How do you decide between non-invasive and invasive ventilation? If you decide on non-invasive ventilation (NIV), how do you choose between heated high flow nasal cannula (HFNC), C-pap, or Bipap? And what critical decision-making tools do you utilize when escalating to intubation? In this podcast episode, we are joined by Flight Respiratory Therapist, Jon Inkrott, to answer those questions and more.
Jon C. Inkrott, RRT, RRT-ACCS is a native of Sarasota, Florida and started his career in 1993 at Manatee Memorial Hospital in Bradenton, Florida. His career paths have afforded him successful positions at Orlando Regional Medical Center, University of Cincinnati Medical Center, The Christ Hospital Cincinnati and currently as a Flight Respiratory Therapist with the AdventHealth Flight 1 Program in Orlando, Florida. He is the Section Chair for the American Association for Respiratory Care’s Surface and Air Transport Section and is the Associate Director for the Florida Society for Respiratory Care’s Central Florida Region. His areas of interest include ARDS and ARDS Prevention, Lung Protective Ventilation Strategies, advanced ventilation modalities, NIV in the ARDS patient, and critical care transport education. Along with presentations in association with the CDC’s Strategic National Stockpile, he has presented multiple times at the AARC Congress and AMTC. He serves as a peer reviewer for the Air Medical Journal, has been published in the Respiratory Care Journal, the Air Medical Journal, and has co-authored two book chapters in the Mechanical Ventilation, First Edition textbook (Shelledy, D; Peters, J.; Jones &Bartlett, 2020; ISBN 9780000125934).
See Jon’s published article here.
A. Nicolini, IM Piroddi, C. Barloscini, R. Seneraga; “Predictors of Non-Invasive Ventilation Failure in Severe Respiratory Failure Due to Community Acquired Pneumonia”, Tannafos ; 2014; 13(4): 20–28.
Inkrott, J; “The Call…”, Air Medical Journal 2021. doi: 10.1016/j.amj.2021.05.011.
Vaudan S, Ratano D, Beuret P, Hauptmann J, Contal O, Garin N; “Impact of a Dedicated Noninvasive Ventilation Team on Intubation and Mortality Rates in Severe COPD Exacerbations”, Respiratory Care 2015 Oct;60(10):1404-8. doi: 10.4187/respcare.03844.
Zhan Q, Sun B, Liang L, Yan X, Zhang L, Yang J, et al. “Early use of noninvasive positive pressure ventilation for acute lung injury: a multicenter randomized controlled trial”, Crit Care Med 2012;40(2):455-460.
Ferrer M, Esquinas A, Leon M, Gonzalez G, Alarcon A, Torres A.; “Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial.” Am J Respir Crit Care Med 2003;168(12):1438-1444.
Kumar A, Zarychanski R, Pinto R, Cook DJ, Marshall J, Lacroix J, et al. “Critically ill patients with 2009 influenza A (H1N1) infection in Canada.” JAMA 2009;302(17):1872-1879.
Rajesh Chawla, Jaimin Mansuriya, Nikhil Modi, Abha Pandey, Deven Juneja, Aakanksha Chawla, Sudha Kansal, “Acute Respiratory Distress Syndrome: Predictors of Noninvasive Ventilation Failure and Intensive Care Unit Mortality in Clinical Practice”, Journal of Critical Care, Feb 2016 Volume 31, Issue 1, Pages 26-30.
JP Frat, A Thille, A Mercat, C Girault, et al. (FLORALI Study Group); “High-Flow Oxygen through Nasal Cannula in Acute Hypoxemic Respiratory Failure”, June 4, 2015 New England Journal of Medicine ,372:2185-2196 DOI: 10.1056/NEJMoa1503326
S. Raoof, MD, FCCP; S. Nava, MD; C Carpati, MD; NS Hill, MD; “High-Flow, Noninvasive Ventilation and Awake (Non-intubation) Proning in Patients With Coronavirus Disease 2019 With Respiratory Failure”, CHEST 2020; 158(5):1992-2002
R Beckl “Use of Helmet-Based Noninvasive Ventilation in Air Medical Transport of Coronavirus Disease 2019 Patients”, Air Medical Journal January 1, 2021. Vol.40, Issue 1, pgs 16-19