Patients requiring mechanical ventilation are seen in both acute and post-acute care settings, and speech-language pathologists (SLPs) and respiratory therapists (RTs) need to understand their roles in weaning patients off of the ventilator. This module provides learners with an overview of the steps of ventilator weaning, including how to assess readiness, perform spontaneous breathing trials, and determine the safety of extubation or the removal of ventilation for patients who no longer need ventilator assistance.
0.10 ASHA CEUs
Approved for 1.00 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.00 contact hours.
Section 1: Introduction
About This Course
Section 2: Mechanical Ventilation Weaning
Why Mechanical Ventilation?
Types of Ventilator Weaning
Section 3: Considerations for Ventilator Weaning
Protocols for Initiating SBTs and Weaning
SBT Readiness Criteria
Interprofessional Team and SLP Role: Preparing for an SBT
Section 4: Spontaneous Breathing Trials
Types of Spontaneous Breathing Trials
Conducting Spontaneous Breathing Trials
Section 5: Interpretation and Outcomes
Successful Spontaneous Breathing Trial
Unsuccessful Spontaneous Breathing Trial
Endotracheal Tube Extubation
Section 6: Clinical Vignette
Meet Mr. Salter
Section 7: Conclusion
Natalie Scott, M.A., CCC-SLP is a certified and licensed speech-language pathologist with over 20 years of experience. Natalie graduated with her bachelor’s degree in audiology and speech sciences from Michigan State University and her master’s degree in communication disorders from Southeast Missouri State University. She has over 16 years of experience providing comprehensive evaluation and treatment in acute, long-term care, and home health settings treating medically complex and fragile patients with significant cognitive, communicative, respiratory, dysphagia, and/or swallowing instrumentation needs. Natalie has provided clinical mentoring ensuring appropriate clinical programming and training needs were developed and executed throughout a long-term care company. She developed evidence-based therapeutic clinical pathways and programs to assist with identification and treatment of long-term care patients in need of dementia, cognitive-communication, pulmonary, and dysphagia programming. She has spoken nationally and regionally on topics related to dysphagia and dementia management and was a trainer for US and international customers related to techniques to improve rehabilitative outcomes. Natalie has over 5 years of experience in pediatrics working with both the birth to three population and within the public-school setting. She has provided comprehensive speech-language and swallowing treatment to children with medically complex needs including tracheostomies and ventilator dependence, sensory processing disorders, autism spectrum disorders, and behavior management difficulties. Disclosure: Natalie Scott, MA, CCC-SLP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Expert Reviewer: Kevin T. Cahill, MS/RRT-NPS
Kevin T. Cahill, MS/RRT-NPS, earned his Master of Science degree in vocational and technical education from State University of New York (SUNY) Oswego and his bachelor’s degree in cardiopulmonary science from SUNY Health Science Center in Syracuse, New York. He has worked as an assistant professor and clinical coordinator of respiratory care at Onondaga Community College in Syracuse. He is presently employed by the Syracuse VA Medical Center. Disclosure: Kevin T. Cahill, MS/RRT-NPS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Susan Almon-Matangos, MS/CCC-SLP
Susan Almon-Matangos, MS/CCC-SLP, is a certified and licensed speech-language pathologist with over 30 years of experience. She obtained her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She worked with clients of all ages and a variety of diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for a large contract therapy company, she created training programs for physical therapy, occupational therapy, and speech-language pathology related to the clinical rehabilitation needs of older adults in post-acute care. She currently draws upon her expertise in her role at Relias as Lead Subject Matter Expert Writer for Speech-Language Pathology. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association. Disclosure: Susan Almon-Matangos, MS/CCC-SLP discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee Relevant Non-Financial Relationship with No Entities Exists as a Contributor
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