Free CE for RT- Sedation & Asynchrony

ventilatorThe Link Between Sedation & Asynchrony– While ventilation may be a life-saving tool for critically ill patients, it can also be an uncomfortable experience due to the invasiveness of the tubing, and mismatches (or “asynchronies”) between the patient’s demand for breath and the ventilator-delivered breathing pattern. In the past, clinicians addressed ventilator-patient asynchrony through heavy sedation. However, recent studies have highlighted the negative consequences of over-sedation for ventilatory patients, which include muscle atrophy from prolonged disuse and lengthened ventilation times. By evaluating for asynchrony, clinicians may be able to reduce the risk of oversedation. By using sedation more effectively, we can work together to potentially reduce ICU ventilation time.
Describe asynchrony and the effect of sedation on muscle atrophy.
Discuss how conventional ventilation modes work — benefits and limitations of each considering the patient’s natural breathing pattern.
Identify asynchrony and assess the causes.

1.5 Free CEUs for Respiratory Therapists

 

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One Response to Free CE for RT- Sedation & Asynchrony

  1. Jacqueline Wright says:

    The obviously best way to ventilate a patient is to follow their own breaths and if “TOO” sedated we won’t be able to keep them comfortable. Less sedation unless in pain will help him use his muscles and not atrophy.
    As far as breathing patterns are concerned , I guess that goes on a patient to patient basis. However, I find that SIMV works best for MOST patients either in volume or pressure. Atleast with SIMV we can sink some of the vented breaths with the patients breaths.

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