Academic Catalog

RSPT 61A: ADULT MECHANICAL VENTILATION

Foothill College Course Outline of Record

Foothill College Course Outline of Record
Heading Value
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

Develops and enhances the concepts and skills essential to meet the needs of patients placed on invasive and non-invasive ventilation. Overview of modes of ventilation, humidification and medication delivery. Includes laboratory exercises of commonly used ventilators and patient-ventilator simulations. For continuing education purposes, new ventilators and state-of-the-art theories on ventilation will be presented based upon current research. Intended for students in the Respiratory Therapy Program; enrollment is limited to students accepted in the program.

Course Objectives

The student will be able to:
A. Apply the principles of oxygen delivery and arterial blood gas analysis to patient case scenarios to determine appropriate ventilator therapy.
B. Set up a mechanical ventilator (Trilogy, Servo u, Servo i, Pulmonetics LTV1200 and Drager V500).
C. Check ventilator settings on a mechanical ventilator.
D. Suggest changes in ventilator parameters based on patient data.
E. Recognize ventilator malfunction, given patient simulations.
F. Change ventilator circuits.
G. Explain when to use the various modes of ventilation.
H. Perform calculations, e.g., Raw, Cst, Ti, I:E, Flow, Vt, ventilator settings.
I. Compare and contrast pressure control and volume control ventilation.
J. Identify ventilator waveforms and suggest ventilator setting modifications.
K. Identify capnographic waveforms and suggest appropriate treatment.
L. Using spontaneous breathing trials, recommend weaning techniques.
M. Suggest ventilator settings to decrease work of breathing.

Course Content

A. Recommend initial ventilator settings
1. FiO2
2. Mode
3. Tidal volume
4. Rate
5. I time
6. Peep
7. Pressure support
8. Flow
9. Back up apnea parameters
B. Correctly set up and initiate mechanical ventilators
1. PB7200
2. PB840
3. Servo i
4. Drager XL
5. Pulmonetics LTV1200
C. Perform a routine ventilator system check
1. Record
a. Mode
b. FiO2
c. Tidal volume set and spontaneous
d. Set and total rate
e. Minute volume
f. Peak inspiratory pressure
g. Plateau pressure
h. Mean airway pressure
i. Peep
j. Pressure support
k. Flow
l. I time
m. I:E ratio
n. Mechanics
o. Alarm settings
p. Back up apnea parameters
q. Humidification
D. Suggest changes based on:
1. ABG results
2. Waveforms
3. Mechanics
4. Patient dyssynchrony
5. Parameter changes
E. Troubleshoot ventilator
1. Leak recognition
2. Kinked tubing
3. Disconnection
F. Change ventilator circuits
1. 2 person method
2. Criteria for changing circuit
G. Modes of ventilation
1. Weaning modes
2. Volume modes
3. Pressure control modes
4. APRV
5. HFOV
6. IRV
H. Calculations
1. Cs
2. I:E ratio
3. Raw
I. Compare and contrast between:
1. Pressure control
2. Assist control
3. SIMV
J. Waveform interpretation
1. Scalars
2. Loops
K. Capnography
1. Waveforms
2. Troubleshooting
L. Spontaneous weaning trials
1. RSBI
2. MIF/VC
3. PF ratio
4. T-piece trials
M. Adjustments to decrease WOB
1. Sensitivity
2. Ramp
3. Flow adjustments
4. Mode changes
5. ATC

Lab Content

A. Ventilator set up
1. Initial settings
2. Completion of a ventilator check
B. Management of ventilator settings
1. Troubleshooting according to different patient scenarios
C. Set: alarms and sensitivity accordingly

Special Facilities and/or Equipment

A. Calculator, watch with second hand, scissors.
B. Ventilators; compressed gas source.
C. PC computer and projection monitor.

Method(s) of Evaluation

Methods of evaluation may include the following:
A. Exams.
B. Laboratory competency check-offs.
C. Comprehensive final exam.
D. Laboratory final exam.

Method(s) of Instruction

A. Lecture presentations and classroom discussion on the topic of mechanical ventilation.
B. In-class demonstration and practical application of the different modes of ventilation.

Representative Text(s) and Other Materials

Kacmarek, Stoller, and Heuer. Egan's Fundamentals of Respiratory Care.11th ed. Mosby, 2017. ISBN: 9780323341363

Pilbeam, Cairo. Mechanical Ventilation: Physiology and Clinical Application. 6th ed. Mosby, 2016. ISBN: 9780323320092

 

Types and/or Examples of Required Reading, Writing, and Outside of Class Assignments

A. Reading assignments in the required texts.

 

Discipline(s)

Respiratory Technologies