CHEST Select - Critical Care Self-Study Resources-Critical Care Year in Review

Video Transcription

Video Summary

The first speaker discussed the use of mechanical ablation and respiratory support in patients. They highlighted the different options available, including heated high-flow nasal cannula, non-invasive ventilation with face masks or helmets, and tracheostomy. The speaker also mentioned that the choice of respiratory support should be based on individual patient factors and clinical judgment. They also discussed the importance of oxygen saturation targets, noting that there is no clear consensus on the optimal range. The second speaker focused on the process of weaning patients from mechanical ventilation. They presented findings from a large international survey, which explored weaning practices in over 5,000 patients. The survey found that the majority of patients had at least one attempt at weaning, but there was variation in the duration of the weaning process. Factors associated with delayed weaning included frailty, non-traumatic neurologic conditions, and deep sedation. The speaker also discussed the use of post-extubation non-invasive ventilation, highlighting that it may be beneficial for high-risk patients. The final speaker discussed the importance of nutrition prior to extubation and the use of post-extubation support. They emphasized the need to continue enteral nutrition up until the point of extubation, as there is no evidence to support holding tube feeds before extubation. They also talked about the use of non-invasive ventilation post-extubation and noted that the evidence suggests it may be beneficial for high-risk patients. Overall, the speakers highlighted the importance of personalized respiratory support and individualized patient care in order to optimize outcomes and promote successful extubation.

Meta Tag

Category Critical Care

Session ID 1072

Speaker Neha Dangayach

Speaker Robert Hyzy

Speaker Akram Khan

Track Critical Care

Keywords

critical care medicine

thrombectomy

oxygen saturation targets

weaning from mechanical ventilation

nutrition prior to intubation

post-extubation support

non-invasive support

acute respiratory distress syndrome

WeanSafe survey

non-invasive ventilation