2019 Cooper CCM Ventilator Curriculum
“Mastering Mechanical Ventilation”
AIM: The safe and effective delivery of a positive-pressure breath requires an understanding of both basic and advanced concepts in mechanical ventilation. Attempts to teach these concepts are often bested by complexity, inconsistency, and a varied approach. Regardless of previous experience and expertise we are starting over and building from the ground up. We will master mechanical ventilation though a learner-centered model. There is expected concept overlap within these core competencies. The repetition and layering of concepts will be key to acquiring each competency. The core competencies are structured around integrated learning not graduated learning.
Resources
- Mechanical Ventilation: Robert L. Chatburn
- Rapid Interpretation of Ventilator Waveforms 2nd Edition
- The Ventilator Book 2nd Edition
- Supplemental Materials (see page 3)
Core Competencies:
I. “Mastering the Machine”: how the ventilator works
II. “Mastering the Mode”: controlling how a breath is delivered
III. “Mastering the Display”: scalars & loops
IV. “Mastering the Pathology”: approach to different patient types
V. “Mastering Asynchrony”: patient-ventilator asynchrony
VI. “Mastering Weaning”: weaning modes of mechanical ventilation
VII. “Mastering Alarms & Emergencies”: bedside rounds & simulation training
Mastering Mechanical Ventilation
“Mastering the Machine”
Resources:
Mechanical Ventilation: Robert L. Chatburn
1. Introduction to Ventilators
2. The Equation of Motion
3. Speak the language: taxonomy of mechanical ventilation
4. Breath Pattern & Control Strategy
5. Alarms
“Mastering the Mode”
Resources:
Mechanical Ventilation: Robert L. Chatburn
Rapid Interpretation of Ventilator Waveforms 2nd Edition
The Ventilator Book 2nd Edition
1. Volume Control
2. Pressure Control
3. Pressure Regulated Volume Control
4. Pressure Support
5. Airway Pressure Release Ventilation
6. High Frequency Oscillatory Ventilation
7. Proportional Assist Ventilation
8. Neurally Adjusted Ventilator Assist
“Mastering the Display”
Resources:
Mechanical Ventilation: Robert L. Chatburn
Rapid Interpretation of Ventilator Waveforms 2nd Edition
1. Volume Targeted Scalars
2. Pressure-Targeted Scalars
3. Spontaneous Ventilation Scalars
4. Flow-Volume Loops
5. Pressure-Targeted Loops
6. Spontaneous Ventilation Loops
7. Changes in Respiratory Compliance
8. Airway Obstruction
9. Leaks
“Mastering the Pathology”
Resources:
Mechanical Ventilation: Robert L. Chatburn
The Ventilator Book 2nd Edition
1. Respiratory System Mechanics
2. Ventilator Induced Lung Injury
3. Management of Obstructive Lung Disease
4. Management of Parenchymal Lung Injury
5. Management of Severe Hypoxemia
“Mastering Asynchrony”
Resources:
Mechanical Ventilation: Robert L. Chatburn
Rapid Interpretation of Ventilator Waveforms 2nd Edition
The Ventilator Book 2nd Edition
1. Trigger Asynchrony
2. Flow Asynchrony
3. Cycle Asynchrony
4. Mode Asynchrony
“Mastering Weaning”
Resources:
Mechanical Ventilation: Robert L. Chatburn
The Ventilator Book 2nd Edition
1. Weaning Modes (PSV, SIMV, PAV)
2. Systematic Approach to Liberation from Mechanical Ventilation
3. Prolonged Mechanical Ventilation
4. Predicting Post-extubation Laryngeal Edema
“Mastering Alarms & Emergencies”
Resources:
Faculty
1. The Bedside Approach: “answering the 3 questions”
2. Bedside Rounds
3. Simulation Training
Supplemental Materials
Mechanical Ventilation: Essentials for Current Adult & Pediatric Practice
SERVO-I Pocket Guide
SERVO-i Maquet Graphics Web Seminar
Design Features of Modern Mechanical Ventilators
https://www.ncbi.nlm.nih.gov/pubmed/27842742
Assessing Respiratory System Mechanical Function
https://www.ncbi.nlm.nih.gov/pubmed/27842743
Ventilatory Management of the Noninjured Lung
https://www.ncbi.nlm.nih.gov/pubmed/27842750
Patient-Ventilator Interactions
https://www.ncbi.nlm.nih.gov/pubmed/27842747
Managing Respiratory Failure in Obstructive Lung Disease
https://www.ncbi.nlm.nih.gov/pubmed/27842746
Mechanical Ventilator Discontinuation Process
https://www.ncbi.nlm.nih.gov/pubmed/27842749
Long-Term Mechanical Ventilation
https://www.ncbi.nlm.nih.gov/pubmed/27842754
Extracorporeal Gas Exchange: the expanding role of extracorporeal support in respiratory failure
https://www.ncbi.nlm.nih.gov/pubmed/27842755