Evidence-Based Practice of Mechanical Ventilation

presented by Karsten Roberts, MSc, RRT, RRT-ACCS, FAARC

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Disclosure Statement:

Financial: Karsten Roberts receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Karsten Roberts has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 43 Minutes; Learning Assessment Time: 39 Minutes

The initiation of mechanical ventilation is complex. RTs must understand technical aspects of ventilators as well as physiology and patient-ventilator interactions. A competency assessment should be maintained at least annually. This course ensures an interdisciplinary approach to initiation and adjustment of mechanical ventilator settings. At the end of this course, clinicians will independently initiate mechanical ventilation and assess the need for adjustments. The course covers basic ventilator settings for critically ill patients in volume control and pressure control ventilation. Adjustments to initial settings based on disease process, patients' readiness to wean from mechanical ventilation, and post-extubation care are detailed throughout the course.

Meet Your Instructor

Karsten Roberts, MSc, RRT, RRT-ACCS, FAARC

Karsten J. Roberts, MSc, RRT, RRT-ACCS, FAARC, is a respiratory therapist with nearly two decades of experience. He earned a baccalaureate degree from Boise State University and a master's degree from Northeastern University. Karsten has been honored as both a Speciality Practitioner of the Year (2019) and a Fellow of the American Association for Respiratory…

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1. Modes of Ventilation

This chapter reviews the basics of volume control and pressure control modes of ventilation. Variables for each mode of ventilation and goals for minimizing lung injury are also reviewed.

2. Initiation of Mechanical Ventilation

This chapter is a more in-depth look at individualization of ventilator settings based on patient condition and ideal body weight (IBW). Target tidal volume and initial ventilator settings based on mode are also covered.

3. Disease-Specific Management

In this chapter, ventilator settings are distinguished based on disease process. Common disease processes discussed include asthma, COPD, ARDS, and postoperative patients. Setting changes and patient monitoring based on disease are described.

4. Weaning and Discontinuation

At the end of this chapter, learners will be able to prioritize a patient’s readiness to wean from mechanical ventilation. Additionally, the current evidence supporting management of mechanical ventilation will be examined.

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