Airway Management: Mechanical Ventilation, Supraglottic Devices, COVID-19
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Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19 -
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Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19
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This course combines video, audio, and digital components to review ventilator management for adult, mechanical ventilation and supraglottic airway devices for pediatric patients, and intubation of COVID-19 patients. Includes 13.5 AMA PRA Category 1 Credits™. CME expires 07/01/2023.

  • Placing a patient on a ventilator in the ED presents an emergency clinician with an array of decisions regarding the initial approach and ventilator settings. This course reviews ventilator management principles for a variety of conditions in adult patients, including COVID-19-associated acute respiratory distress syndrome.
  • Intubation of pediatric patients in the ED is a high-risk procedure, and the management challenges do not end once the patient is intubated. Indications for intubation, initial ventilator settings, and recommendations for active ventilator management for pediatric patients are reviewed.
  • In many situations, supraglottic airway devices can be used instead of endotracheal intubation to manage the airway in pediatric patients. Learn the indications and techniques for supraglottic airway device placement.
  • When intubation is required for a critically ill patient with COVID-19, there are pragmatic considerations regarding the safety of the patient, clinicians, and staff. The video component of this course reviews the overarching principles and best practices for intubating COVID-19 patients, given the limited and evolving evidence.

Included in this course:

  1. Three evidence-based modules delivered in online and PDF formats, reviewing ventilator management in adult patients, mechanical ventilation in pediatric patients, and the use of supraglottic airway devices in pediatric patients.
  2. Two episodes of the EMplify podcast for an audio discussion of the ventilator management course.
  3. A video session recorded at the 2020 Clinical Decision Making in Emergency Medicine conference on the topic of intubating patients with COVID-19
  4. 13.5 AMA PRA Category 1 CreditsTM

Modules

Module 1: Ventilator Management of Adult Patients in the Emergency Department + 2-part EMplify podcast audio review

There are a variety of ventilator options available to the emergency clinician, and decisions on choosing optimal settings will depend on the clinical circumstances. This module reviews the most appropriate ventilator settings for a variety of conditions in intubated adult patients presenting to the ED, and gives recommendations on monitoring the ventilated patient and making ventilator adjustments. An update on managing COVID-19-associated acute respiratory distress syndrome is also included. This module also includes two episodes of the EMplify podcast for audio review.

CME Credits: 5

Module 2: Mechanical Ventilation of Pediatric Patients in the Emergency Department

When pediatric patients require mechanical ventilation in the ED, the emergency clinician should be prepared to select initial ventilator settings and ensure ongoing oxygenation, ventilation, and hemodynamic stability. This module reviews indications for mechanical ventilation and offers recommendations for ventilator settings and dosing of analgesics, sedatives, and neuromuscular blockers, with a focus on patient populations in whom the approach to mechanical ventilation may be different.

CME Credits: 4

Module 3: Supraglottic Airway Devices for Pediatric Airway Management in the Emergency Department

Supraglottic airway devices provide an alternative to endotracheal intubation for pediatric airway management that is relatively easy to learn, with a high success rate. This module reviews the use of supraglottic airway devices in pediatric patients including common devices, indications and techniques for placement, and complications associated with their use. Includes a three-minute video demonstrating insertion of supraglottic airway devices.

CME Credits: 4

Module 4: Intubating a Patient With COVID-19

In this video presentation, Dr. Calvin Brown, of Brigham and Women’s Hospital in Boston, discusses recommendations for safely intubating critically ill patients with COVID-19, with a focus on minimizing aerosolization and contamination and maximizing the success of the first intubation attempt.

Video length: 27 minutes

CME Credits: 0.5

Product Details

Publication Date: December 9, 2020

CME Expiration Date: July 1, 2023

CME Accreditation: EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the ACCME. Credit Designation: EB Medicine designates this enduring material for a maximum of 13.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19 is eligible for 13.5 Category 2-A or 2-B credit hours by the American Osteopathic Association. The “Ventilator Management of Adult Patients in the Emergency Department” journal issue is approved by the American College of Emergency Physicians for 4 hours of Category I credit. The “Mechanical Ventilation of Pediatric Patients in the Emergency Department” journal issue is approved by the American College of Emergency Physicians for 4 hours of Category I credit, and has been reviewed by the American Academy of Pediatrics and is acceptable for 4 AAP credits. The “Supraglottic Airway Devices for Pediatric Airway Management in the Emergency Department” journal issue is approved by the American College of Emergency Physicians for 4 hours of Category I credit, and has been reviewed by the American Academy of Pediatrics and is acceptable for 4 AAP credits.

Customer Comments

Ventilator Management of Adult Patients in the Emergency Department:

  • Bill V, MD: “Refresher on ventilator management, needed during this COVID epidemic.”
  • David R, MD: “Excellent info on a difficult topic.”
  • Elizabeth L, PA-C: “Nice review of ventilator management.”
  • Robert P, PA-C: “Well researched and written. Improved efficiency and enhanced outcomes.”

Mechanical Ventilation of Pediatric Patients in the Emergency Department:

  • Mark S., MD: “Excellent review. Will make sure all my ventilated patients work within these parameters.”
  • Mark P., MD: “Will be able to manage pediatric patients with respiratory failure on mechanical ventilation, with a better understanding of respiratory physiology of children/infants.”
  • Richard M., MD: “Normally I do not work with neonates or pediatric cases, but this presentation has been so useful to guide me in how to proceed when facing cases like this, in consultation with the experts.”
  • Stephen D., MD: “Great article. Reference values in tables are very helpful.”

Supraglottic Airway Devices for Pediatric Airway Management in the Emergency Department:

  • Jacob B., MD: “I never use SGAs so all of this was a great refresher and may influence me to use them in the future.”
  • Wendy S., MD: “I will keep the sizing table nearby for quick reference.”
  • Charles Akin, MD: “[Since reading this] I have purchased pediatric airway devices for my personal airway bag.”
  • Stephen R-H, PA-C: “It’s already indispensable.”

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