Airway Management: The Case for Routine Video-laryngoscopy
An adequate airway management plan is essential for patient safety. Recently, new tools have been developed as alternatives to direct laryngoscopy and intubation. These new tools need to be evaluated in terms of efficacy and the cost-effectiveness. One of these new devices, video-laryngoscopy has enjoyed a rapid increase in popularity and is now considered by many as the first-line technique in airway management which may have significant impact on patient safety.
Ventilator-associated Pneumonia: Barriers to Best Practices
Ventilator-associated pneumonia (VAP) is a type of hospital-acquired infection that typically develops after more than 48 hours of mechanical ventilation. VAP is a common and serious problem in the intensive care unit that is associated with an increased risk of death. Additionally, VAP significantly contributes to additional healthcare costs, mainly associated to longer ICU and hospital stay. This webinar will address the best practices for preventing VAP and exam the barriers to implementation
The use of opioids in modern anesthesia has been an article of faith for more than a century. Opioid-free anesthesia (OFA) can be considered heresy that challenges the current thinking by providing improved patient outcomes for nearly 30 years. Opioid-inclusive anesthesia not only fails to prevent postoperative pain, but also increases postoperative nausea and vomiting, respiratory depression, and opioid rescue. Sedated patients breathe spontaneously and can move. This presentation focuses on OFA for IV sedation and applies OFA principles applicable to general anesthesia.
Tracheostomy: Review and choice of tube technology, adverse events, and care
With an emphasis on prevention of ventilator associated pneumonia, this webinar will focus on the components of a tracheostomy tubes including the different tube materials such as, cuffed, cuffless, fenestrated tracheostomy tubes, SSD and others. Considerations for how to choose the right tracheostomy technology for the right patient will also be presented. Common adverse events, including respiratory infections will be discussed. Finally, an evidence-based overview of up-to-date tracheostomy care will be presented.
Endotracheal Tubes and Tracheostomy Technology
Endotracheal intubation may be required when respiratory distress or airway integrity cannot be achieved or maintained for any reason. In the second webinar of this series on endotracheal airway management, our speaker will describe the different endotracheal tube technologies specifically examining the various structures and differences among them. This webinar will also analyze how to choose the right device in different scenarios. Finally, there will be a discussion the role of evacuation systems as mechanisms for clearance of subglottic secretions.
Respiratory Compromise: Risk Prediction on the General Care Floor
Opioid-induced respiratory depression (OIRD), a form of respiratory compromise, is one of the leading avoidable patient safety issue. Respiratory compromise, increases morbidity and mortality as well hospital inpatient costs. This presentation will discuss the results of a recent, multi-center study PRODIGY designed to identify people at high risk for OIRD. Results showed that more than 40% of patients on the general care floor experienced OIRD. The investigators will share an easy-to-use risk prediction tool they developed to identify patients at high risk that can lead to earlier interventions.
Respiratory Compromise; Common, Costly, Deadly and Preventable
Respiratory compromise (RC) is a critical postoperative complication that increases the likelihood of adverse outcomes and the cost of care. Several trials have confirmed that patient observation continues to underestimate the overall incidence of postoperative RC. This CE webinar will review the evidence and provide recommendations for the prevention of RC.
There is compelling evidence that continuous monitoring of the respiratory function has a significant impact on clinical outcomes and cost of care. Although ventilation and oxygenation are different physiologically, it is recommended that they be monitored togeher and continuously to prevent postoperative respiratory compromise.
Monitoring Regional Oxygen Saturation: Assessing the Value of NIRS in Clinical Practice
Conventional cardiovascular monitoring may not detect tissue hypoxia, and conventional cardiovascular support aiming at global hemodynamics may not restore tissue oxygenation. This webinar will review the use of Near-Infrared Spectroscopy Systems (NIRS) to detect cerebral desaturation and how guided detection and correction of cerebral desaturation may assist clinicians in reducing the perioperative incidence and depth of cerebral desaturation and improving postoperative outcomes in the cardiovascular surgery.
Derivation and Validation of a Novel Opioid-Induced Respiratory Depression Risk Prediction Tool
Opioid-induced respiratory depression (OIRD), a form of respiratory compromise, is one of the leading avoidable patient safety issues. Respiratory compromise increases morbidity and mortality as well hospital inpatient costs. This presentation will discuss the results of a recent, multi-center study (PRODIGY, a Medtronic-sponsored study), which was designed to identify people at high risk for OIRD. Results showed that more than 40% of patients on the general care floor experienced OIRD. The investigators will share an easy-to use risk prediction tool they developed to identify patients at high risk that can lead to earlier interventions.