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Just Breathe 101: The Diaphragm in Critical Care

Just Breathe 101: The Diaphragm in Critical Care

Just Breathe 101: The Diaphragm in Critical Care

This course includes
1:04:19 of Course Material (View)
Certificate of completion
The instructors
This course was recorded in September 2020


This online course by Debra Dent, is a specific course dealing with the diaphragm in a critical care setting. 

Neurological compromise, traumatic injury, and congenital defects will be presented.  A detailed examination of the phrenic nerve and the neurological compromises of the diaphragm is given.  Numerous acquired defects of the diaphragm and their treatments are reviewed in detail.  Understanding how the diaphragm will adapt to prolonged ventilation (VIDD) and the consequences that result is examined.  There are reviews of various current studies regarding early mobilization in the ICU for the prevention and treatment of Intensive Care Unit Acquired Weakness.


In this online course, we will:

  • Review the anatomy of the diaphragm
  • Review the anatomy of the phrenic nerve
  • Discuss the neurological compromise of the diaphragm
  • Understand the acquired injuries of the diaphragm
  • Discuss congenital issues
  • Understand the response of the diaphragm to ventilation
  • Learn about Ventilator Induced Diaphragm Dysfunction (VIDD)
  • Learn about Intensive Care Unit Acquired Weakness (ICUAW)
  • Discuss suggested approaches for care
  • Review of current studies on the pathophysiology of VIDD, ICUAW, and approaches to prevention and treatment


Course Objectives:

  1. Describe the anatomical structure of the diaphragm including innervation and blood supply.
  2. List four causes that may damage the innervation to the diaphragm and affect normal function.
  3. Describe the factors involved in Intensive Care Unit Acquired Weakness.
  4. Be able to describe the pros and cons of early mobilization in the ICU.


Please note: When you click 'Buy Course' in the top left-hand corner (note: you must be signed into Embodia to see this button), you will be presented with two options: you can purchase this individual course or you can choose to purchase the entire series at a 20% discount.

This course is part of the 'Just Breathe 101' series, which is designed for professionals that teach the technical biomechanics of the rib cage and the whole track is more treatment-oriented. 

The instructors
Debra Dent
BPT Dip Manip PT OCS (Emeritus) FCAMPT (Retired)

Debra Dent is a Physical Therapist with over 40 years of experience specializing in manual therapy of the spine. She is a graduate of the University of Manitoba, Canada where she received her Diploma of Physiotherapy in 1977 and her Bachelors of Physical Therapy in 1979. She was certified as a Part A manual Physical Therapist from the Canadian Physiotherapy Association in 1989 and received her Advanced Diploma of Manual and Manipulative Physiotherapy in 1994. United States APTA Orthopedic Certified Specialist (OCS) designation was completed in 1996 and recertified in 2006 and in 2016 she was recertified Emeritus.

Debra was a Fellow of the Canadian Academy of Manual Therapists (FCAMPT) from 1994 until retiring in 2019. She was an instructor for the Canadian Physiotherapy Association since 1989 to 1994. She has been a guest clinical instructor at the University of South Florida from 2003-05, teaching the Spinal Manual Therapy Program for the MscPT undergraduate program and has taught a large number of manual therapy courses in the US and Canada. She has numerous online seminars related to Differential Diagnosis, Breathing Essentials and Foundation Form Function of the core that are available for Physical Therapists, Occupational Therapists and Chiropractors.

She owns Cross Border Seminars and presently works as a consultant and contract PT in Clearwater, Florida.

Course Material included in this course
  • Introduction
  • Welcome
  • Introduction and Objectives
  • Letter from a Student
  • Letter from a Student
  • Anatomy
  • Anatomy
  • Diaphragm Dysfunction
  • Diaphragm Dysfunction
  • Acquired Injuries
  • Acquired Injuries
  • Management of Diaphragm Rupture
  • VIDD Ventilator Induced Diaphragm Dysfunction
  • VIDD Ventilator Induced Diaphragm Dysfunction
  • VIDD Treatment Strategies
  • Prevention Strategies
  • Diaphragm in Critical Care Quiz
  • Diaphragm in Critical Care Quiz
  • References
  • References for the Evidence
  • Covid 19 Reading List
  • Continue learning with Debra Dent
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