SCCM Resource Library-Sucking Wind: Support Strategies Beyond the Ventilator

Video Transcription

Video Summary

In this video, three speakers discuss strategies for respiratory support beyond traditional mechanical ventilation. The first speaker, Dr. Skyler Lentz, focuses on optimizing high-flow nasal oxygen for patients with acute hypoxemic respiratory failure. He describes the device and its benefits, including improved oxygenation, reduced work of breathing, and positive pressure generation. He also discusses the evidence supporting its use and its role in pre-oxygenation during intubation.<br /><br />The second speaker, Keith Lamb, discusses optimizing non-invasive ventilation in patients with respiratory failure. He explains the definition of non-invasive ventilation and its indications and contraindications. He also describes various devices and approaches for non-invasive ventilation, including positive expiratory pressure devices and oscillatory devices. He emphasizes the importance of patient compliance and careful monitoring during non-invasive ventilation.<br /><br />The third speaker, Kit Tainter, discusses alternative strategies for respiratory support. He presents a top 10 list of methods to prevent intubation, including diuresis, optimal patient positioning, lung expansion techniques, secretion clearance methods, airway management techniques, nutrition support, inhaled pulmonary vasodilators, and assisted ventilation techniques. He highlights the importance of considering these strategies early to prevent intubation and improve patient outcomes.<br /><br />During the Q&A session, the speakers address questions about monitoring high-flow nasal oxygen outside of the intensive care unit, common mistakes during non-invasive ventilation initiation, the use of high-flow nasal oxygen for apneic oxygenation during intubation, and step-down protocols for patients transitioning from intubation to non-invasive respiratory support.<br /><br />Overall, the speakers provide valuable insights into various strategies for respiratory support beyond traditional mechanical ventilation, highlighting the need for individualized patient assessment and monitoring to optimize patient outcomes.

Asset Subtitle

Pulmonary, Procedures, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Describe optimization strategies for the support of the hypoxic patient
Differentiate therapeutic options for noninvasive support of the patient with hypoxia and respiratory failure progressing to possible intubation
Appraise data supporting oxygenation and supportive strategies for the peri-intubation patient

Optimizing High-Flow Oxygen
Skyler Lentz

Optimizing Noninvasive Ventilation
Keith D. Lamb

Alternative Strategies: Witchcraft and Wizardry
Christopher R. Tainter

Meta Tag

Content Type Presentation

Knowledge Area Pulmonary

Knowledge Area Procedures

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Oxygenation

Tag Airway Management

Tag Ventilation

Year 2021

Keywords

respiratory support

mechanical ventilation

high-flow nasal oxygen

acute hypoxemic respiratory failure

non-invasive ventilation

positive expiratory pressure devices

oscillatory devices

patient compliance

careful monitoring

alternative strategies

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