Assessment of Pulmonary Mechanics by Measuring Transpulmonary Pressure
Course: #1785Level: Advanced 1 Hour 81 Reviews
Using airway pressure measurements to assess potential lung injury is limited because it represents stress applied to both the lung and chest wall. This lecture describes the technique of measuring esophageal pressure to isolate lung stress, and uses a clinical scenario to demonstrate how this helps setting the ventilator in severe ARDS.
On Demand
Course Type: Video
CEUs/Hours Offered: AARC - CRCE/1.0; CE Broker/1.0 Direct Delivery Of Respiratory Care Services, CE Broker #20-1081782; IACET/0.1
Course Preview
Watch the first six minutes of the course. Register for immediate access to the full course, which will also appear on your Pending Courses page.
Learning Outcomes
- After this course, participants will be able to describe aspects of esophageal balloon placement and how to detect artifacts from improper placement or balloon filling.
- After this course, participants will be able to identify formulas describing transpulmonary end-inspiratory pressure and end-expiratory pressure.
- After this course, participants will be able to describe anticipated changes in transpulmonary pressures in response to PEEP and tidal volume changes.
Course created on June 15, 2023
Agenda
| 0-5 Minutes | Introduction |
| 5-20 Minutes | Esophageal balloon positioning technique and rationale |
| 20-35 Minutes | How chest mechanics influences airway pressure transmission to the pleural cavity |
| 35-45 Minutes | The EPV studies of transpulmonary pressure-guided PEEP in ARDS |
| 45-55 Minutes | Case Study |
| 55-60 Minutes | Summary, Q&A |
Reviews
81 ReviewsPresented By
Rich Kallet
MS RRT, FCCM, FAARC
Rich Kallet has been a respiratory therapist for over 40 years having obtained his baccalaureate degree in cardiorespiratory science from the State University of New York Upstate Medical Center in Syracuse, NY, and his master od science degree at San Francisco State University. He spent most of career working for the University of California, San Francisco at San Francisco General Hospital and Trauma Center before retiring in 2018 as Director of Clinical Research and Quality Assurance for the Respiratory Care Department. Between 1996-2007 he was a research coordinator for the NIH ARDS Network at UCSF and from 2014-2020 he was an associate editor of the journal Respiratory Care. Over the past year Rich has served as respiratory care technical advisor on COVID-19 to both the World Health Organization and United States Agency for International Development.
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Sponsor Disclosure: This Course is presented by Continued Respiratory Therapy.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
Course participation information
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American Association for Respiratory Care
This non-traditional program has been approved for a maximum of 1 contact hour(s) Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063. Course # 189719000
CE Broker
Continued Respiratory Therapy is an approved provider for CE Broker, provider #50-30700. This course is offered for 1.0 hours. If you are a licensed respiratory therapist in Alabama, Florida, Georgia, Kansas, Louisiana, Mississippi, New Hampshire, Oklahoma, South Carolina or Texas, CE Broker may be of interest to you. For Florida respiratory therapists, this course is registered in the Direct Delivery of Respiratory Care Services category.
International Association for Continuing Education and Training
Continued, LLC, is accredited by the International Association for Continuing Education and Training (IACET). Continued complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, Continued is authorized to issue the IACET CEU. Continued, LLC, is authorized by IACET to offer 0.1 CEUs for this program.
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