Mechanical Ventilation Course (On demand)

Agenda:

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ESEM Mechanical Ventilation for Emergency Physicians Course

Maximum: 20 delegates (ED Physicians and Nurses)

Course Director: 

Dr. Ayesha Almemari, Consultant Emergency Medicine and Critical Care

This workshop offers a chance to learn the basics principles of mechanical ventilation of critically ill patient in the Emergency Department. Workshop participants will learn the physiology of the respiratory system, mechanical ventilation principles and its clinical application and utility in the ED. During the practical sessions the workshop participants will have a chance to try ventilators, different modes and different machines.

Objectives:

  • To review the principles of respiratory physiology
  • To discuss Blood Gas Interpretation and its clinical application
  • To review the principles of mechanical ventilation
  • To discuss different mode of mechanical ventilation
  • Identify the initial parameters, settings, and special issues associated with ventilator setup
  • To discuss the principles of non-invasive ventilation
  • To discuss the complication of Mechanical Ventilation
  • To Discuss the care of ventilated patient in ED
  • Discuss the Weaning and Discontinuation from Mechanical
  • Discuss Mechanical Ventilation of Asthmatic, COPD, Septic and ASA over dose patient

 SESSION ONE: Respiratory Physiology and Basics of Mechanical Ventilation

08:00   Registration

08:30   Basic Physiology: Basics of Mechanical Ventilation

  • Basics of Respiratory physiology
  • History of mechanical ventilation
  • Why this patient is intubated
  • Why this patient is ventilated

09:00   Basic Physiology: ABGs do you really know how to interpret them?

  • Recognize the difference between oxygenation adequacy and efficiency
  • Discriminate between acute and chronic respiratory failure
  • Realize the different scenarios for all Acid base disorders problems
  • Evaluate the degree of compensation
  • Discuss the causes for the different acid base disorders
  • Realize more than one interpretation in the same acid base disorder

09:30   The anatomy of the ventilator and function of each piece and Modes of Mechanical Ventilation

10:00   Non Invasive Mechanical VENTILATION (Abdulla Alnaqbi)

10:30   Coffee break

SESSION TWO: Applying Basic Mechanical Ventilaton Principles

 Delgates will be divided in to 2 groups, 10 max per group 1 will start at station 1

then groups will alternate

11:00   Basics of Mechanical Ventilation (Case Based Discussion and hands on)

  • Recognize the cause of respiratory failure
  • Realize the need for invasive ventilation versus NIV and contraindications for invasive or NIV
  • Identify the mode for each scenario set and the control used
  • Identify the different settings in normal lung in a timely manner
  • Recognize the alarms that should be set in each mode
  • Discuss the rationale for the mode and settings
  • Each candidate is asked to quickly adjust to change the I:E ratio to another desired ratio while keeping the same minute volume. 

11:45   ABG Interpretation scenarios

 12:30   Prayer and Lunch BREAK

SESSION THREE: Advance Mechanical Ventilation Principles

13:30   Complication of mechanical VENTILATION

13:50   Mechanical ventilation in Asthma, SEPSIS, ASA over dose and restrictive lung DISEASE (Salman Abdel Aziz)

14:10    Care of the ventilated patient in ED

14:30    Weaning of Mechanical Ventilation

15:00    Coffee BREAK

SESSION FOUR: Applying Advanced Mechanical Ventilation principles

Delgates will be divided in to 2 groups, 10 max per group, 1 will start at station 1

then groups will alternate

15:15   Advanced Mechanical Ventilation Principles (1)

Restrictive Lung disease scenario:

  • Evaluate the abnormality in the patient with hypoxia and high-pressure alarm on the ventilator.
  • Discuss the methods to decrease the pressures without compromising oxygenation in a timely manner
  • Identify methods to increase oxygenation without increasing pressure
  • Adjust the ventilator settings for optimum results. (Each candidate may perform a single parameter to decrease the mean airway pressure and increase oxygenation).

16:00 Advanced Mechanical Ventilation Principles (1)

Obstructive Lung Disease scenario:

  • Evaluate the abnormality in the case scenario, hypercapnia, high peak pressures
  • Discriminate between high peak pressures in a restrictive or obstructive lung disease.
  • Evaluate for the suspicion of air trapping and auto-PEEP
  • Adjust the ventilator settings to decrease the air trapping
  • Assess for the presence of auto-PEEP with a maneuver

 

16:45 Discussion and closing remarks