Is There A Role For High Flow
Nasal Therapy In the
Emergency Department?



Wednesday June 3, 2020



12 PM ET; 11 AM CT; 9AM PT



Ruben D Restrepo MD RRT FAARC FCCP

Professor - Division of Respiratory Care

UT Health San Antonio, TX


Ruth Karales, BS, RRT

Manager, Respiratory Care Services

Rush Copley Medical Center, IL




Nearly 2,000 articles have been published over the last 10 years on high flow nasal therapy (HFNT). It is a treatment modality that has been proven to be a viable alternative to conventional oxygen therapy, and in some cases, to noninvasive ventilation. Significant improvements in oxygenation, reduction of work of breathing, lower rates of intubation have been some of the positive outcomes associated with the use of HFNT in clinical settings such as the  acute care and ICU. HFNT has shown to have a positive role in the ED has well. The goal of this webinar is to clarify the role of HFNT in the management of patients with respiratory distress in the ED through a review of the evidence and the results of a recent hospital-based study.


Learning Objectives:

After this activity, the participant will be able to:

  1. Describe the physiologic mechanisms in HFNT that helps reduce the WOB in acute respiratory distress
  2. Describe the potential role of using HFNT in the ED to reduce rate of admissions
  3. Identify important predictors of success after using HFNT for the hypoxemic patient in the ED
  4. Discuss the evidence comparing HFNT, conventional oxygen therapy and NIV in the ED


Faculty Bio:

Ruben Restrepo, MD, RRT, FAARC is Professor and Coordinator of Research in the Department of Respiratory Care at the University of Texas Health Science Center at San Antonio, Texas. Trained in medicine in Medellin, Columbia, Dr. Restrepo went on to academic positions at Georgia State University and then at the University of Texas. He has published widely in the field of respiratory care, including book chapters and articles, and has given many presentations. He is a reviewer for several major journals in respiratory and pulmonary medicine and is the recipient of many honors and awards for his teaching, publications, and volunteer work.


Ruth Karales, BS, RRT is the Manager of Respiratory Care at the Rush Copley Medical Center. She has nearly 40 years of experience in the field of respiratory care in progessively more senior management roles.  Ms. Karales participates in a Joint Commission and CAP surveys and coding for her facility.  Her academic activities include advisory board member for College of Dupage Respiratory Care program.



Continuing Education for Nurses and Respiratory Therapists

This program has been approved for 1.0 contact hour. Continuing Respiratory Care Education (CRCE) credit by the American Association of Respiratory Care. This education activity is approved for 1.0 contact hour. Provider approved by California Board of Nursing, Provider # 14477 and the Florida Board of Nursing Provider # 50-17032


Educational support provided by Teleflex

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