RSPT 61A: ADULT MECHANICAL VENTILATION
Foothill College Course Outline of Record
Heading | Value |
---|---|
Effective Term: | Summer 2025 |
Units: | 4 |
Hours: | 3 lecture, 3 laboratory per week (72 total per quarter) |
Prerequisite: | RSPT 50C and 51C. |
Degree & Credit Status: | Degree-Applicable Credit Course |
Foothill GE: | Non-GE |
Transferable: | CSU |
Grade Type: | Letter Grade Only |
Repeatability: | Not Repeatable |
Student Learning Outcomes
- Apply the principles of oxygen delivery and arterial blood gas analysis to patient case scenarios to determine appropriate ventilator therapy.
- Identifies ventilator waveforms and suggests ventilator setting modifications.
Description
Course Objectives
The student will be able to:
- Input appropriate initial ventilator settings based on the principles of oxygen delivery and arterial blood gas analysis applied to patient case scenarios.
- Set up a mechanical ventilator (Trilogy, Servo u, Servo i, Pulmonetics LTV1200, and Drager V500).
- 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, e.g., 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.
- Perform spontaneous breathing trials, recommend weaning techniques.
- Suggest ventilator settings to decrease work of breathing.
Course Content
- Initial ventilator settings
- FiO2
- Mode
- Tidal volume
- Rate
- I time
- Peep
- Pressure support
- Flow
- Back up apnea parameters
- Initiate mechanical ventilation
- Hamilton G5
- PB840
- Servo i and Servo U
- Drager XL and Drager V500
- Pulmonetics LTV1200
- Ventilator system check
- Mode
- FiO2
- Tidal volume set and spontaneous
- Set and total rate
- Minute volume
- Peak inspiratory pressure
- Plateau pressure
- Mean airway pressure
- Set PEEP and measured PEEP
- Pressure support
- Flow
- I time
- I:E ratio
- Pulmonary mechanics
- Alarm settings
- Back up apnea parameters
- Humidification
- Parameter changes based on:
- ABG results
- Ventilator waveforms and loops
- Pulmonary mechanics
- Patient dyssynchrony
- Clinical changes in the patient
- Troubleshooting ventilator problems
- Leak recognition
- Kinked tubing
- Disconnection
- Change ventilator circuits
- 2 person method
- Criteria for changing circuit
- Modes of ventilation
- Weaning modes
- Volume modes
- Pressure modes
- APRV
- HFOV
- IRV
- Calculations
- Static compliance (Cs)
- I:E ratio
- Airway resistance (Raw)
- Modes of ventilation
- Assist control
- Volume
- Pressure
- Hybrid
- SIMV
- Volume
- Pressure
- Hybrid
- CSV/Spont
- Assist control
- Waveform interpretation
- Scalars
- Loops
- Capnography
- Waveform interpretation
- Troubleshooting
- Spontaneous weaning trials
- RSBI
- MIF/VC
- PF ratio
- T-piece trials
- Ventilator parameters
- Sensitivity
- Ramp
- Flow adjustments
- Mode changes
- ATC (automatic tube compensation)
Lab Content
- Ventilator set up
- Initial settings
- Completion of a ventilator check
- Management of ventilator settings
- Troubleshooting according to different patient scenarios
- Set ventilator alarms and sensitivity appropriately
Special Facilities and/or Equipment
2. Ventilators; compressed gas source.
3. PC computer and projection monitor.
Method(s) of Evaluation
Assessments
Laboratory competency check-offs
Method(s) 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
Representative Text(s) and Other Materials
Cairo. Mechanical Ventilation: Physiology and Clinical Application, 7th ed.. 2020.
Kacmarek, Stoller, and Heuer. Egan's Fundamentals of Respiratory Care, 12th ed.. 2021.
Types and/or Examples of Required Reading, Writing, and Outside of Class Assignments
Reading assignments in the required texts.