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Prolonged Mechanical Ventilation: Epidemiology and Technical Elements

presented by William (Bill) LeTourneau, MA, RRT, RRT-ACCS and Jaspal Singh, MD, MHA, MHS, FCCP, FCCM, FAASM

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Disclosure Statement:

Financial: Jaspal Singh is on the Somnoware Sleep Solutions advisory board. He is also a part of the AstraZeneca Pharmaceuticals speakers’ bureau. He is involved with Intuitive Surgical as well as Consultant360. He receives compensation from MedBridge for the production of this course. He has no other relevant financial relationships.

Nonfinancial: Jaspal Singh is a speaker for CHEST and a part of the Society of Critical Care Medicine, American Thoracic Society, and American Academy of Sleep Medicine. He has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Financial: William LeTourneau receives compensation from MedBridge for the production of this course. He has no other relevant financial relationships.

Nonfinancial: William LeTourneau 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: 46 Minutes; Learning Assessment Time: 18 Minutes

This course will explore common disease states that healthcare providers may encounter that lead to patients requiring prolonged mechanical ventilation. The course will discuss how these disease processes may involve a variety of approaches to successful mechanical ventilation management. This course will also discuss planning an approach to ventilator weaning and liberation of the prolonged mechanical ventilation patient when appropriate. The goal of this course is to prepare guidance for multidisciplinary, team-based care of patients with long-term mechanical ventilation.

Meet Your Instructors

William (Bill) LeTourneau, MA, RRT, RRT-ACCS

Bill has been a respiratory therapist for more than 20 years, currently working at the Mayo Clinic in Rochester, Minnesota. Bill received his respiratory therapy education at Saint Paul College and went on to receive his bachelor's and master's degrees from Concordia University in Saint Paul, Minnesota. He is has served as the vice president…

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Jaspal Singh, MD, MHA, MHS, FCCP, FCCM, FAASM

Jaspal Singh currently serves as professor of medicine at Atrium Health Carolinas Medical Center in Charlotte, North Carolina, practicing and teaching in the Department of Medicine, Virtual Critical Care Center, and Levine Cancer Institute. Jaspal is board certified in pulmonary, critical care, and sleep medicine, serving as the Atrium Health medical director of adult critical…

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Chapters & Learning Objectives

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1. Population of Prolonged Mechanical Ventilation

This chapter discusses the growing population of patients requiring prolonged mechanical ventilation and the multiple disease states that encompass this population. Patients with prolonged mechanical ventilation can be cared for at different facilities with variable resources and expertise. The approach to patients with prolonged mechanical ventilation should best be individualized in context of medical, environmental, and social factors.

2. Technical Aspects of Ventilation

Ventilators can be equipped with a number of different circuit and exhalation configurations. Secretion clearance therapies may be adapted to the ventilator circuit. It is important for the family and the caregivers to be aware of the common problems in home ventilator management. Working with durable or home medical equipment (DME/HME) companies is important in the care of these patients.

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