How I Teach: Liberation from Mechanical Ventilation

Michael C Ferrera; Margaret M Hayes

doi:10.34197/ats-scholar.2023-0037HT

How I Teach: Liberation from Mechanical Ventilation

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

Authors

Michael C Ferrera¹, Margaret M Hayes¹

Affiliation

¹ Division of Pulmonary and Critical Care Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

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.