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Prolonged Mechanical Ventilation: Tracheostomy and Advanced Practice

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: 47 Minutes; Learning Assessment Time: 16 Minutes

This course helps to address some of the educational needs and technical requirements for patients with prolonged mechanical ventilation. It does so by focusing on the understanding of airway management and the technical aspects of home ventilator equipment. Patients with prolonged mechanical ventilation require intense resources coordinated amongst an often-fragmented healthcare system; this course highlights the importance of nuanced, team-based care that is tailored to the patient's individual needs. Developing a basic understanding of tracheostomy and airway management as they relate to care of the patient with prolonged mechanical ventilation is key to the long-term success of prolonged mechanical ventilation patients. This course will analyze common clinical challenges and respiratory emergencies in patients with chronic ventilator dependence using case-based discussions.

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. Airway Management in Patients With Chronic Tracheostomy

Knowledge of tracheostomy tubes and their care is essential for the care of patients with prolonged mechanical ventilation. Tracheostomy tubes provide a stable airway and facilitate and minimize need for sedation and analgesia. Nuances of tracheostomy tube changes, swallowing, physical therapy, and other care aspects are best addressed in an interdisciplinary environment that concentrates on the appropriate objectives and realistic outcome goals of the patient.

2. Putting It All Together

Prior to a patient’s transition to home/rehab, it is preferable to help the patient adapt to home respiratory equipment ahead of time. It can be helpful to have a good understanding of operation and characteristics of home respiratory equipment. Team-based care and coordination are imperative for patients with prolonged mechanical ventilation, including sharing goals and coeducating healthcare teams across the care continuum.

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