Virtual Didactic - Respiratory Management After SCI presented by Jesse Lieberman, MD-Respiratory Management After SCI Led by Jesse Lieberman, MD

Video Transcription

Video Summary

The video is a recording of a virtual didactics session for the AAP (American Academy of Physical Medicine and Rehabilitation). The speaker, Dr. Jesse Lieberman, discusses the management of respiratory dysfunction in spinal cord injury (SCI) patients.<br /><br />Dr. Lieberman starts by acknowledging the disproportionate impact of the COVID-19 pandemic on different individuals and expresses appreciation for those who have been affected professionally or personally. He then outlines the goals of the session, which are to augment didactic curricula, offload faculty due to the challenges of the pandemic, and provide learning opportunities for off-schedule residents.<br /><br />The speaker explains the anatomy of the respiratory system in SCI patients and highlights the components of respiratory dysfunction. He discusses methods to overcome these components, such as diaphragmatic pacemakers, cough assist machines, and various techniques for clearing secretions. Dr. Lieberman also emphasizes the importance of preventing complications like pneumonia and anaphylaxis.<br /><br />He further discusses the use of mechanical ventilation, including high tidal volumes, to improve lung function and prevent atelectasis. The speaker mentions the use of NIFs and FVCs to assess respiratory muscle strength and recommends using Trendelenburg positioning and abdominal binders to aid in draining secretions.<br /><br />Additionally, Dr. Lieberman touches on diaphragmatic pacing as a treatment option for SCI patients who depend on mechanical ventilation. He concludes by answering questions from participants and providing his contact information for further inquiries.<br /><br />Overall, the video provides information on the management of respiratory dysfunction in SCI patients, including various techniques, interventions, and considerations for improving lung function and preventing complications.

Keywords

respiratory dysfunction

spinal cord injury

COVID-19 pandemic

mechanical ventilation

clearing secretions

diaphragmatic pacing

complications prevention