Presenters: Candice Devlin, MS, CCC-SLP, BCS-S & Rory O'Bryan, MS, CCC-SLP, BCS-S
There is emerging, though limited research evaluating the effects of high flow oxygen on adult swallowing function. The presenters have gathered literature reviewing various oxygen therapies, their impact on the upper aerodigestive tract, and potential effects on adult physiologic swallowing. They will discuss the clinical importance of appropriate patient selection and swallowing evaluations and management in this population.
This course is offered for 0.1 ASHA CEUs – 1 contact hour.
Course Overview – Run Time: 1:04:33
– S.V., prior course participant
– L.N., prior course participant
The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.
"Benefits of high flow and research articles were helpful. I liked the patient examples at the end." C.H. (Nov. 2023)
"Understanding the various types of masks and devices and what they do was beneficial. And swallowing considerations of various devices. I liked ability to take this course at home." J.S. (Nov. 2023)
"Very user-friendly course. I liked the examples of patients, tables to summarize studies, and differences between Flow and FiO2. I loved the classification of O2 needs and when to evaluate or what to suggest replacement with to RT." R.P. (Nov. 2023)
"I liked the combination of subjective experience on HFNC and review of peer-reviewed findings. The review of research in hospital settings was helpful." D.K. (Nov. 2023)
"Learned the effects of flow, delivery, and FiO2 on swallowing function." E.G. (Nov. 2023)
"Everything was applicable. I appreciated the recognition of the need for patient population research assessments." A.C. (Nov. 2023)
"All material was excellent. Found it very practical, especially for the therapist working in ICU or an extended stay hospital." M.P. (Nov. 2023)
"The video of the presenter using a HFNC and hearing her opinion on the effects on her swallowing was beneficial." J.B. (Nov. 2023)
"Loved the videos! The review of the studies helped me learn general principles to apply when seeing patients." K.W. (Nov. 2023)
"Functional course. The swallow evaluation was beneficial." S.H. (Nov. 2023)
"Great videos of actual patients, and seeing the speaker in the smaller window was great. It was beneficial to discuss HFNC with impact on swallowing, not a barrier necessarily." A.Z. (Nov. 2023)
"This course will assist me with educating my students." C.Q. (Nov. 2023)
"I liked the recommendations for swallow evaluation with high flow nasal cannula." N.L. (Sep. 2023)
"We have periodically had consumers discharged from the hospital back to their residences on oxygen or some individuals who have COPD exacerbation. It has always been a question as to how much (either positively or negatively) this would impact swallow. This course will help with providing me with the necessary background information I was lacking and help to differentiate masks, etc. I liked the video of presenters testing out the high flow nasal cannula." D.C. (Sep. 2023)
"Detailed explanation of LPM vs FiO2 and the amount delivered by the different masks and nasal cannulas." E.C. (Aug. 2023)
"Succinct presentation! The instruction on how to determine candidates for swallow evaluations based on respiratory state/acuity was helpful." S.K. (Aug. 2023)
"Need of instrumental ax with HFNC patients was a beneficial topic. I liked that the presenter took time to explain respiratory parameters." A.C. (Jul. 2023)
"Discussion of HFNC and its effect on swallowing was beneficial. I liked the pictures, video examples, and case studies." D.K. (Jul. 2023)
"I liked that this course went through each type of supplemental oxygen device with pictures. I also particularly liked the chart highlighting the HFNC research. And clinical practice with HFNC and need for instrumental swallow study with specific statistics highlighting the importance of an instrumental." K.L. (Jun. 2023)
"Discussing the different types of devices was beneficial. I liked the example videos." A.G. (May 2023)
"Clear delineation of devices and specific purpose. Great literature support." J.S. (May 2023)
"This course was excellent. I liked the example of the therapist using high-flow nasal cannula and describing what she was feeling as the flow rate was increased. She described what she felt as she swallowed sips of water. Great visual!! This was useful information that will help me as I work in a LTACH. I can use information learned to better educate colleagues and patients/family." S.D. (Apr. 2023)
"Understanding different oxygen therapies and deliveries. I liked the patient case studies and review of evidence." R.P. (Apr. 2023)
"Possible implications of HFNC on swallowing and the need to push for instrumentals in this population. I liked the research review." A.D. (Apr. 2023)
"I liked the discussion of different types of oxygen devices. And that the course was at my own pace and when I had time." J.K. (Apr. 2023)
"The literature review and the impacts of HFNC in patient populations was beneficial. I liked the explicit review of the literature and the quality of the evidence." M.B. (Apr. 2023)
"The information about oxygen settings and the need for instrumental swallowing evaluations was beneficial. I liked the slides and especially the video." J.K. (Apr. 2023)
"Research showing the implications of HFNC on patients and the percentage of patients with dysphagia requiring diet modifications. Relevant to my practice in the ICU. Slow, clearly presented information allowing more time to process. A good amount of information in a short period of time." N.B. (Mar. 2023)
"Well presented, straightforward, and very clinically relevant. It was beneficial to learn the need for instrumentals on hi flow." A.K. (Mar. 2023)
"Course took complex ideas and broke it into pieces. Great details about the most current research and best practices (EBP). Included background knowledge, basic understanding of air intake/management as they impact dysphagia assessments and treatment models." S.V. (Mar. 2023)
"I liked the statistics regarding the percentage of patients on HFNC who ended up with dysphagia diets or findings of silent penetration or aspiration per instrumental swallow evaluation. And comparison of research study results with healthy populations to patient populations." L.M. (Feb. 2023)
"I found this course very helpful to have a better understanding of FIO2 and flow. I liked the presenters." L.M. (Feb. 2023)
"Explanation of the different oxygen devices was beneficial. I liked the explanation of flow vs FI02." R.K. (Feb. 2023)
"Direct application to swallow assessment. Understanding flow rate vs FiO2, timing of assessment, review of literature." R.B. (Jan. 2023)
"The whole course was very applicable to my daily practice. The subject matter was perfect for my needs." K.A. (Jan. 2023)
"This course was convenient. Learning about the clinical implications that increased flow rate has on cognitively impaired individuals who are unable to spontaneously utilize compensatory strategies was beneficial." A.W. (Dec. 2022)
"I liked the supplemental videos of the equipment in use. Currently I work on acute rehab and we see very few patients on FiO2 or HFNC, but, it's relevant for patients who come from acute floors and/or have a history of ARDS, etc. Very useful information to know." R.H. (Dec. 2022)
"I found the information regarding various respiratory support devices helped me to understand severity of respiratory health and when a clinical swallow assessment was/was not appropriate. I liked learning about devices to assist with respiratory support." E.B. (Dec. 2022)
"All of the information was beneficial. Short and direct." R.D. (Dec. 2022)
"The organization of the subject matter was good. Importance of instrumental evaluation for ALL HFNC patients." O.N. (Dec. 2022)
"I liked all of it. Thorough coverage of information with practical application." D.R. (Dec. 2022)
"I found the portion dedicated to decision-making about how and when to proceed with SLP exam to be very beneficial. The video demonstrations were powerful and a very helpful addition to the written and research information." K.C. (Dec. 2022)
"All of it!!!! This should be a required course at the graduate level for those programs trying to focus their programming on Medical Speech Pathology." S.A. (Nov. 2022)
"Good explanation of the different mask types and whether or not they are a barrier to the swallow eval and why. I liked the actual videos and chart summarizing the studies." E.D. (Nov. 2022)
"Knowing the different types from least to most supportive and when to complete a clinical evaluation or not was beneficial information. The course was professional, informative, and sequenced well." V.S. (Nov. 2022)
"I loved the research and the stats. Lots of why and why not. Great rationale." J.C. (Nov. 2022)
"Good review of current studies. Liked the format of discussion with examples." S.Y. (Nov. 2022)
"Clear descriptions of various oxygen support devices and how they affect swallow studies. Learning when SLP's should consult with respiratory therapists and why." M.T. (Nov. 2022)
"It was a good starter course to understand the basics and gave good information regarding clinical decision making for when to evaluate or not." T.M. (Nov. 2022)
"I liked the video examples. And differentiating between the uses of masks and if swallow evaluation can be performed." B.S. (Oct. 2022)
"Thorough and easy to follow." M.W. (Oct. 2022)
"Learning when to evaluate and when not to evaluate was new information for me." D.P. (Oct. 2022)
"The discussion of HVNC and clinical relevance was good." J.R. (Oct. 2022)
"I liked the review of recent studies and review comparison of FIO2 and Flow. Good use of mixed media - slides, videos." M.F. (Oct. 2022)
"I appreciated the breakdown of different oxygen therapies as well as recommendations for whether bedside swallow evaluation is indicated for each one." M.B. (Oct. 2022)
"I liked the explanation of high vs normal flow and various oxygen applications." M.V. (Oct. 2022)
"I have a better understanding of O2 rates and the definition of terms. I liked that I could stop and start course when I needed." S.B. (Sept. 2022)
"The presentation was clear and well-founded. The slides and videos added to my understanding. Helped me with troubleshooting self-feeding/oral intake issues with patients on HFNC." S.S. (Sept. 2022)
"The videos were very informative, the photos of the types of cannulas and masks were helpful. And learning the different types of oxygen deliveries and applications." G.S. (Sept. 2022)
"The case studies, visuals, such as videos and photos, were helpful. The information was clearly presented and explained." E.G. (Aug. 2022)
"Highlighting the need for instrumental swallow evaluation with patients O2 dependent was beneficial." A.S. (Aug. 2022)
"I liked how it really made me realize how important the MBS is in this population given 86% needed modified diets. I also thought it was interesting how there really is no obvious "cut off" for flow rate on HFNC given results of research. It was a nice review of the devices and I liked how they discussed what is a likely comparable option to discuss with mask delivery method. I think it will open good conversations with my RTs." J.F. (Aug. 2022)
"Course was easy to follow. Learning to determine which oxygen treatments need to consult with RT prior to initiating swallow evaluation was good." T.R. (July 2022)
"The course is clear and concise. I liked the explanations of various oxygen therapies." W.W. (June 2022)
"Course was very clear. I understand HFNC better and how it relates to dysphagia." J.G. (June 2022)
"The course was very detailed and informative, I recommend it." Y.C. (June 2022)
"Course was convenient and easy to understand. I liked all the topics discussed." K.S. (May 2022)
"I liked the discussion of clinical decision making regarding swallow evaluation of pts on high flow nasal cannula. Important points were reviewed throughout the course." R.P. (May 2022)
"I liked the overview of the different oxygen devices, and the convenience of being able to pause, stop, and come back to the course." K.H. (May 2022)
"It was informative, but not overwhelmingly long. Understanding flow vs. FiO2 and the impacts that the higher rates may have on swallowing was beneficial." A.D. (Apr. 2022)
"Great detail provided to differentiate types of respiratory support, function, and results." B.S. (Apr. 2022)
"I liked seeing the video of the clinician swallowing water and describing how it felt differently with swallowing when she had high flow nasal cannula." J.S. (Apr. 2022)
"I liked the description of various oxygen delivery options and the research re: PAS and MBSImP as it relates to oxygen delivery and dysphagia." M.H. (Apr. 2022)
"It was beneficial learning about the different types of oxygen and modes they are delivered and how this will affect my swallow evals." J.S. (Apr. 2022)
"I liked reviewing different supplemental O2 delivery systems and the literature on HFNC in acute patients – practical information." M.F. (Mar. 2022)
"Learning even those with a normal swallow were impacted by increased flow, leading us to believe that the swallow of impaired patients would be further exacerbated. Well organized and easy to follow course." R.C. (Mar. 2022)
"I gained more perspective on swallow function w/ patients who require supplemental oxygen. I liked the example videos." B.W. (Mar. 2022)
"I liked the discussion of who is a good candidate for swallow studies based on their oxygen therapy current use or history. I enjoyed the videos shown of the flow on a "healthy" person vs the ones they showed on active patients of theirs." M.V. (Feb. 2022)
"The discussion pointing out FLOW vs FiO2 and what it means for the respiratory status of the pt (work of breathing vs. hypoxia) is beneficial to my daily practice. Loved the hierarchical presentation and discussion of O2 systems. The topics covered including the patient specific determinants and supporting research was so helpful in facilitating critical thinking for managing swallow evals in this population!" G.O. (Feb. 2022)
"Great course all around. Handouts were clear and easy to review." A.A. (Feb. 2022)
"I liked the different types of oxygen delivery and the current research available on HFNC and swallowing evaluations, and learning about the different types of oxygen delivery systems and which present barriers to swallow evals." S.S. (Feb. 2022)
"I liked all the relevant studies and background knowledge. Excellent handouts and videos." C.C. (Feb. 2022)
"I liked the presentation by the speakers and videos of patients with different examples of the cannulas." A.C. (Jan. 2022)
"Enhanced my critical thinking skills for assessment and intervention demands of respiratory compromised patients." D.D. (Jan. 2022)
"Good flow related to content of presentation." K.S. (Jan. 2022)
"I found it beneficial discussing practical recommendations - such as alternate oxygen delivery when someone is placed in a mask. I also thought it was helpful hearing the research initially and at the completion of the session of overall impact on swallow delay, airway protection/closure, etc." K.M. (Dec. 2021)
"This course provided up to date research on swallowing assessments for patients using HFNC that was very functional and helpful to the every day clinician." A.H. (Dec. 2021)
"Very practical information in the era of covid and increased prevalence of HFNC on my caseload." L.N. (Nov. 2021)
"Thank you for lots of research from actual source articles." E.K.F. (Nov. 2021)
"I could fit it into my schedule and take several days to complete course. I also found the subject relevant to what I am seeing in practice right now." S.J. (Nov. 2021)
"I liked the examples of the speakers demonstrating the HFNC. Also liked their examples of patients and their dx and clinical numbers. The review of respiration and ventilation was beneficial for my daily practice." L.B. (Nov. 2021)
"Information on when to complete an SLP bedside evaluation with supporting information to provide. Completion of instrumental assessment with all patients on high flow NC no matter what the bedside assessment found. Information about the difference between flow and FIO2. Hierarchy of oxygenation and impacts on SLP evaluation benefit my daily practice. I liked the video of the impact of high flow on the SLP and her descriptions of what she felt with each increasing flow rate. Review of the literature. Conclusions, although still needing more research, were helpful in confirming and supporting our current practice." C.W. (Nov. 2021)
"I liked to be able to replay video for an unsure topics for better understanding - can watch videos at anytime and anywhere." N.R. (Oct. 2021)
"The information was excellent!" E.C. (Oct. 2021)
"Learning the various oxygen therapies was good, and when to conduct a swallowing assessment. I liked going over each specific oxygen therapy, as well as the demonstrations." R.M. (Sept. 2021)
"The presenters provided a clear explanation of all of the devices used to provide respiratory support, how they work and the progression of when these would be used based on severity of respiratory disease. The videos made it more relevant and interesting and explanation of what the high flow is doing and how it is adjusted was very helpful. I also appreciated the case studies describing criteria to look for to determine appropriateness of dysphagia evaluation or treatment." J.B. (Sept. 2021)
Candice Devlin, MS, CCC-SLP, BCS-S, is a Board Certified Specialist in Swallowing and Swallowing Disorders. She has worked as a medical Speech-Language Pathologist at Duke Regional Hospital in Durham, NC for 10 years, evaluating and treating adults in the acute care and acute rehabilitation settings. She also serves as a fee basis employee at the Durham VA Medical Center. Her primary area of interest is dysphagia especially in the tracheostomy and ventilator dependent patient populations, as well as neurogenic dysphagia. She has been instrumental in developing and bringing Respiratory Muscle Training, In-Line Passy-Muir Valve, and IDDSI programs to Duke Regional Hospital. Ms. Devlin earned her Master’s in Communication Sciences and Disorders from East Carolina University.
Financial — Candice Devlin is the presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Candice Devlin has no relevant nonfinancial relationships to disclose.
Rory O’Bryan, MS, CCC-SLP, BCS-S, is a Board Certified Specialist in Swallowing and Swallowing Disorders. She has worked as a medical Speech-Language Pathologist at Duke Regional Hospital in Durham, NC for 9 years, evaluating and treating adults in the acute care and acute rehabilitation settings. She serves as a fee basis employee at the Durham VA Medical Center, where she also completed her Clinical Fellowship in 2011. Her primary area of interest is dysphagia, particularly in the medically complex populations, as well as neurogenic dysphagia. She has been instrumental in developing and bringing Respiratory Muscle Training and IDDSI programs to Duke Regional Hospital. Rory also serves as the student coordinator for graduate student clinicians at DRH. Ms. O’Bryan earned her Master’s in Communication Sciences and Disorders from University of North Carolina.
Financial — Rory O'Bryan is the presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Rory O'Bryan has no relevant nonfinancial relationships to disclose.
This program is offered for 0.1 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.
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However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
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ASHA CE Registry Submission:
During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
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