RSPT 1265 - Introduction to Mechanical Ventilation

Credit Hours: 3.00

Objectives:

1. Demonstrate the ability to compare and contrast the different modes of mechanical ventilation.
2. Demonstrate the ability to disassemble, process, reassemble, and perform a self-test on a ventilator to ascertain proper function prior to placement on a patient.
3. Demonstrate the ability to prepare a mechanical ventilator in assist/control (A/C) mode.
4. Demonstrate the ability to prepare a mechanical ventilator in sual mode.
5. Demostrate the ability to prepare a mechanical ventilator in spontaneous mode.
6. Demonstrate the ability to make ventilator changes and to troubleshoot when problems arise.
7. Demonstrate proper documentation of the patient-ventilator interface.

Outcome 2: Upon completion of this course, students will be able to intubate a patient in the laboratory setting.

Objectives:

1. Demonstrate the ability to prepare and test the necessary equipment to perform intubation of a patient in the lab setting.
2. Demonstrate the ability to implement the steps required to intubate a patient in the lab setting.
3. Demonstrate the the ability to intubate a patient in the lab setting.
4. Explain the indications for intubation of a patient.
5. Explain the contraindications of intubating a patient.

Outcome 3: Upon completion of this course, students will be able to apply non-invasive ventilation to a mannequin in the lab setting.

Objectives:

1. Demonstrate the ability to test the non-invasive ventilator prior to use.
2. Demonstrate the ability to select and apply the proper mask for different patient types and sizes.
3. Demonstrate the abilty to make changes to the non-invasive ventilator given a patient scenario.
4. Explain how to troubleshoot potential problems with non-invasive ventilation.
5. Explain indications for non-invasive ventilation.
6. Explain contraindications of non-invasive ventilation.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

1. Airway Resistance
2. Lung Compliance
3. Deadspace Ventilation
4. Ventilatory Failure
5. Oxygenation Failure
6. Indications for Mechanical Ventilation
7. Contraindications for Mechanical ventilation
8. Indications for Non-Invasive Ventilation
9. Contraindications for Non-Invasive Ventilation
10. Pulmonary Considerations
11. Cardiovascular Considerations
12. Hemodynamic Considerations
13. Renal Considerations
14. Ventilatory Work
15. Input Power
16. Drive Mechanisms
17. Control Circuit
18. Control Variables
19. Phase Variables
20. Output Waveforms
21. Alarm Systems
22. Negative and Positive Pressure Ventilation
23. Operating Modes of Ventilation
24. Positive End Expiratory Pressure (PEEP)
25. Continuous Positive Airway Pressure (CPAP)
26. Contolled Ventilation
27. Assist-Control Ventilation 
28. Synchronized intermittent Mandatory Ventilation (SIMV)
29. Pressure Support Ventilation (PSV)
30. BiLevel Positive Airway Pressure (BiPAP)
31. Common Interfaces for CPAP and BiPAP
32. Interface Problems
33. CPAP/BiPAP Titration
34. Initial Ventilator Settings
35. Ventilator Alarm Settings
36. Hazards and Complications of Mechanical Ventilation
37. Patient Assessment
38. Intubation
39. Cuff pressure monitoring
40. Fluid Balance
41. Anion Gap
42. Arterial Blood Assessment
43. Oxygen Saturation
44. Flow Waveforms
45. Pressure Waveforms
46. Volume Waveforms