The essence of weaning is that critically-ill patients can resume unassisted breathing when minute ventilation demands and mechanical disturbances in the pulmonary system improve enough that their respiratory muscles can handle increased workloads without developing fatigue. Therefore, this lecture explains how respiratory muscle physiology is impacted by pulmonary disease and also how ventilator strategies either facilitate or stymie weaning. Both aspects are essential for clinicians to master the art of weaning.
Course created on June 29, 2023
On Demand
Course Type: Video, Audio
CEUs/Hours Offered: AARC - CRCE/1.0; CE Broker/1.0 Direct Delivery Of Respiratory Care Services, CE Broker #20-1089504; IACET/0.1
Learning Outcomes
- After this course, participants will be able to list various alterations in chest mechanics and respiratory muscle function that promote ventilator dependence.
- After this course, participants will be able to explain circumstances surrounding the re-emergence of spontaneous breathing trials as being the most efficacious and practical method for discontinuing assisted mechanical ventilation.
- After this course, participants will be able to identify circumstances in which prolonged, gradual weaning is indicated and the respiratory muscle rehabilitation techniques used as part of this approach.
Agenda
| 0-5 Minutes | Introduction |
| 5-15 Minutes | Background: How respiratory disease impacts respiratory muscle function and weaning |
| 15-25 Minutes | History of MV and weaning: Full vs. partial ventilatory support |
| 25-40 Minutes | 1990-2000: What clinical trials tell us about how to wean |
| 40-50 Minutes | Practical considerations: How workload and fatigue susceptibility should guide our approach to weaning |
| 50-55 Minutes | How to monitor patients during weaning trials |
| 55-60 Minutes | Summary, Q&A |
Reviews
127 ReviewsPresented By
Rich Kallet
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 # 189663000
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, Oklahoma, or South Carolina, 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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