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Respiratory Compromise; Common, Costly, Deadly and Preventable

This program is accredited for 1.0 contact hours for Registered Nurses and Respiratory Therapists. In order to take this test and receive your certificate, after viewing this video, please go to register, and answer the questions and survey. Upon successful completion, you may print out your certificate.

Respiratory compromise is one of the leading avoidable patient safety issue. Respiratory compromise increases morbidity and mortality as well hospital inpatient costs. This presentation will define respiratory compromise, its causes, its implications and evidence-based prevention strategies that include continuous monitoring of ventilation using capnography.


  1. Understand the importance of improving our current Respiratory Compromise prevention paradigms.

  2. Define Respiratory Compromise including the patient pathway and clinical objectives at each phase

  3. Assess major literature on continuous pulse oximetry and capnography

  4. Understand the 3 physiologic pathways that lead to respiratory failure and arrest

  5. Understand the reliability, response time, and accuracy of monitoring options

  6. Learn how capnography waveform provide indication of the quality of ventilation

  7. Recognize the importance of early recognition and intervention in Respiratory Compromise 


Brian D. Berry Jr, CRNA, MBA, MS  currently serves as the System Chief Nurse Anesthetist and Director of Perioperative Services at Excela Health, a 5-facility system located in Western Pennsylvania.  At Excela, Mr. Berry is responsible for leading the operational, financial and strategic goals of both anesthesia and perioperative services.  Mr. Berry is Adjunct Faculty at the University of Pittsburgh where he provides didactic instruction on various subjects such as simulation, pharmacology, obstetrics, and regional anesthesia.  Mr. Berry has lectured at both national and international continuing medical education conferences and has been published in the Wall Street Journal, USA today, American Association of Nurse Anesthetists Journal, International Journal of Clinical Anesthesiology, among others.  Mr. Berry has served on the American Association of Nurse Anesthetists Public Relations committee and has been both a Board of Trustee member and the Vice President of the Pennsylvania Association of Nurse Anesthetists. Mr. Berry’s education includes a Master’s in Science from St. Vincent College and Master’s in Business Administration from Waynesburg University.  Most recently, Mr. Berry has been named Excela Health’s Co-coordinator of the Safety Program for Improving Surgical Care and Recovery (ISCR), an activity in conjunction with the Agency of Healthcare Research and Quality (AHRQ), Johns Hopkins, and the American College of Surgeons (ACS). Among a multitude of awards, Mr. Berry was recently recognized in Pittsburgh Magazine in 2017 for distinction among Advanced Practice Providers. 

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