2017 Optimizing Mechanical Ventilation

Caring for the patient receiving mechanical ventilation is complex and multifaceted. This collection of videos provides detailed discussions with experts on three facets of optimizing mechanical ventilation: humidification, prevention of ventilator-associated events, and patient-ventilator synchrony.

This course includes the following videos:

  • Humidification During Mechanical Ventilation - A Review of the Literature (Richard Branson and Thomas Kallstrom)
  • VAP to VAE: Implications for the Respiratory Therapist (Dean Hess and Kathy Deakins)
  • Optimizing Patient-Ventilator Synchrony (Robert Kacmarek and Douglas Laher)

**Please note that all programs require the participant to view the entire program prior to taking the final quiz and obtaining a course certificate.**

 

This course includes the following videos:

  • Caring for Patients with Chronic Critical Illness (Shannon Carson and Neil MacIntyre)
  • Managing the Chronically Ill Pediatric Respiratory Patient (Bruce Rubin and Timothy Myers)
  • Get 'Em Movin' - Early Mobility for Ventilator-Dependent Patients (Eddy Fan and Dean Hess)

**Please note that all programs require the participant to view the entire program prior to taking the final quiz and obtaining a course certificate.**

Seminar Information
Seminar Date:
January 11, 2017
Expiration Date:
December 31, 2017 11:59 PM
Seminar Objectives
  • Program #2: Explain why monitoring of ventilator-associated pneumonia is unreliable; given FiO2 and PEEP, determine whether a ventilator-associated condition is present; distinguish between ventilator-associated condition, infection-related ventilator-associated complication, possible and probable ventilator-associated pneumonia; describe strategies that can be used by respiratory therapists to lower the risk of ventilator-associated pneumonia
  • Program #3: Discuss the differences in gas delivery between volume and pressure ventilation and how it affects the likelihood of asynchrony; discuss steps to take to reverse flow asynchrony in both volume and pressure ventilation; discuss the impact of air trapping on the development of asynchrony and methods of reducing asynchrony; discuss under what circumstances cycling asynchrony develops and how to correct it
  • Program #1: Compare and contrast the advantages and disadvantages of HME’s and heated humidifiers; describe the impact of HME deadspace and resistance on work of breathing and ventilation efficiency; list the salutary effects of heating and humidifying inspired gases during non-invasive ventilation; describe the impact of humidification devices on the risk of ventilator associated pneumonia
Humidification During Mechanical Ventilation-A Review of the Literature

This presentation examines the options for airway humidification in patients with artificial airways requiring invasive mechanical ventilation across all venues of care and during prolonged transport. Humidification during non-invasive ventilation will also be reviewed. Indications, contraindications, hazards/complications, monitoring, infection control and other relevant topics are discussed.

This video is approximately 1 hour and 7 minutes in length.

This presentation is sponsored in part by an unrestricted educational grant from Teleflex.

Speaker Information
Rich Branson MSc, RRT, FAARC  [ view bio ]
Thomas Kallstrom   [ view bio ]
VAP to VAE: Implications for the Respiratory Therapist

Because there is no reliable definition for ventilator-associated pneumonia (VAP), the CDC convened a multidisciplinary group to develop a new surveillance definition. The result is a tiered approach that focuses on ventilator-associated events (VAE). A ventilator-associated condition (VAC) is defined as worsening oxygenation after a period of stability or improvement on the ventilator. An infection-related ventilator-associated complication (IVAC) is associated with measures of body temperature, or white blood cell count, and initiation of a new antimicrobial agent. Assessment of respiratory secretions informs the definition of possible or probable VAP. The VAE definitions will detect a wide variety of complications in patients on mechanical ventilation. VAE surveillance will require close working relationships among respiratory therapists and infection prevention personnel. VAE prevention presents many opportunities for respiratory therapists. These include use of noninvasive ventilation, implementation of lung-protective ventilation strategies, ventilator discontinuation protocols, and VAP prevention strategies.

This video is approximately 57 minutes in length.

This presentation is sponsored in part by an unrestricted educational grant from CareFusion.

Speaker Information
Kathy Deakins MHA, RRT-NPS, FAARC   [ view bio ]
Dean Hess PhD, RRT, FAARC   [ view bio ]
Optimizing Patient-Ventilator Synchrony

This presentation will examine the issues associated with patient-ventilator synchrony including ventilator performance, patient characteristics, the patient-ventilator interface, and modes of ventilation. Additionally, evidence supporting the perception that ventilator asynchrony is associated with poor patient outcomes will be reviewed.

This presentation is approximately 1  hour in length.

This presentation is sponsored in part by an unrestricted educational grant from Dräger.

Speaker Information
Robert Kacmarek PhD, RRT, FAARC   [ view bio ]
Douglas Laher MBA, RRT, FAARC   [ view bio ]
Individual topic purchase: Selected
American Association for Respiratory Care
Continuing Respiratory Care Education: 3.00
Products
This seminar is no longer available for purchase.