Capnography has the unique ability to aid clinicians in assessing both ventilation and blood flow. In this program, a review of the physiology that allows exhaled CO2 to monitor ventilation and perfusion is presented. The emphasis in this program is using capnography to prevent over-sedation and monitoring of blood flow. Due to the ability to assess both ventilation and perfusion, capnography has been called the “15 second vital sign”. In the midst of the pandemic, capnography has shown to detect severe respiratory failure (hypercarbia) and pulmonary emboli due to the clotting disorders in COVID. Actual clinical patient examples are used to illustrate the value of capnography in patient assessment. The use of capnography is likely to continue to grow throughout the hospital, outpatient and pre-hospital settings.
Despite updated telemetry standards published in 2017 by the American Heart Association, there are still many aspects of telemetry that have not been addressed nor studied to truly determine what improves outcomes. In 2020, the Veterans Health Administration, representing the largest health care organization in the world, released a comprehensive guidebook for telemetry. This webinar will review the key content in this guidebook focusing on implementation of evidenced-based best practices.
Patients have been under surveillance since the inception of healthcare: initially by simple observations and in more modern times using high fidelity monitoring systems. In healthcare, we perform surveillance on every patient, looking for changes in their health. Continuous monitoring can be done in many ways (both on unit and off), with varied methods at many institutions throughout the US, and this can greatly impact patient surveillance and early treatment, yet is there a best practice known? We will explore the various ways to monitor patients in-hospital, when we should place patients on monitoring, and both the benefits and negative impacts of continuous monitoring.
Patients with Covid-19 require close, continuous monitoring of oxygenation. With desaturation, a certain percentage of patients will require supplemental oxygen, and others can advance quickly to high flow oxygen therapy or mechanical ventilation. The arterial blood gas test is the gold standard for measuring oxygenation, however it is an invasive procedure, and not a continuous monitoring option. Pulse oximetry can provide continuous measurement of blood oxygen levels. In this webinar, evidence will be presented to ensure the SPO2 data is reliable, and if questionable, we will discuss which other probe placement sites can provide more sustainable results, and when this modality may need to be discontinued.
Transporting a critically ill patient within the hospital is common because of the need for advanced diagnostics and procedures. There are potential challenges associated with intra-hospital transport and patient safety is of the utmost importance. The standard for intra-hospital transport is to provide the same level of care requiring connected physiological monitoring as within the ICU. This webinar will identify the risks and provide a workable framework to ensure patient safety. Strategies include stakeholder engagement, benefits of standardization, wireless assessment and testing to ensure alarms, trends and waveform will continue be tracked and integrated. The webinar will explore the current literature along with case studies to illustrate the challenges and best practices.
Maintaining a patient-centered vision while implementing new monitoring technology is a complex endeavor, and the intended benefits of technology are not always realized because of implementation-related challenges. This webinar will describe how an academic medical center successfully addressed cultural, educational barriers in the successful implementation of a physiologic monitoring strategy.
Since March 2020, CDC data indicates that more than 1 million people in the US have been infected by COVID-19. Hospitals in various parts of the US continue to face shortages in ICU bed capacity and staff. The diversity in clinical presentation and the potential for rapid deterioration requires effective surveillance of inpatients not presently requiring critical care support.
This clinical discussion of pulse oximetry will cover the background, basics and nuances of pulse oximetry monitoring in critical and acute care hospital settings with the goal of helping caregivers build a mental model of the technology and physiology used in pulse oximetry. The webinar will also focus on common clinical conditions that lead to diminished blood flow to the digits and slower detection of saturation changes, including patient shock, peripheral vascular disease, advanced age, etc. Tips on how to troubleshoot and/or optimize pulse oximeter performance will be shared and pulse oximetry probe site options beyond the finger will be discussed