate and Discontinue 

9.9. Innovation in Non-Invasive Mechanical Ventilation 

9.9.1. New Technologies in NIMV: Advanced Ventilators and Ventilation Modes 
9.9.2. NIMV in Sleep Apnea: Advances and Challenges 
9.9.3. NIMV at Home: Implications and Self-Care Recommendations 

9.10. Research in Non-Invasive Mechanical Ventilation Management 

9.10.1. Study Design in Non-Invasive Mechanical Ventilation Management 
9.10.2. Research 

9.10.2.1. Efficacy and Safety of NIMV 
9.10.2.2. Patient Quality of Life and Satisfaction 
9.10.2.3. Implementation and Dissemination of Guidelines and Recommendations for NIMV Management

Module 10. Monitoring in Chronic Home NIMV

10.1. Chronic Home Ventilation 

10.1.1. Definition of Chronic Home Ventilation 
10.1.2. Indications for Chronic Home Ventilation 
10.1.3. Types of Chronic Home Ventilation 
10.1.4. Benefits of Chronic Home Ventilation 

10.2. Monitoring Patients with Chronic Home Ventilation 

10.2.1. Parameters to Monitor 
10.2.2. Monitoring Methods 
10.2.3. Interpretation of Data Obtained During Monitoring 
10.2.4. Follow-Up and Evaluation Techniques 

10.3. Telemonitoring in Patients with Chronic Home Ventilation 

10.3.1. Definition 
10.3.2. Advantages and Disadvantages
10.3.3. Technologies Used 
10.3.4. Ethical and Legal Aspects

10.4. Organization of Consultations for Patients with Chronic Home Ventilation 

10.4.1. Definition of the Organization of Consultations for Patients with Chronic Home Ventilation 
10.4.2. Methods of Organizing Consultations 
10.4.3. Assessment of the Effectiveness of Consultation Organization 

10. 5. Nursing Care for Patients with Chronic Home Ventilation 

10.5.1. Role of Nursing in Management 
10.5.2. Nursing Care 
10.5.3. Patient and Caregiver Education 
10.5.4. Prevention and Management of Complications 

10.6. Management of Psychiatric Issues in Patients with Chronic Home Ventilation 

10.6.1. Prevalence of Anxiety and Depression 
10.6.2. Clinical Manifestations of Anxiety and Depression 
10.6.3. Strategies for Managing Anxiety and Depression 
10.6.4. Prevention of Anxiety and Depression 

10.7. Teleconsultation in Non-Invasive Mechanical Ventilation: Benefits and Limitations 

10.7.1. Advantages and Limitations of Teleconsultation in NIMV 
10.7.2. Use of Information Technologies in NIMV During the Pandemic 
10.7.3. Impact of Teleconsultation on the Quality of NIMV Care 
10.7.4. Factors Influencing the Effectiveness of Teleconsultation in NIMV 
10.7.5. Need for Protocols and Guidelines for Teleconsultation in NIMV 

10.8. Telehealth in NIMV 

10.8.1. Teleeducation and Teletraining: Opportunities and Challenges 
10.8.2. Legal and Ethical Aspects 

10.9. Telemedicine and NIMV in Various Contexts 

10.9.1. The COVID-19 Pandemic 
10.9.2. Rural and Hard-to-Access Areas: Strategies and Solutions 
10.9.3. In Developing Countries: Challenges and Opportunities 

10.10. Economic and Financial Evaluation of Telemedicine in Non-Invasive Mechanical Ventilation: Cost-Effectiveness and Sustainability 

10.10.1. Basic Concepts of Economic Evaluation in Telemedicine 
10.10.2. Cost-Effectiveness of Telemedicine in NIMV 
10.10.3. Cost Analysis of Teleconsultation in NIMV 
10.10.4. Financial Sustainability of Telemedicine in NIMV 
10.10.5. Limitations and Challenges in the Economic Evaluation of Telemedicine in NIMV

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