Mechanical Ventilator Liberation Patient Management

This vignette details the benefits of using a ventilator weaning protocol to improve care coordination for patients who are mechanically ventilated. The workflow updates covered in this course serve as guidance to physicians and interdisciplinary teams to increase collaboration, with the goal of liberating patients who tolerate Spontaneous Awakening Trial (SAT) and Spontaneous Breathing Trial (SBT) from mechanical ventilation. 

Target Audience

Intensivists, Pulmonologists, Hospitalists, Advanced Practice Registered Nurses (General), Physician Assistants.  

Learning Objectives

Apply ventilator weaning protocols for mechanically ventilated patients, including using optimal sedation and pairing of SAT/SBT.

Additional information
Bibliography: 
  • Fraser GL, Devlin JW, Worby CP, Alhazzani W, Barr J, Dasta JF, Kress JP, Davidson JE, Spencer FA. Benzodiazepine versus nonbenzodiazepine-based sedation for mechanically ventilated, critically ill adults: a systematic review and meta-analysis of randomized trials. Crit Care Med. 2013;41(9 Suppl 1):S30–S38.
  • Girard TD, Kress JP, Fuchs BD. et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomized controlled trial. Lancet. 2008;16:126–134.
  • Jackson DL, Proudfoot CW, Cann KF, et al. A systematic review of the impact of sedation practice in the ICU on resource use, costs and patient safety. Crit Care 2010;14 R59.
  • Stefan MS, Shieh MS, Pekow PS, et al. Epidemiology and outcomes of acute respiratory failure in the United States, 2001 to 2009: a national survey. J Hosp Med. 2013;8:76–82.
Course summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit™
  • 0.25 General certificate of attendance
  • 0.25 Nurse Practitioners
Course opens: 
10/01/2021
Course expires: 
09/30/2024

Vignettes developed and designed by the Evidence-Based Clinical Care Team.

Content Contributors
Eduardo Martinez-DuBouchet, M.D. 
Medical Director
BHSF Telehealth Center
eICU & Transfer Center
Baptist Health South Florida

Lellany Ruiz, MBA-HC, CSSGB
Senior EBCC Project Manager
Evidence-Based Clinical Care (EBCC)
Baptist Health South Florida

Content contributors have no relevant financial relationship with ineligible companies* to disclose and have indicated that the presentation or discussion will not include off-label or unapproved product usage. 

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

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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 .25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.25 AMA PRA Category 1 Credit™
  • 0.25 General certificate of attendance
  • 0.25 Nurse Practitioners
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