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Academy Archive

View the archived version of webinars. Select presentations are available for continuing education credit and will be indicated at the start of the presentation.

APRV Case Studies in Neurological Patients

10/26/2018 02:00 PM       Provide a background on ventilation needs in neurocritical care patients and go over select cases illustrating the benefits of the use of APRV in this patient population.

The Pathophysiology of ARDS

10/26/2018 12:00 PM       Understanding pathophysiology of acute respiratory distress syndrome The relation between ventilator induced lung injury and ARDS Current ventilation strategies

The RT Roles in Surviving Sepsis

10/26/2018 10:00 AM       Review of sepsis definitions, pathophysiology and treatment. Focus on CMS and surviving sepsis campaign bundles and initiatives, respectively. Review of lung prevention in sepsis patients.

Agitation, Sedation, and Delirium in the ICU: New Guidelines and Evidence

10/25/2018 02:00 PM       This program will provide an overview of pain, agitation, and delirium management in the ICU. This will include a review of evidence and guidelines, including the newly updated Society of Critical Care Medicine Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Both pharmacologic and non-pharmacologic interventions will be discussed.

Automated Weaning Systems

10/25/2018 10:00 AM       It is estimated that 75% of the patient’s placed onto mechanical ventilation are weaned with the first spontaneous breathing trial. This means that 25% of the patients fail the first weaning trial. Weaning plans and protocols must be developed and implemented with the goal of liberating these patients from mechanical ventilation. Weaning patients manually places an extra burden on an already busy RT staff. Automated weaning systems may free up valuable time and may actually help to reduce possible stresses on these weaning patients. This lecture will describe the automated weaning processes available today with an emphasis on SmartCare®.

APRV Concepts

10/24/2018 07:00 PM       Airway Pressure Release Ventilation or APRV, while being available for almost 30 years is still often referred to as a “New” mode of ventilation. This lecture will familiarize the participants with the concepts behind the application of one form of APRV referred to as H-APRV. H- APRV has been developed by Dr. Nader Habashi at the University of Maryland’s Shock Trauma Center.

Preventing Ventilator Induced Lung Injury : Summitting the Mountain

10/24/2018 02:00 PM       This lecture will propose various mechanisms by which mechanical ventilation strategies may help or harm the lung. Particular emphasis will be placed on the discrepancy between the macro-parameters we set on the ventilator (i.e. tidal volumes and pressures) and the actual impact these settings have on the micro-anatomy of the lung (i.e. alveoli and alveolar ducts). The lecture will focus on the role of lung micro-mechanics, including alveolar recruitment, tidal volume, micro-strain, and heterogeneity as mechanisms of ventilator induced lung injury and what combination of mechanical breath parameters are necessary to minimize this injury.

The Basics of Mechanical Ventilation in Neonates and Pediatric Patients

10/24/2018 12:00 PM       Offer a quick review of normal sign values for neonatal and pediatric patient population. Basic mechanical ventilation settings for neonatal and pediatric patients. What to be aware of when this patient population is being placed on mechanical ventilation.

Everything Non-Invasively with a Ventilator:  Neonatal/Pediatrics/Adults

10/24/2018 07:00 AM       Many of the ICU ventilators offer more than just invasive support for ventilation and oxygenation. This lecture will review how an ICU ventilator can be used for non-invasive ventilation, high-flow nasal cannula, and oxygen therapy. Will review the current literature on the various therapies for neonates, pediatrics, and adult patients.

Social Determinants of Respiratory Care

10/23/2018 03:00 PM       Sometimes we think the only thing that affects our patients is their physical health but other factors may have an equal impact on their wellbeing. Factors like where they live, how much money they make, their gender, and their ethnic background are just a few of the social determinants that can impact their health. This presentation will review some of the evidence that supports the connection between the two.

Mechanical Breath Magic: Gas Exchange without Tissue Damage in ARDS

10/23/2018 12:00 PM       The program will present the physiologic basis for protective mechanical ventilation to minimize VILI in patients with ARDS. The pathophysiology of ARDS, the syndrome most associated with VILI, will be described and the components of this pathology that make the lung so susceptible to a secondary VILI discussed. The physiology of dynamic alveolar inflation as a viscoelastic system will be reviewed and the use inspiratory and expiratory time to open and stabilize alveoli discussed. The use of our Time-Controlled Adaptive Ventilation (TCAV) as a protective ventilation strategy for patients with or at high risk of developing ARDS will be described.

To Cannulate or Ventilate: That is the Question

10/23/2018 10:00 AM       In recent years, applications of extracorporeal membrane oxygenation (ECMO) have expanded dramatically for VA-ECMO and VV-ECMO. In this lecture, the two speakers will debate if VV-ECMO is required for the treatment of ARDS.

Ventilator Graphics II

10/23/2018 07:00 AM       In this presentation we will explore basic end tidal CO2 graphics, loops in mechanical ventilation and examine the newer more automated systems for monitoring pulmonary mechanics currently available on the latest generation of mechanical ventilators.

Capnography: A More Responsive Added Layer of Safety for the Intubated ICU Patient

10/22/2018 03:00 PM       This program will end-tidal waveform characteristics from a simple glance point of view and demonstrate the versatility of ETCO2 monitoring. additionally the use of transcutaneous CO2 monitoring on the adult population will be explored.

Identifying Burnout and Building Resilience (Ethics Lecture)

10/22/2018 12:00 PM       A review of the importance of identifying burnout and resilience in modern healthcare. The definition of burnout is reviewed while evidence-based solutions in building resilience are presented.

Ventilator Graphics I

10/22/2018 07:00 AM       In this presentation we will be discussing the time scaler waveforms of the basic control types seen in mechanical ventilation. The lecture will also demonstrate how the basic control type waveforms will be displayed in various modes of ventilation. Evaluate control type of ventilation based on scalar graphics.

Proportional Pressure Support - Applications

09/25/2018 12:00 PM       One of the major goals of mechanical ventilation is supporting patients with respiratory insufficiency. A major challenge to this goal is having good synchronization between the mechanical ventilator and the patient. Proportional ventilation might offer the best systems yet devised for assisting patients with respiratory insufficiency. This lecture will concentrate on the unique aspects of proportional ventilation as compared other spontaneous modes.

Proportional Pressure Support - Ventilation Concepts

09/11/2018 12:00 PM       One of the major goals of mechanical ventilation is supporting patients with respiratory insufficiency. A major challenge to this goal is having good synchronization between the mechanical ventilator and the patient. Proportional ventilation might offer the best systems yet devised for assisting patients with respiratory insufficiency. This lecture will concentrate on the unique aspects of proportional ventilation as compared to current standard forms of mechanical ventilation and how different ventilating systems address this issue.

Hot Topics in Mechanical Ventilation

08/14/2018 12:00 PM       Artificial ventilation was first mentioned in the Bible. Artificial ventilations popularity has waxed and waned throughout recorded history. Since the mid 20th century mechanical ventilation has been steadily evolving. This lecture will be discussing the latest topics and issues being discussed in the literature as we move through the second decade of the 21st century.

APRV Case Studies

07/10/2018 12:00 PM      

Ventilator Associated Events

06/12/2018 12:00 PM       The CDC through the National Healthcare Safety Network (NHSN) is responsible for tracking the incidence of patient events occurring during hospital admission. Pre-2013 the NHSN tracked complications of mechanical ventilation by tracking VAP (Ventilator associated pneumonia). A primary component for the detection of VAP was the interpretation of the chest radiograph. VAP criteria and definitions are nether sensitive nor specific. In January 2013 the standard was changed to Ventilator Associated Events (VAE). VAE uses objective data for scoring which may be done automatically through the electronic medical record. In Reducing Ventilator Associated Events (VAE) we will discuss the working definition of VAE as it compares to the previous surveillance standard of Ventilator associated Pneumonia (VAP).

Advanced Graphics

05/22/2018 12:00 PM       In advanced ventilator graphics we will examine some of the more common (and uncommon) anomalies seen in waveform graphics. We will then look at the use of graphic loops in mechanical ventilation. And then finally we will examine the newest automated systems for monitoring patient ventilator interactions.

Ventilating the Asthmatic Patient

05/08/2018 12:00 PM       This presentation will discuss the unique problems associated with ventilating patients with severe asthma. Normally in the case of restrictive lung disease our concern is maintaining FRC and preventing complications such as repetitive closing and re-expansion of alveoli. Patients in asthma crisis have an acutely elevated FRC with severe gas trapping and the role of the mechanical ventilator is to maintain gas exchange while minimizing gas trapping with expiratory time and mindful application of PEEP.

Open Forum - Thought Provoking Questions about APRV

04/27/2018 07:00 AM       To provide an open forum discussion of common questions clinicians have about APRV. Review of recent literature and how to transition to APRV to assist to answer questions.

Ventilator Graphics I

04/26/2018 03:00 PM       In this presentation we will be discussing the time scaler waveforms of the basic control types seen in mechanical ventilation. The lecture will also demonstrate how the basic control type waveforms will be displayed in various modes of ventilation. Evaluate control type of ventilation based on scalar graphics.

Case Studies in Pediatric Emergencies

04/25/2018 03:00 PM       Several case studies are presented for discussion using best practices of Pediatric Advanced Life Support and pre-hospital medicine to access and treat from a respiratory care practitioner perspective.

Can the use of APRV Reduce the Incidence of ARDS?

04/25/2018 12:00 PM       To demonstrate the mechanism and efficacy of a novel Time Controlled Adaptive Ventilation (TCAV) strategy to reduce the incidence of ARDS

Everything Non-Invasively with a Ventilator

03/27/2018 12:00 PM       Many of the ICU ventilators offer more than just invasive support for ventilation and oxygenation. This lecture will review how an ICU ventilator can be used for non-invasive ventilation, high-flow nasal cannula, and oxygen therapy. Will review the current literature on the various therapies for neonates, pediatrics, and adult patients.

APRV Applications

03/13/2018 12:00 PM       This is the second part of a two part series on airway pressure release ventilation (APRV). This lecture will delve into the specifics of setting up the parameters used in P or personalized APRV.

APRV Concepts

02/13/2018 12:00 PM       Airway Pressure Release Ventilation or APRV, while being available for almost 30 years is still often referred to as a “New” mode of ventilation. This lecture will familiarize the participants with the concepts behind the application of one form of APRV referred to as H-APRV. H- APRV has been developed by Dr. Nader Habashi at the University of Maryland’s Shock Trauma Center.

Basic Waveform Graphics

02/01/2018 12:00 PM       Although graphic displays have been available on mechanical ventilators for thirty years a deficit in clinician knowledge remains. This lecture will describe the basic terminology and visual ques to recognize control types and basic patient – ventilator dis-synchronism as seen in scalar graphics.