American Association for Respiratory Care
Post-Summer Forum Course
Sunday–Monday, July 18–19, 2010
Marriott Marco Island, Florida
Current Issues in Mechanical Ventilation
A course designed expressly for managers and educators to ensure their continued expertise in understanding and utilizing current concepts in mechanical ventilation and the newer modes of mechanical ventilators. Approved for 6.5 hours of CRCE credit (you must attend the entire course to receive CRCE credits; no partial credit will be awarded). Attendance is limited, first-come, first-served.
The last few years have seen great advances in mechanical ventilators and a proliferation in the different modes available for mechanical ventilation. This course is designed to present the current concepts of mechanical ventilation for both pediatric and adult patients. Specifically, the course will:
- Review state-of-the-art strategies of mechanical ventilatory support; and
- Offer practical application with recent advances in the strategies of mechanical ventilatory support.
Presenters will share the latest information on patient-ventilator interaction from the recently held Respiratory Care Journal Conference. In summary, by attending this course you can ensure you have the current information to manage your respiratory care services, as well as what to teach your students.
Sunday, July 18
10:00 A.M.–1:00 P.M.
Registration
Current Issues in Pediatric Mechanical Ventilation
1:00 P.M.–1:50 P.M.
Breathing: Conventional Ventilation—Does The Mode Matter?
Clinicians often debate which mode would be more optimal for an individual patient. But, does the mode really matter? Are there advantages to the newer modes of ventilation as compared to the more traditional approaches? This presentation will present the available literature in an attempt to bring this clinical question to a resolution.
2:00 P.M.–2:50 P.M.
Decisions: What To Do When Conventional Ventilation Is Failing
How is a failure of standard conventional ventilation defined? When should adjunct therapies and/or modalities beyond conventional ventilation be initiated? Are “non-conventional” ventilator modalities and strategies really non-conventional? This presentation will review ventilator approaches beyond standard conventional ventilation, including high-frequency ventilation, prone positioning, surfactant administration, and inhaled nitric oxide. The rational for timing of these approaches will be reviewed.
3:00 P.M.–3:50 P.M.
Circulation: The Influence Of The Ventilator and ECMO On Hemodynamics
Cardiorespiratory interactions play a significant role in the physiology of a critically ill patient; however, these interactions are often underappreciated when ventilator parameters are adjusted. As the ventilator is adjusted, what happens to the cardiovascular system? This presentation will review the interaction between the lungs and heart.
4:00 P.M.–4:45 P.M.
Panel Discussion: Ask the Experts
Pose your problems and concerns to our group of ventilator experts as they share their technical experience and expertise on issues related to the pediatric ventilator patient.
Monday, July 19
Current Issues in Adult Mechanical Ventilation
8:00 A.M.–8:50 A.M.
Lung Protection
The use of mechanical ventilation can help as well as hurt the patient. What effect does positive pressure ventilation have on the lung? What are safe levels of oxygen and carbon dioxide? How can we employ mechanical ventilation and safely protect the lung from injury? This presentation will review the concept of ventilator induced lung injury, lung protective ventilatory strategies, and permissive hypercapnia/hypoxemia.
9:00 A.M.–9:50 A.M.
Management of the Ventilator Withdrawal Process
The indications for mechanical ventilation are fairly well documented in the literature. However, the withdrawal process is less understood and more subjective. When should the discontinuation of mechanical ventilation be considered? What process should be followed? This presentation will review the ventilator withdrawal process, to include: recognizing withdrawal potential, the role of the SBT, managing patients who fail the SBT, and the role of NIV.
10:00 A.M.–10:50 A.M.
Patient-Ventilator Synchrony
With the enhanced capabilities and features of the contemporary mechanical ventilators comes the potential for patient-ventilator dyssynchrony. How would one identify asynchrony/dyssynchrony? What can the therapist do to correct the problems of asynchrony/dyssynchrony? This presentation will review management of asynchrony/dyssynchrony in mechanical ventilation, to include: autocycling, intrinsic PEEP, triggering, the role of flow in synchrony and breath termination issues.
11:00 A.M.–11:45 A.M.
Panel Discussion: Ask the Experts
Pose your problems and concerns to our group of ventilator experts as they share their technical experience and expertise on issues related to the adult ventilator patient.
