Chairs: Dr Ana Cysneiros (Lisboa, Portugal), Prof. Dr João Carlos Winck (Vila Nova de Gaia, Portugal)
Speakers: Dr Annemijn Jonkman (Rotterdam, Netherlands), Prof. Dr Guillaume Carteaux (Paris, France), Dr Lluís Blanch (Barcelona, Spain)

Fees: Free for ERS members / €10 for non-members
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Overview

Acute respiratory failure is one of the largest areas of respiratory medicine and takes large human and technical resources at tertiary care. Ventilatory support for acute respiratory failure is provided by pulmonologists and in invasive support by pulmonologists and intensivists. This is a very demanding technical skill and protective lung ventilation is necessary to avoid ventilator induced lung injury, one the most common consequences of mechanical ventilation.

Both non-invasive ventilation (NIV) and invasive mechanical ventilation (IMV) can lead to VILI (ventilator-induced lung injury) in acute respiratory failure management. There is growing evidence that detecting and correcting asynchronies as well as selecting ideal positive end-expiratory pressure (PEEP) leads to better outcomes, shorter duration of ventilatory support and less VILI. This has both a human impact and an economical one. Oesophageal pressure monitoring is an easy and cost effective way of better selecting ventilation parameters but very few centres use it, mainly due to lack of training. Avoiding VILI saves lives and hospital costs.

Learning how to use and interpret oesophageal curves is paramount to pulmonology competencies but this is still lacking in most syllabus of postgraduate teaching, with most clinicians not being able to interpret and use oesophageal monitoring and interpreting PV curves in a ventilator. The webinar format is an excellent starting point and this has proved an excellent teaching facility.

Educational aims

• Oesophageal pressure monitoring indications and interpretation
• How to select ideal PEEP
• How to detect the most common asynchronies by looking at PV loops on a ventilator
• How to manage the most common asynchronies

Topics:

• Indication for oesophageal pressure monitoring during ventilatory support: patient selection
• How to read basic oesophageal pressure monitoring
• How to detect and treat the most common asynchronies
• Current research topics on VILI and the role of AI

Format

One-hour webinar format: 45 minutes for presentations, followed by a 15-minute Q&A session.

Learning outcomes

Following this webinar, participants will be able to:

• Select patients that benefit the most from oesophageal pressure monitoring
• Detect and manage the most common asynchronies
• Become better equipped to avoid VILI

CME credit

An application for accreditation of this webinar has been made to the European Board for Accreditation in Pneumology (EBAP) for 1 CME credit per 1-hour attendance. If accredited, the CME credit will be granted upon attendance of at least 60 minutes during the live webinar only.

What is a webinar?

A webinar closely simulates a lecture-based teaching experience. The speaker can interact with the audience, just as in a classroom setting. During the webinar, you will be asked to share your opinion on issues related to the topic using interactive polls.

All participants will be able to hear the lecturer and see the slides throughout the presentation. As a participant you will be able to pose questions or discuss ideas with the other participants via the text chat facility and the speaker will respond to the questions via the microphone.

Login guidelines

More information will be communicated in due course.

• Please log in to the webinar 20 minutes before it is scheduled to commence. If you have any technical difficulties whilst trying to log in or during the session please contact e-learning@ersnet.org.
• Check Central European Time.
• To achieve the best quality, we recommend to avoid downloading anything from the internet during your connection to the lecture and stopping all other programmes.
• Please also ensure that your audio settings are not set to mute and adjust the volume to a comfortable level.