Standard vs. Alternative Vent Modes: What’s the Difference?

WB0053

Part of AACN Critical Care Webinar Series

Presenter(s): John Gallagher, DNP, RN, CCNS, CCRN, TCRN, CHSE, RRT, FAAN, FCCM

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Webinar Summary

Standard modes of ventilation remain popular among critical care practitioners, but they have many limitations. The primary limitation of standard modes is the inability to address changes in patient ventilation needs over time. The classic volume/pressure control modes of standard ventilators deliver only set parameters, which may not provide optimal ventilation during improvement or deterioration. Alternative modes of ventilation offer the ability to match patient needs through incorporated feedback systems. These newer modes detect changes in lung parameters and adjust based on those changes. The use of ventilator physics by these newer alternative ventilation modes assists in weaning patients from mechanical ventilation, improves ventilator synchrony, decreases ventilation days and improves patient safety. This course describes the differences between standard and alternative modes of ventilation and the uses and limitations of both modalities.

Objectives

  • Describe the differences between volume-targeted and pressure-targeted ventilation modes.
  • Describe the different alternative ventilation modes and their role in lung protection, recruitment and ventilator liberation.
  • Identify limitations in the application of alternative ventilation modes.

Presenter

John Gallagher, DNP, RN, CCNS, CCRN, TCRN, CHSE, RRT, FAAN, FCCM

John Gallagher, DNP, RN, CCNS, CCRN, TCRN, CHSE, RRT, FAAN, FCCM

John Gallagher is the trauma program manager and a clinical nurse specialist for the Division of Trauma, Surgical Critical Care and Emergency Surgery at Penn Presbyterian Medical Center, Philadelphia. He earned a DNP from the University of Pittsburgh and an MSN at LaSalle University in Philadelphia. He has practiced in a variety of clinical settings including the trauma resuscitation unit and surgical ICU, emergency department and pulmonary step-down units as both a staff nurse and clinical nurse specialist. Additionally, Gallagher is a registered respiratory therapist and has served as a paramedic. He is a member of AACN’s Southeastern Pennsylvania Chapter, the Society of Critical Care Medicine Nursing Section and the Society of Trauma Nurses. His areas of clinical expertise include ARDS, mechanical ventilation and endpoints of resuscitation.

Continuing Education Disclosure Statement

Successful Completion

Learners must complete the entire activity and the associated evaluation to be awarded contact hours AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

Disclosure

Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.

Activities with pharmacology hours are to assist the APRN in fulfilling the pharmacotherapeutic education requirements for licensure and certification renewals.

Activities meet the standards for most states that require mandatory continuing education for license and/or certification renewal. AACN recommends consulting with your own state board of nursing or credentialing organization before submitting your certificate of completion. 

Refund Policy

Continuing Education Activities are nonrefundable.