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. 2023 Jul 12;4(3):372-384.
doi: 10.34197/ats-scholar.2023-0037HT. eCollection 2023 Sep.

How I Teach: Liberation from Mechanical Ventilation

Michael C Ferrera  1 , Margaret M Hayes  1
Affiliations

How I Teach: Liberation from Mechanical Ventilation

Michael C Ferrera et al. ATS Sch. .

Abstract

Liberation from mechanical ventilation is one of the most important decisions in the intensive care unit (ICU), as extubation failure is associated with worse outcomes. Determining readiness to extubate can be challenging in complex patients and lead to provider stress. Here, we provide our approach to teaching liberation from mechanical ventilation for learners in the ICU. We use a case-based didactic session that purposefully introduces ambiguous cases without a clear answer, utilizing aspects of both cognitive load theory and adult learning theories.

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Figures

Figure 1.
Figure 1.
Timeline of session with proposed reflection points. RSBI = rapid shallow breathing index; SBT = spontaneous breathing trial.
Figure 2.
Figure 2.
Drawing used to frame the discussion of whether a patient is passing their spontaneous breathing trial. Permission to reprint this image was secured through the purchase of a royalty-free license from The Noun Project. FiO2 = fraction of inspired oxygen; SBT = spontaneous breathing trial.
See this image and copyright information in PMC

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