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2022 Seminars

Early Intervention in the ICU: Combining the Benefits of a No-Leak Speaking Valve and Respiratory Muscle Training

Multidisciplinary – Open to SLPs, RTs, nursing, and any healthcare professional who works with this patient population

Location:

This is a live, virtual course. It will be presented online.

Featuring:

Christine Sapienza, PhD, CCC-SLP and Kristin King, PhD, CCC-SLP

With Special Guest Speakers:

Bari Hoffman, PhD, CCC-SLP, ASHA Fellow; Maribel Ciampitti, MS, CCC-SLP, Passy Muir Clinical Consultant; Vicki Lewis, MA, CCC-SLP; Corey Mohnike, BSRT, RRT, Passy Muir Clinical Consultant; and Jenny Opalinski, MA, CCC-SLP;

In addition to presentation, the seminar includes demonstrations, panel discussions, and case studies

Date:

Saturday, February 26, 2022 9:30am-6:45pm Eastern

Contact hours:

8 hours

Overview

This course is designed for healthcare professionals who work with patients with tracheostomy. The program will review the physiology of the respiratory system in patients with tracheostomy, highlighting the importance of early intervention in this population. Use of a no-leak speaking valve and respiratory muscle training (RMT) in-line with mechanical ventilation will be discussed. The program will highlight the benefits of these interventions in ICU patients, including improvement in voicing, swallow function, cough strength, and secretion management. Discussion will include a review of clinical considerations for successful use of a no-leak speaking valve and RMT, including assessment, placement, and appropriate intervention protocols. Supporting data and notable clinical studies will be shared. Attendees will gain a core knowledge of both interventions and will have an opportunity to use critical thinking during case studies and discussion about clinical practice. This seminar includes demonstrations and panel discussions under the guidance of expert clinicians.

Speakers

Christine Sapienza, PhD, CCC-SLP
Dr. Sapienza currently serves as provost of Jacksonville University. She is an academician, a strong female leader and mentor to 1000’s of students, with a professional career spanning more than two decades in college education. Dr. Sapienza holds a Bachelor of Science, and Master of Science and PhD. Today, Dr. Christine Sapienza is highly regarded throughout the country for her sustaining and innovative work in speech-language pathology. Dr. Sapienza’s expertise is relied upon by academic colleagues and clinicians worldwide.

Disclosure:
Financial – Dr. Sapienza is being paid a speaker fee for this presentation.
Nonfinancial – Although Dr. Sapienza is a co-inventor of the EMST150, she receives no financial benefit from the sale of the EMST150 and has no non-financial disclosures to disclose.


Kristin King, PhD, CCC-SLP
With over 25 years of experience in medical, academic, and industry settings, Dr. King brings a unique perspective to medical speech-language pathology. With a focus on neurological disease processes, her research and teachings have investigated traumatic brain injury, swallowing disorders, and aspects of critical care (tracheostomy and mechanical ventilation). She regularly speaks both domestically and internationally and publishes in peer-reviewed and clinical journals. She also has acted as an expert witness.

Disclosure:
Financial – Dr. King is an employee of Passy Muir Inc.
Nonfinancial – Dr. King has no non-financial disclosures to disclose.


Bari Hoffman, PhD, CCC-SLP, ASHA Fellow
Dr. Bari Hoffman is the Associate Dean for Clinical Affairs in the College of Health Professions and Sciences at the University of Central Florida. She also serves as the Director of the Ear, Nose, Throat and Plastic Surgery Associates, Center for Voice Care and Swallowing Disorders in Orlando, Florida. Dr. Hoffman is known for her education and numerous publications for treating upper airway issues that affect voice production and impair respiratory airway resistance. She is an author of three widely disseminated textbooks as well as the author of chapters in other leading industry books. She has been awarded the Fellow of the American Speech-Language-Hearing Association and the Florida Association of Speech Pathology and Audiology.

Disclosure:
Financial – Dr. Hoffman is being paid a speaker fee for this presentation.
Nonfinancial – Dr. Hoffman has no non-financial disclosures to disclose.


Maribel Ciampitti, MS, CCC-SLP
Maribel Ciampitti received her bachelor’s and master’s degrees in Speech-Language Pathology from the Indiana University of Pennsylvania. She has been a certified speech-language pathologist since 1998 and has worked in a variety of settings with both pediatric and adult populations. Her expertise is in the evaluation and management of communication and swallowing disorders in medically complex adult and geriatric patients requiring tracheostomy and ventilator support. She has developed CEU courses and presented on the topic of Passy Muir® Valve application in the assessment and treatment of communication and swallowing-related issues in the tracheostomy and ventilator-dependent population. Maribel also serves as a clinical site instructor and guest speaker at Jacksonville University.

Disclosure:
Financial – Maribel Ciampitti is being paid a speaker fee for this presentation and is a clinical consultant for Passy Muir Inc.
Nonfinancial – Maribel Ciampitti has no non-financial disclosures to disclose.


Vicki Lewis, MA, CCC-SLP
Vicki Lewis has been working in the field of speech-language pathology since 1993. She currently works as an instructor at the University of Central Florida. Vicki has worked in medical settings throughout her career and has experience with clinical use of respiratory muscle strength training (RMST) in both inpatient and outpatient settings.

Disclosure:
Financial – Vicki Lewis is being paid a speaker fee for this presentation.
Nonfinancial – Vicki Lewis has no non-financial disclosures to disclose.


Corey Mohnike, BS, RRT
Corey Mohnike is a registered respiratory therapist at a Level II Trauma Center. Corey joined the Passy Muir consultant team with significant experience regarding the Passy Muir® Valve. His experience includes use of the Valve both as a patient requiring a tracheostomy after a motor vehicle accident and working with the Valve in medical facilities as an RRT. Corey worked at Madonna Rehabilitation Hospital, a Passy Muir Center of Excellence, in areas that served many ventilator patients using the Valve. He has co-authored multiple procedures regarding Passy Muir Valve assessment and application with patients on mechanical ventilation. Corey served as the Clinical Educator for a multidisciplinary staff at Bryan Health in Lincoln, Nebraska. He was also involved with the Nebraska Society for Respiratory Care, and has spoken at multiple state meetings and national conferences. He is now the RT Educator at The Medical Center of the Rockies in Loveland, CO.

Disclosure:
Financial – Corey Mohnike is being paid a speaker fee for this presentation and is a clinical consultant for Passy Muir Inc.
Nonfinancial – Corey Mohnike has no non-financial disclosures to disclose.


Jenny Opalinski, MA, CCC-SLP
Jenny Opalinski is a practicing medical Speech-Language Pathologist with 10 years of experience in acute care. She is a member of the interdisciplinary trach/vent weaning team at her facility. She is currently employed at CareOne LTACH, a PMV Center of Excellence. She also utilizes Respiratory Muscle Strength Training (RMST) as a part of her daily clinical practice and for research. She has interests in pursuing evidence-based practice that will enhance the care of her patients for both the areas of communication and swallowing.

Disclosure:
Financial – Jenny Opalinski is being paid a speaker fee for this presentation.
Nonfinancial – Jenny Opalinski has no non-financial disclosures to disclose.

Agenda

Agenda

9:30 -10:15 am ET Overview of the Tracheostomy, Mechanical Ventilation, and Impact on Respiration
Contact Hours: 45 min
Teaching Strategies: Lecture with Q &A
Learning outcomes:
1. Describe the physiologic changes to the airway secondary to the tracheostomy procedure, including an overview of different types of tracheostomy tubes.
2. Explain the benefits of no-leak speaking valve use, including improvement in voicing, swallow function, olfaction, and secretion management.
3. Describe challenges for this patient population that early intervention may help address.
10:15 – 11:30 am ET Application of a No-Leak Speaking Valve
Time: 10:15 – 11:30 am ET
Contact Hours: 75 min
Teaching Strategies: Lecture with Q &A and demonstration
Learning outcomes:
1. Explain assessment criteria for placement of no-leak speaking valve in-line with mechanical ventilation and without mechanical ventilation, including patient selection criteria
2. Provide an overview of ventilator settings and the weaning process.
11:30 – 11:45 am ET Break
11:45 – 12:15 pm ET Demonstration for Placement of a No-Leak Speaking Valve
Contact Hours: 30 min
Teaching Strategies: Presenter demonstrations and Q&A
Learning outcomes:
1. Demonstrate proper cuff inflation/deflation technique
2. List the correct sequence of steps for PMV placement and removal
12:15 – 1:00 pm ET Principles of Respiratory Muscle Strength Training
Contact Hours: 45 min
Teaching Strategies: Lecture with Q &A
Content Area: Clinical Practice
Objectives:
1. Explain the basic principles of RMT including muscles targeted in training and benefits of RMT including improvement in swallow, voice and cough. Discuss how this applies to trach/vent population
2. Discuss the benefits of Inspiratory Muscle Strength Training vs. Expiratory Muscle Strength Training
1:00 – 1:15 pm ET Break
1:15 -2:00 pm ET Lunch and Learn
Time: 1:15 -2:00 pm ET
Contact Hours: 45 min

Learning outcomes:
1. Review clinical data supporting use of no-leak speaking valve and RMT in trach/vent population
2. List barriers to use and ways to overcome them
2:00 – 2:15 pm ET Break
2:15 – 3:30 pm ET Implementing Respiratory Muscle Training in the ICU
Contact Hours: 75 min
Teaching Strategies: Lecture with Q &A
Learning outcomes:
1. Describe assessment criteria and contraindications for RMT
2. Demonstrate use of manometer and devices
3. Identify suggested therapy protocols and considerations for trach/vent population.
3:30 – 4:00 pm ET Demonstration: Using RMT Devices
Contact Hours: 30 min
Teaching Strategies: Presenter demonstration and Q&A
Learning outcomes:
1. Demonstrate correct use of RMT devices
4:00 – 4:15 pm ET Break
4:15 – 5:00 pm ET Use of the No-Leak Speaking Valve in Combination with RMT
Time: 4:15 – 5:00 pm ET
Contact Hours: 45 min
Teaching Strategies: Lecture with Q &A and demonstration
Learning outcomes:
1. Describe how to determine treatment needs and identify the need for RMT
5:00 – 5:30 pm ET Live Demo Session Three – RMT device set up with No Leak Speaking Valve
Contact Hours: 30 min
Teaching Strategies: Demonstration and Q&A
Learning outcomes:
1. Identify correct set up for RMT device in conjunction with no-leak speaking valve
5:30 – 6:30 pm ET Critical Thinking: Applying Early Intervention Strategies in the ICU Through Case Studies
Contact Hours: 60 min
Teaching Strategies: Panel Discussion
Learning outcomes:
1. Identify diagnostic criteria, possible therapy strategies, and protocols during case studies
6:30 – 6:45 pm ET Summary review, CEUs, and adjournment

CEU Information

Continuing education credit offered for RTs, SLPs, and RNs. All others will receive a Certificate of Attendance.

This seminar is offered for .8 ASHA CEUs (Intermediate level).

Application for continuing education credit has been made to AARC for 8 CRCEs.


Passy-Muir, Inc. is an approved provider of continuing education by the California Board of Registered Nursing (Provider #CEP11239). Each webinar seminar is 8 contact hours.

Passy-Muir, Inc. has developed and patented a licensed technology trademarked as the Passy Muir® Tracheostomy and Ventilator Swallowing and Speaking Valve. This presentation will focus primarily on the bias-closed position Passy Muir Valve and will include little to no information on other speaking valves.

Registration / Cost

Space is limited and registrations will be accepted in the order received.

Regular Registration: $299.00

Student Registration: Please contact kking@passymuir.com or seminars@emst150.com for information.

Print outs: Handouts will be given on registration and are included in the cost of the course.

Assistance: All participants in Passy-Muir, Inc. Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Please inform us of any specific needs so that we may assist you.