An Evidence-Based Approach to Ventilator Liberation

This course provides practitioners with optimal weaning and spontaneous breathing trial parameters supported by current evidence-based data.

Target Audience

Critical Care Physicians, Surgeons, Anesthesiologists, Emergency Medicine Physicians, Pulmonologists, Infectious Disease Physicians, Neurologists, Gastroenterologists, Hospitalists, Physician Assistants, Respiratory Therapists and Nurse Practitioners.

Learning Objectives

  • Determine when patients are ready for ventilator liberation.
  • Employ an evidence-based approach to ventilator liberation.
  • Reduce risk of extubation failure by utilizing evidence-based guidelines for noninvasive ventilation and high-flow nasal cannula.
Additional information
Bibliography: 
  • Girard, T. D., Alhazzani, W., Kress, J. P., Ouellette, D. R., Schmidt, G. A., Truwit, J. D., ... & Ferrer, M. (2017). American Journal of Respiratory and Critical Care Medicine, 195(1), 120-133.)
  • NIV can be used to allow earlier extubation in selected patients who do not successfully complete a spontaneous breathing trial (SBT). (Hess, D. R. (2012). The role of noninvasive ventilation in the ventilator discontinuation process. Respiratory Care, 57(10), 1619-1625.)
  • Papazian, L., Corley, A., Hess, D., Fraser, J. F., Frat, J. P., Guitton, C., ... & Ricard, J. D. (2016). Use of high-flow nasal cannula oxygenation in ICU adults: a narrative review. Intensive care medicine, 42(9), 1336-1349.)
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Respiratory Therapy
  • 1.00 General certificate of attendance
Course opens: 
01/05/2018
Course expires: 
01/05/2020

Dean Hess, Ph.D., RRT, FAARC    
Editor in Chief, Respiratory Care
Assistant Director of Respiratory Care, Massachusetts General Hospital
Associate Professor of Anesthesia, Harvard Medical School
Lecturer, College of Health Professions, Northeastern University 
Boston, Massachusetts
    
Dean Hess, Ph.D., RRT, is a consultant for Philips Respironics and Ventec Life Support and he will not include off-label or unapproved product usage in his presentation or discussion.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Respiratory Therapy
  • 1.00 General certificate of attendance

Accreditation Period

Course opens: 
01/05/2018
Course expires: 
01/05/2020
Please login or register to take this course.

Required Hardware/software

This site is best viewed on the two most recent stable releases of the following browsers for all public pages:

PCs Running Windows

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Internet Explorer (IE 11 and above recommended): You will be prompted to download videos before you are able to view. Click “download” to view video.  After a momentary pause, the recording will play. 
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

Apple Computers Running OSX

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Safari
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

This site uses a responsive design, which allows the page layout of elements to change depending on the screen resolution. Certain functionality may change based on the screen resolution of smaller screens, such as the number of columns in a table.

Technical Support: If you are experiencing technical difficulties or have received an error message, please send an email to CME@BaptistHealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.