In this talk I will discuss current thinking in terms of the epidemiology of weaning and current definitions i.e. who are we weaning. I will discuss weaning methods including spontaneous breathing trials, weaning protocols and automated weaning modes including the evidence supporting these weaning tools. I will highlight recent evidence on the role of non-invasive ventilation for weaning. Finally I will discuss weaning in patients experiencing prolonged mechanical ventilation.
By the end of this lecture, the attendee will be able to:
- Understand the terminology/definitions of weaning & prolonged mechanical ventilation (PMV).
- Describe the weaning process.
- Understand the evidence for spontaneous breathing trials (SBTs), protocols and automated systems.
- Identify the role of non-invasive ventilation (NIV) in weaning.
- Describe the complexities of PMV and considerations other than the ventilator.
This lecture is equal to 1 CE Contact Hour, 1 CPD Point, and 1 AMA PRA Category 1 Credit™
Additional CME Info
Release Date: February 1, 2020, Termination Date: January 31, 2023
Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation: EB Medicine designates this internet enduring material for a maximum of 1 AMA PRA Category 1 Credit™ per lecture. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Commercial Support: This activity received no commercial support.
Earning Credit: In order to earn CME credit, the participant must take the pre-test, listen to the lecture, take the CME post-test, and complete the post-test evaluation.
Duration 1 hour(s).
Professor Louise Rose
Professor Louise Rose, RN, PhD is a Professor of Nursing at King’s College London, UK and an honorary Professor in Critical Care and the Lane Fox Respiratory Unit at St Thomas’ Hospital in London. She has recently moved from Toronto, Canada where she was an Associate Professor at the University of Toronto and the Research Director for the Provincial Centre of Weaning Excellence at the Michal Garron Hospital. Her research program focuses on improving outcomes and the healthcare experience of mechanically ventilated patients across the care continuum from the emergency department, intensive care unit, specialized weaning centre and in the home. She has extensive clinical experience in critical care nursing including bedside, managerial and clinical education roles incorporating cardiothoracic, paediatric and trauma specialty units, as well med-surg ICUs and is currently working clinically to assist with the COVID surge.
CME Faculty Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.