Specialized Paramedicine

Ventilator Management for Critical Care Transport

VentMgmtClass

Course Outline

  • Indications and Ramifications of Mechanical Ventilation

    • Positive pressure ventilation versus spontaneous respiration

    • Respiratory failure defined

    • Chest X-ray study: common causes of respiratory failure

    • V/Q mismatches

    • Physiological consequences of mechanical ventilation

  • Arterial Blood Gasses

    • Normal and abnormal ABG values

    • ABG interpretation

    • Case studies

  • Ventilator Overview

    • Types of ventilators

  • Ventilator Modes

    • Volume versus pressure controlled ventilation

    • Modes

      • Assist/control

      • Synchronized intermittent mandatory ventilation

      • Pressure support

      • Non-invasive positive pressure ventilation

  • Ventilator Settings

    • Frequency

    • Tidal volume

    • Inspiratory flow rate

    • FIO2

    • Positive end-expiratory pressure

    • Pressure control

    • Pressure support

    • Sensitivity

  • Circuit Setup

    • Circuit legs

    • Ballard

    • ETCO2

    • Filter

    • Humidifier

    • Nebulizer

    • Trach balloon

    • Oxygen supply

  • Airway Pressure Waveform

    • Peak pressure versus plateau pressure

      • Normal values

    • Resistive pressure

    • Elastic pressure

    • PEEP

    • Phases of ventilation

    • Lung compliance issues

  • Alarms and Troubleshooting

    • High pressure

    • Low pressure

    • Low minute volume

    • Troubleshooting

  • Ventilator Management Strategies

    • Lung injury Strategy

    • Obstructive strategy

    • Hold maneuvers

      • Inspiratory hold

      • Expiratory hold

  • Phramacology

    • Sedation

      • Benzodiazepines

      • Propofol

    • Analgesia

      • Fentanyl

    • Paralytics

      • Depolarizing versus nondepolarizing

        • Succinylcholine

        • Rocuronium

        • Vecuronium

  • End Tidal CO2 for Mechanical Ventilation

    • Data on the use of ETCO2 for transport

    • ETCO2 versus PaCO2

    • ETCO2 cases

    • ETCO2 in resuscitation

  • Ventilator Use in Resuscitation

    • AHA guidelines

    • Settings

  • Scenarios

    • Simulated patient encounters

References and resources:

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