|1. Description - |
|Develops and enhances the concepts and skills essential to meet the needs of patients placed on invasive and non-invasive ventilation. Overview of modes of ventilation, humidification and medication delivery. Includes laboratory exercises of commonly used ventilators and patient-ventilator simulations. For continuing education purposes, new ventilators and state-of-the-art theories on ventilation will be presented based upon current research. Intended for students in the respiratory therapy program.|
|Prerequisites: RSPT 50C and 51C.|
|2. Course Objectives - |
|The student will be able to: |
- Apply the principles of oxygen delivery and arterial blood gas analysis to patient case scenarios to determine appropriate ventilator therapy.
- Set up a mechanical ventilator (PB 7200, PB 840, Servo i, Pulmonetics LTV1200 and Drager XL).
- Check ventilator settings on a mechanical ventilator.
- Suggest changes in ventilator parameters based on patient data.
- Recognize ventilator malfunction given patient simulations.
- Change ventilator circuits.
- Explain when to use the various modes of ventilation.
- Perform calculations, i.e. Raw, Cst, Ti, I:E, Flow, Vt, ventilator settings.
- Compare and contrast Pressure Control and Volume Control Ventilation.
- Identify ventilator waveforms and suggest ventilator setting modifications.
- Identify capnographic waveforms and suggest appropriate treatment.
- Using spontaneous breathing trials, recommend weaning techniques.
- Suggest ventilator settings to decrease work of breathing.
|3. Special Facilities and/or Equipment - |
|Calculator, watch with second hand, scissors. Ventilators; compressed gas source. PC computer and projection monitor. |
|4. Course Content (Body of knowledge) - |
- Recommend initial ventilator settings
- Tidal Volume
- I Time
- Pressure support
- Back up Apnea parameters
- Correctly set up and initiate mechanical ventilators
- Servo i
- Drager XL
- Pulmonetics LTV1200
- Perform a routine ventilator system check
- Tidal volume set and spontaneous
- Set and total rate
- Minute volume
- Peak Inspiratory Pressure
- Plateau pressure
- Mean airway pressure
- Pressure support
- I time
- I:E ratio
- Alarm settings
- Back up apnea parameters
- Suggest changes based on:
- ABG results
- Patient dyssynchrony
- Parameter changes
- Troubleshoot ventilator
- Leak recognition
- kinked tubing
- Change ventilator circuits
- 2 person method
- Criteria for changing circuit
- Modes of ventilation
- Weaning modes
- Volume modes
- Pressure control modes
- I:E ratio
- Compare and contrast between:
- Pressure control
- Assist control
- Waveform interpretation
- Spontaneous weaning trials
- PF ratio
- T-piece trials
- Adjustments to decreas WOB
- Flow adjustments
- Mode changes
|5. Repeatability - Moved to header area.|
|6. Methods of Evaluation - |
|Methods of evaluation may include the following: |
- Laboratory Competency Check-offs.
- Comprehensive Final Exam.
- Laboratory Final Exam.
|7. Representative Text(s) - |
|Wilkins, Stoller, Kacmarek. Egan's Fundamentals of Respiratory Care.9th ed., Mosby. 2009. 9780323036573 |
Pilbeam, Cairo. Mechanical Ventilation: Physiology and Clinical Application, 4th ed., Mosby. 2006 ISBN: 9780323032360
|8. Disciplines - |
|Respiratory Therapy |
|9. Method of Instruction - |
- Lecture presentations and classroom discussion on the topic of mechanical ventilation.
- In class demonstration and practical application of the different modes of ventilation.
|10. Lab Content - |
- Ventilator set up
- Initial settings
- Completion of a ventilator check
- Management of ventilator settings
- Troubleshooting according to different patient scenarios
- Set: Alarms and Sensitivity accordingly
|11. Honors Description - No longer used. Integrated into main description section.|
|12. Types and/or Examples of Required Reading, Writing and Outside of Class Assignments - |
|Reading assignments in the required texts. |
|13. Need/Justification - |
|This course is required core course for the A.S. degree in Respiratory Therapy. |