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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.

Considerations when delivering mechanical ventilation to the COPD Patient

11/14/2017 12:00 PM    NEW! Chronic Obstructive Pulmonary Disease may have effects on the conducting airways, the lung parenchyma as well as the CO2 receptors. These changes to the normal lung anatomy and physiology may create some challenges in the approach to ventilating patients with COPD. This lecture will discuss changes to the lung with COPD and how the clinician might approach mechanical ventilation when ventilating these challenging patients.

Open Forum - Thought Provoking Questions about APRV

10/27/2017 12:00 PM       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.

Impact of Mechanical Ventilation at the Alveolar Level

10/27/2017 10:00 AM       Structure and function of the lung at the alveolar level with a focus on mechanical ventilation. Histological approach to the quantitative assessment of the terminal air space. Comparison between ventilatory protocols regarding their impact on histopathology. Parameters that quantify ventilator-induced lung injury.

APRV Application

10/27/2017 07:00 AM       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.

ECMO - What, Who, How

10/26/2017 05:00 PM       To familiarize respiratory therapists with VA and VV ECMO. To review current literature on how to manage ECMO patients.

Simulation on Any Budget: Maximizing Your Impact on Patient Safety

10/26/2017 02:00 PM       To demonstrate the benefits of a Simulation Lab and it can be done on any budget

Part II - Non-Invasive CO2 Monitoring in the NICU

10/26/2017 12:00 PM       Discuss non-invasive methods of monitoring CO2 in pre-term infants

Part I - CO2 Monitoring in the NICU

10/26/2017 10:00 AM       Discuss CO2 influence in pre-term infants

Ventilator Graphics II

10/25/2017 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.

Time Controlled PEEP - A Product of Properly Set APRV

10/24/2017 03:00 PM       I will review the currently accepted mechanisms that lead to ventilator induced lung injury. I will relate these mechanisms to the work performed in our lab over the last decade. I will share current research coming from the lab on the role that time plays in APRV and how it may offer new knowledge into stabilizing the lung.

Bronchiolitis

10/24/2017 12:00 PM       This presentation will review the pathophysiology, epidemiology and treatment of RSV/ bronchiolitis

Ventilator Graphics I

10/24/2017 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.

Differential Diagnosis in COPD

10/23/2017 03:00 PM       This lecture will briefly review Gold guidelines on the diagnosis of COPD, then describe some of the problems associated with misdiagnosis, as well as the primary reasons. I will also detail the literature on the most common misdiagnosis, including asthma CHE and obesity.

Can the use of APRV Reduce the Incidence of ARDS?

10/23/2017 12:00 PM       To demonstrate the mechanism and efficacy of a novel Time Controlled Adaptive Ventilation (TCAV) strategy to reduce the incidence of ARDS

APRV Concepts

10/23/2017 07:00 AM       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.

Ventilator Graphics II

09/26/2017 12:00 PM       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.

Ventilator Graphics I

09/19/2017 12:00 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.

Traumatic Brain Injury (TBI)

09/11/2017 12:00 PM       To discuss the diagnosis of a traumatic brain injury, the intensive care management, and the role of the respiratory therapist in providing care.

APRV Applications

08/22/2017 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

08/15/2017 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.

End Tidal CO2 - Monitoring

07/18/2017 12:00 PM       While oxygen saturation monitoring has been a standard of care for ventilated patients for many years now, end tidal CO2 (etCO2) is just beginning to become a standard of care in many ICU’s. Today’s lecture will discuss various techniques available to monitor etCO2 and the applications of these techniques. The physiology behind the arterial to end tidal CO2 gradient will also be discussed.

Ventilator Graphics II

06/20/2017 12:00 PM       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.

Ventilator Graphics I

06/13/2017 12:00 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.

APRV Applications

05/05/2017 01:00 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

05/05/2017 10:00 AM       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.

Breathe: Spontaneous Breathing Trials

05/04/2017 07:00 AM       To review the importance of spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT). To discuss the current literature on the best methods of performing SBT and what criteria should be assessed to liberate the patient from mechanical ventilation.

Mechanical Breath Magic: Oxygenating and Ventilating the ARDS Lung Without Causing VILI

05/03/2017 12:00 PM       The program with be developed in 3 stages: 1) Normal dynamic alveolar ventilation will be described followed by how acute lung injury changes dynamic alveolar ventilation causing VILI, 2) Strategies for modifying the mechanical breath to normalize dynamic alveolar ventilation will be analyzed, and 3) Studies from my laboratory will be shown in which novel protective ventilation strategies have been successfully used to reduce the incidence, morbidity and mortality associated with ARDS.

Current Practice in Pediatric NIV

05/02/2017 12:00 PM       This lecture will review evidence base medicine on which patients would benefit from non-invasive ventilation(NIV). The lecture will then focus on clinical management of pediatric patients with the NIV strategy.

Updates in Agitation, Sedation, and Delirium: Review of Guidelines and New Evidence

05/02/2017 07:00 AM       To discuss current guidelines and recent evidence in the management of agitation, sedation, and delirium, with an emphasis on recent literature regarding dexmedetomidine.

Acid-Base: A Delicate Balance

05/01/2017 12:00 PM       This presentation is designed for healthcare professionals involved in the diagnosis and management of acid-base disorders. Including Respiratory Therapists, Registered Nurses and Physicians. The presentation will review physiologic principles, methods of calculating acid-base disorders and clinical application in correcting the underlying derangement. The use of case studies in reviewing acid-base derangements will be utilized as a learning strategy.

Automated Weaning Overview

05/01/2017 07:00 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®.

Ventilator Graphics I

04/11/2017 12:00 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.

Ventilator Graphics II

03/28/2017 12:00 PM       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.

Sedation in Mechanical Ventilation

03/21/2017 12:00 PM       This presentation will discuss various sedatives and analgesics routinely administered in the ICU as well as the associated management protocols designed to promote patient comfort, ventilator management and improved patient outcomes.

APRV Concepts - Setting T Low

03/14/2017 12:00 PM       When utilizing Personalized - Airway Pressure Release Ventilation (P-APRV), the Time Low (T Low) is set based on the individual patient’s pulmonary mechanics and disease state which will have direct influence on the release waveform. During this presentation we will discuss the effect various disease states have on the expiratory flow waveform and how to set T Low to maintain optimal end expiratory lung volumes for the individual patients.

APRV Concepts as a Protective Lung Strategy

02/28/2017 12:00 PM       The mortality rate for patients with ARDS remains above 30%. In 2010 doctors Villar and Slutsky suggested in the journal “Critical Care” that “ARDS is no longer a syndrome that must be treated, but is a syndrome that should be prevented. The National Heart Lung and Blood Institute the group that sponsored ARDSnet is now sponsoring “PETAL” – Prevention and Early Treatment of Acute Lung Injury. In anecdotal observations and numerous animal studies APRV has shown some promise in limiting the ravages of ARDS. In this presentation we will discuss the role of APRV as a strategy to minimize ARDS.

APRV Applications

02/21/2017 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.

Ventilating Acute Asthmatic Patient

02/14/2017 12:00 PM       Ventilating patients in status asthmaticus may present unique challenges in mechanical ventilation. Asthma causes air trapping or an inability to adequately exhale. In this lecture we will discuss how to utilize positive pressure ventilation to adequately ventilate the patient whilst minimizing inter-thoracic air trapping.

Ventilator Graphics I

01/24/2017 12:00 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.

Prone Positional Therapy: Flipping the Odds in the Patient’s Favor

01/17/2017 12:00 PM       Prone Positional Therapy (PPT) has been used for decades to improve oxygenation in the patient with severe pulmonary comprise caused by ventilation to perfusion mismatching. Although an accepted adjunct in the management of Acute Lung Injury (ALI) and Acute Respiratory Distress Syndrome (ARDS), PPT has only recently been shown to improve overall mortality in these populations. This presentation will examine pulmonary mechanics, current literature and different methods of using PPT. Emphasis will be placed on using an inter-professional approach to optimize patient safety.

APRV Concepts

01/10/2017 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.