Acute respiratory failure ECLS Part II
Summary
Extracorporeal Life Support (ECLS) can be a lifesaving technique in patients with severe refractory respiratory and/or cardiac failure. Landmark clinical trials, viral pandemics and technological improvements have led to a near exponential use of ECLS worldwide.
In this section, we will review some of the clinical evidence underpinning the use of these techniques and explore some of the practical considerations and controversies in the management of this complex group of ICU patients.
General Information
Enrolled trainees 564
Open 24.03.2023
Available for ESICM members
Student effort 3
Last Updated March 24, 2023
Intended Learning Outcomes
After studying this module on ECLS in acute respiratory distress syndrome patients Part II, you should be able to:
- To understand the PHYSIOLOGY of extracorporeal life support
- To understand the major INDICATIONS and associated CONFIGURATIONS of extracorporeal life support
- To understand the role of extracorporeal life support for ARDS, Obstructive Lung Disease, Bridge to Lung Transplant, Cardiogenic shock and Refractory Cardiac Arrest:
- Configurations
- Clinical Evidence
- Clinical Management and Controversies
- To understand patient and circuit associated COMPLICATIONS and interactions
- Clinical Scenarios and Questions
Relevant competencies in CoBaTrICE
- 3.8 Recognises and manages the patient with acute respiratory failure and ARDS
- 4.5 Describes the use of devices for circulatory or respiratory assist
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
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Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Acute respiratory failure ECLS Part I
Summary
Extracorporeal Life Support (ECLS) can be a lifesaving technique in patients with severe refractory respiratory and/or cardiac failure. Landmark clinical trials, viral pandemics and technological improvements have led to a near exponential use of ECLS worldwide.
Here, we will review the indications for ECLS (severe hypoxaemia, hypercapnia, cardiogenic shock, mixed cardio-respiratory failure). We will describe the basic terminology and physiology of the ECLS circuit. We will evaluate the determinants of extracorporeal gas exchange and cardiovascular support. We will review different configurations of ECLS and outline the distinct physiology and limitations of each.
General Information
Enrolled trainees 775
Open 01.03.2023
Available for ESICM members
Student effort 3
Last Updated April 9, 2024
Intended Learning Outcomes
After studying this module on ECLS in acute respiratory distress syndrome patients Part I, you should be able to:
- To understand the PHYSIOLOGY of extracorporeal life support
- To understand the major INDICATIONS and associated CONFIGURATIONS of extracorporeal life support
- Clinical Scenarios and Questions
Relevant competencies in CoBaTrICE
- 3.8 Recognises and manages the patient with acute respiratory failure and ARDS
- 4.5 Describes the use of devices for circulatory or respiratory assist
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Lung imaging in ARDS: Part II
Summary
This module describes the role that Lung imaging has played so far to improve the pathophysiological understanding of ARDS and the clinical management of patients with ARDS. In particular, we will describe the clinical aspects, the contribution to clinical practice, and limitations of each technique, which include chest CT, PET and MRI.
General Information
Enrolled trainees 307
Open 01.03.2023
Available for ESICM members
Student effort 3
Last Updated February 21, 2024
Intended Learning Outcomes
After studying this module on Lung Imaging Part II in acute respiratory distress syndrome patients, you should be able to:
- Interpret a chest computed tomography and describe how to use it for clinical management of patients with ARDS.
- Know the contribution of PET and MRI in ICU setting.
Relevant competencies in CoBaTrICE
- 2.3b Performs and interprets general critical care ultrasonography (thoracic, abdominal and vascular)
- 2.7 Interprets chest x-rays
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Lung imaging in ARDS: Part I
Summary
This e-module describes the role that Lung imaging has played so far to improve the pathophysiological understanding of ARDS and the clinical management of patients with ARDS.
In particular, we will describe technical aspects, the contribution to clinical practice and limitations of each technique.
General Information
Enrolled trainees 396
Open 01.03.2023
Available for ESICM members
Student effort 3
Last Updated February 21, 2024
Intended Learning Outcomes
After studying this module on Lung Imaging Part I in acute respiratory distress syndrome patients, you should be able to:
- Interpret a chest radiograph, its technical, diagnostic and limitations aspects.
- Interpret lung ultrasound. More specifically, how to evaluate the ultrasound patterns of aeration and how to use it for clinical management.
Relevant competencies in CoBaTrICE
- 2.3b Performs and interprets general critical care ultrasonography (thoracic, abdominal and vascular)
- 2.7 Interprets chest x-rays
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Respiratory Assessment and Monitoring PART II
Summary
This Part II of the “Respiratory monitoring and Assessment” module focuses on advanced monitoring, such as monitoring of ventilator waveforms and loops. Furthermore, it focuses on the assessment of respiratory system mechanics (total, lung and chest wall). By necessity, this part overlaps (and should be considered together) with the “Mechanical Ventilation” module.
General Information
Enrolled trainees 397
Open 03.03.2023
Available for ESICM members
Student effort 3
Last Updated March 27, 2024
Intended Learning Outcomes
After studying this module on Respiratory assessment and monitoring Part II, you should be able to:
- Became familiar with different assessment methods of the respiratory system in mechanically ventilated patients
- Understand the use of monitoring ventilator waveforms and loops in mechanically ventilated patients
- Understand the use of esophageal pressure recording in guiding lung and diaphragm protective mechanical ventilation
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 1.6 Initiates and manages patients under invasive ventilatory support
- 3.8 Recognises and manages the patient with acute respiratory failure and ARDS
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Respiratory Assessment and Monitoring PART I
Summary
Respiratory failure is the most common reason for admission to the intensive care unit (ICU). Respiratory failure is the inability to maintain adequate gas exchange (oxygenation and/or carbon dioxide elimination), and it is usually, but not exclusively, caused by lung disease.
The required skill set to assess respiratory failure and to recognize a lung disease as its potential cause is described in this module. This module is divided into Part I (which starts from basic bedside tests and extends to advanced diagnostic techniques) and Part II (which focuses on advanced monitoring, such as monitoring of ventilator waveforms).
General Information
Enrolled trainees 453
Open 03.03.2023
Available for ESICM members
Student effort 2
Last Updated March 27, 2024
Intended Learning Outcomes
After studying this module on Respiratory assessment and monitoring Part I, you should be able to:
- Understand the utility and limitations of history and examination tools for recognizing a lung disease as the cause of respiratory failure
- Understand the use of monitoring tools such as pulse oximetry and capnography
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.8 Recognises and manages the patient with acute respiratory failure and ARDS
- 4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Airway Management Part III: Extubation
Summary
Airway management is the first step in resuscitation of the critically ill patient. Equally important to intubation is the clinician's decision to extubate the patient. Correct assessment, appropriate preparation and rapid recognition and treatment of adverse events after extubation are important elements of a favorable outcome for patients in the ICU. Ιn case of extubation difficulty, tracheostomy is the necessary procedure for the patient with clear indications and special management of tracheostomed patients.
Airway skills require knowledge, judgement and clinical skill.
The clinician who takes care of the critically ill patient should have the ability to:
- Make a rapid and complete assessment of the airway
- Manage with patients after extubation and recognise and encounter the most frequent adverse events
- Know the indications, the correct timing, the procedures and the management for tracheostomy in the ICU
The sources below contain much useful information on airway anatomy, causes of airway obstruction and airway management. These references should be read before completion of Assessment of the Airway chapter.
In text References
(Mort et al. 2009; Lavery and Jamison. 2008)
General Information
Enrolled trainees 513
Open 19.01.2023
Available for ESICM members
Student effort 3
Last Updated March 30, 2024
Intended Learning Outcomes
After studying this module on Airway management Part III: Extubation, you should be able to:
- Make a comprehensive assessment of the safety of extubation
- Learn the necessary equipment and procedure for extubation
- Describe the management of patients after extubation
- Describe the indications, the timing, the procedure of tracheostomy in the ICU
Relevant competencies in CoBaTrICE
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 4.5 Describes the use of devices for circulatory or respiratory assist
- 5.1 Administers oxygen using a variety of administration devices
- 5.3 Performs emergency airway management
- 5.7 Performs percutaneous tracheostomy
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Airway Management Part II: Intubation and Care of the Intubated Patient
Summary
Airway management is the first step in resuscitation of the critically ill patient. There are basic airway manoeuvres that can be learned quickly by medical and non-medical staff and advanced airway manoeuvres that require training and experience to be used appropriately. Airway management may be achieved simply by confirming the patient has an unobstructed airway and by supplying supplemental oxygen. Alternatively, it may require more complex interventions such as tracheal intubation, fibre optic techniques or the establishment of a surgical airway.
General Information
Enrolled trainees 517
Open 19.01.2023
Available for ESICM members
Student effort 3
Last Updated April 8, 2024
Intended Learning Outcomes
After studying this module on Airway management Part II: Intubation and Care of the Intubated Patient, you should be able to:
- Describe correct tracheal tube positioning and confirmation of tracheal tube placement
- Identify techniques to deal with the anticipated and unanticipated difficult airway
- Care of intubated patients and monitoring them
Relevant competencies in CoBaTrICE
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 4.5 Describes the use of devices for circulatory or respiratory assist
- 5.1 Administers oxygen using a variety of administration devices
- 5.2 Performs fibreoptic laryngoscopy
- 5.3 Performs emergency airway management
- 5.4 Performs difficult and failed airway management according to evidence-based protocols
- 5.5 Performs endotracheal suction
- 5.6 Performs fibreoptic bronchoscopy and BAL in the intubated patient
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Airway Management Part I: Airway Assessment and Interventions
Summary
Airway management is the first step in resuscitation of the critically ill patient. There are basic airway manoeuvres that can be learned quickly by medical and non-medical staff and advanced airway manoeuvres that require training and experience to be used appropriately. Airway management may be achieved simply by confirming the patient has an unobstructed airway and by supplying supplemental oxygen. Alternatively, it may require more complex interventions such as tracheal intubation, fibre optic techniques or the establishment of a surgical airway.
General Information
Enrolled trainees 684
Open 19.01.2023
Available for ESICM members
Student effort 3
Last Updated April 8, 2024
Intended Learning Outcomes
After studying this module on Airway Management Part I: Airway Assessment and Interventions, you should be able to:
- Make a comprehensive assessment of the airway
- Prediction of difficulties in airway management
- Consecutive practices for improving conditions for airway management
- Explain indications, contraindications and techniques for different methods of securing the airway
- Describe correct tracheal tube positioning
Relevant competencies in CoBaTrICE
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 4.5 Describes the use of devices for circulatory or respiratory assist
- 5.1 Administers oxygen using a variety of administration devices
- 5.2 Performs fibreoptic laryngoscopy
- 5.3 Performs emergency airway management
- 5.4 Performs difficult and failed airway management according to evidence-based protocols
- 5.6 Performs fibreoptic bronchoscopy and BAL in the intubated patient
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Mechanical Ventilation PART VI
Part 6: Complications of mechanical ventilation
Summary
The mechanical ventilator is an essential part of life support in the intensive care unit (ICU). It was the need to use mechanical ventilators outside the operating theatre during the poliomyelitis epidemic in the 1950s that gave birth to the ICUs of today.
Clinicians working in ICU have to become familiar quickly, with how to handle/ use a ventilator, and fulfill the tasks of initiating, maintaining, and weaning patients from mechanical ventilation. This eCourse deals with the physiology underlying ventilatory support, and the basic principles of applying mechanical ventilation in clinical practice.
Although a mechanical ventilator is an essential, life-saving device, its use is not free of harm. Solid knowledge of the principles of mechanical ventilation and the potential harms associated with its use is of paramount importance for the successful and safe use of ventilators in the ICU.
General Information
Enrolled trainees 1569
Open 13.07.2020
Available for ESICM members
Student effort 3
Last Updated March 17, 2022
Intended Learning Outcomes
After studying this ACE, you should be able to:
- Describe the pathophysiology and the main determinants of ventilator-Induced Lung Injury and ventilator-induced diaphragmatic dysfunction
- Describe the strategies to prevent Ventilator-Induced Lung Injury
- Outline the diagnostic approach, prevention, and management of Ventilator-induced diaphragmatic dysfunction
- Discuss the clinical impact and prevention of Ventilator-Associated Pneumonia (VAP)
Relevant competencies in CoBaTrICE
- 2.9 Monitors and responds to trends in physiological variables
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.8 Recognises and manages the patient with acute lung injury syndromes (ALI / ARDS)
- 4.5 Describes the use of devices for circulatory or respiratory assist
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Mechanical Ventilation PART V
Part 5: Weaning
Summary
The mechanical ventilator is an essential part of life support in the intensive care unit (ICU). It was the need to use mechanical ventilators outside the operating theatre during the poliomyelitis epidemic in the 1950s that gave birth to the ICUs of today.
Clinicians working in ICU have to become familiar quickly, with how to handle/ use a ventilator, and fulfill the tasks of initiating, maintaining, and weaning patients from mechanical ventilation. This eCourse deals with the physiology underlying ventilatory support, and the basic principles of applying mechanical ventilation in clinical practice.
Although a mechanical ventilator is an essential, life-saving device, its use is not free of harm. Solid knowledge of the principles of mechanical ventilation and the potential harms associated with its use is of paramount importance for the successful and safe use of ventilators in the ICU.
General Information
Enrolled trainees 1668
Open 13.07.2020
Available for ESICM members
Student effort 3
Last Updated April 2, 2024
Intended Learning Outcomes
After studying this module on Mechanical ventilation, you should be able to:
- To outline the different stages of the weaning process
- To describe the pathophysiology of weaning failure
- To be discuss the diagnostic workup and management of weaning failure
Relevant competencies in CoBaTrICE
- 4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Mechanical Ventilation PART IV
Part 4: Modes of mechanical ventilation – Assisted modes
Summary
The mechanical ventilator is an essential part of life support in the intensive care unit (ICU). It was the need to use mechanical ventilators outside the operating theatre during the poliomyelitis epidemic in the 1950s that gave birth to the ICUs of today.
Clinicians working in ICU have to become familiar quickly, with how to handle/ use a ventilator, and fulfill the tasks of initiating, maintaining, and weaning patients from mechanical ventilation. This eCourse deals with the physiology underlying ventilatory support, and the basic principles of applying mechanical ventilation in clinical practice.
Although a mechanical ventilator is an essential, life-saving device, its use is not free of harm. Solid knowledge of the principles of mechanical ventilation and the potential harms associated with its use is of paramount importance for the successful and safe use of ventilators in the ICU.
General Information
Enrolled trainees 1757
Open 13.07.2020
Available for ESICM members
Student effort 3
Last Updated March 16, 2022
Intended Learning Outcomes
By the end of the course, participants will be able to:
- Describe the most commonly used modes of assisted mechanical ventilation
- Describe the proportional modes of assisted mechanical ventilation
- Discuss ventilator settings in different assisted modes and basic waveform interpretation
- Describe, recognize and manage patient ventilation dyssynchrony
- Describe how to apply this knowledge in clinical practice.
Relevant competencies in CoBaTrICE
- 2.9 Monitors and response to trends in physiological variables
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.8 Recognises and manages the patient with acute lung injury syndromes (ALI / ARDS)
- 4.5 Describes the use of devices for circulatory or respiratory assist
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Mechanical Ventilation PART III
Part 3: Modes of mechanical ventilation: Controlled Modes
Summary
The mechanical ventilator is an essential part of life support in the intensive care unit (ICU). It was the need to use mechanical ventilators outside the operating theatre during the poliomyelitis epidemic in the 1950s that gave birth to the ICUs of today.
Clinicians working in ICU have to become familiar quickly, with how to handle/ use a ventilator, and fulfill the tasks of initiating, maintaining, and weaning patients from mechanical ventilation. This eCourse deals with the physiology underlying ventilatory support, and the basic principles of applying mechanical ventilation in clinical practice.
Although a mechanical ventilator is an essential, life-saving device, its use is not free of harm. Solid knowledge of the principles of mechanical ventilation and the potential harms associated with its use is of paramount importance for the successful and safe use of ventilators in the ICU.
General Information
Enrolled trainees 2000
Open 13.07.2020
Available for ESICM members
Student effort 2
Last Updated March 17, 2022
Intended Learning Outcomes
After studying this ACE, you should be able to:
- Describe the most commonly used modes of controlled mechanical ventilation
- Discuss ventilator settings in different modes and basic waveform interpretation
- Describe how to apply this knowledge in clinical practice.
Relevant competencies in CoBaTrICE
- 2.9 Monitors and responds to trends in physiological variables
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.8 Recognises and manages the patient with acute lung injury syndromes (ALI / ARDS)
- 4.5 Describes the use of devices for circulatory or respiratory assist
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Mechanical Ventilation PART II
Part 2: Basic Principles of Mechanical Ventilation
Summary
The mechanical ventilator is an essential part of life support in the intensive care unit (ICU). It was the need to use mechanical ventilators outside the operating theatre during the poliomyelitis epidemic in the 1950s that gave birth to the ICUs of today.
Clinicians working in ICU have to become familiar quickly, with how to handle/ use a ventilator, and fulfill the tasks of initiating, maintaining, and weaning patients from mechanical ventilation. This eCourse deals with the physiology underlying ventilatory support, and the basic principles of applying mechanical ventilation in clinical practice.
Although a mechanical ventilator is an essential, life-saving device, its use is not free of harm. Solid knowledge of the principles of mechanical ventilation and the potential harms associated with its use is of paramount importance for the successful and safe use of ventilators in the ICU.
General Information
Enrolled trainees 2288
Open 13.07.2020
Available for ESICM members
Student effort 1
Last Updated March 15, 2022
Intended Learning Outcomes
After studying this ACE, you should be able to:
- Describe the physiological basis of mechanical ventilation
- Describe the basic functions of positive pressure ventilators
- Describe how to apply this knowledge in clinical practice.
Relevant competencies in CoBaTrICE
- 2.9 Monitors and responds to trends in physiological variables
- 4.5 Describes the use of devices for circulatory or respiratory assist
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Mechanical Ventilation PART I
Part 1: Introduction – Delivery of mechanical ventilation
Summary
The mechanical ventilator is an essential part of life support in the intensive care unit (ICU). It was the need to use mechanical ventilators outside the operating theatre during the poliomyelitis epidemic in the 1950s that gave birth to the ICUs of today.
Clinicians working in ICU have to become familiar quickly, with how to handle/ use a ventilator, and fulfill the tasks of initiating, maintaining, and weaning patients from mechanical ventilation. This eCourse deals with the physiology underlying ventilatory support, and the basic principles of applying mechanical ventilation in clinical practice.
Although a mechanical ventilator is an essential, life-saving device, its use is not free of harm. Solid knowledge of the principles of mechanical ventilation and the potential harms associated with its use is of paramount importance for the successful and safe use of ventilators in the ICU.
General Information
Enrolled trainees 2973
Open 13.07.2020
Available for ESICM members
Student effort 1
Last Updated March 15, 2022
Intended Learning Outcomes
After studying this ACE, you should be able to:
- List the indications of mechanical ventilation
- Understand the aims of mechanical ventilation
- Describe the means to delivery mechanical ventilation
Relevant competencies in CoBaTrICE
- 2.9 Monitors and responds to trends in physiological variables
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
COPD and Asthma Part V
Part 5: Mechanical Ventilation topics
Summary
Chronic obstructive pulmonary disease (COPD), is the fourth leading cause of death and a major cause of chronic morbidity and mortality worldwide. COPD represents a significant public health challenge, as many people suffer from the disease for years, and die prematurely due to disease-related complications. Moreover, COPD results in an economic and social burden that is both substantial and increasing.
General Information
Enrolled trainees 1493
Open 28.02.2020
Available for ESICM members
Student effort 2
Last Updated March 29, 2024
Intended Learning Outcomes
After studying this module you should be able to:
- Understand the supportive therapies applied in mechanically ventilated COPD and asthma patients
- Recognise the main complications of mechanical ventilation in COPD and asthma patients
- Describe the long–term outcome of mechanically ventilated COPD and asthma patients
Relevant competencies in CoBaTrICE
- 4.1 Prescribes drugs and therapies safely
- 4.3 Administers blood and blood products safely
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
COPD and Asthma Part IV
Part 4: Managing ventilatory support of COPD and Asthma in the ICU and complications of Mechanical Ventilation
Summary
Chronic obstructive pulmonary disease (COPD), is the fourth leading cause of death and a major cause of chronic morbidity and mortality worldwide. COPD represents a significant public health challenge, as many people suffer from the disease for years, and die prematurely due to disease-related complications. Moreover, COPD results in an economic and social burden that is both substantial and increasing.
General Information
Enrolled trainees 1634
Open 28.02.2020
Available for ESICM members
Student effort 3
Last Updated March 29, 2024
Intended Learning Outcomes
After studying this module you should be able to :
- Understand the main indication of NIV in patients with acute exacerbation of COPD and Asthma and the basic principles for setting the ventilator.
- Be familiar with the main methods of respiratory system evaluation in mechanically ventilated patients with COPD and asthma.
- Understand the main ventilator strategies in patients with acute exacerbation of COPD and Asthma on controlled mechanical ventilation.
- Understand the main ventilator strategies in patients with acute exacerbation of COPD and Asthma on assisted mechanical ventilation.
Relevant competencies in CoBaTrICE
- 4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
COPD and Asthma Part III
Part 3: Therapeutical interventions in acute exacerbations of asthma and COPD
Summary
Chronic obstructive pulmonary disease (COPD), is the fourth leading cause of death and a major cause of chronic morbidity and mortality worldwide. COPD represents a significant public health challenge, as many people suffer from the disease for years, and die prematurely due to disease-related complications. Moreover, COPD results in an economic and social burden that is both substantial and increasing.
General Information
Enrolled trainees 1588
Open 28.02.2020
Available for ESICM members
Student effort 1
Last Updated March 29, 2024
Intended Learning Outcomes
After studying this module you should be able to:
- Understand the initial approach to the urgent treatment of a patient with acute exacerbation of COPD
- To be familiar with adjuvant pharmacologic therapies in patients with acute exacerbation of COPD
- Understand the initial approach to the urgent treatment of a patient with acute exacerbation of Asthma
- To be familiar with adjuvant pharmacologic therapies in patients with acute exacerbation of asthma
Relevant competencies in CoBaTrICE
- 4.1 Prescribes drugs and therapies safely
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
COPD and Asthma Part II
Part 2: Initial evaluation and triage of patients with acute exacerbation of COPD and Asthma
Summary
Chronic obstructive pulmonary disease (COPD), is the fourth leading cause of death and a major cause of chronic morbidity and mortality worldwide. COPD represents a significant public health challenge, as many people suffer from the disease for years, and die prematurely due to disease-related complications. Moreover, COPD results in an economic and social burden that is both substantial and increasing.
General Information
Enrolled trainees 1595
Open 28.02.2020
Available for ESICM members
Student effort 1
Last Updated March 29, 2024
Intended Learning Outcomes
After studying this module you should be able to:
- Understand theInitial evaluation and triage of patients with acute exacerbation of COPD and asthma
- Understand the initial assessment and management on the ward or the Emergency Department
- Understand theSeverity assessment and risk assessment and triage in patients with acute exacerbation of COPD and Asthma
Relevant competencies in CoBaTrICE
- 1.4 Triages and prioritises patients appropriately, including timely admission to ICU
- 2.1 Obtains a history and performs an accurate clinical examination
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
COPD and Asthma Part I
Part 1: Pathophysiology and Pathophysiology acute exacerbation of COPD and Asthma
Summary
Chronic obstructive pulmonary disease (COPD), is the fourth leading cause of death and a major cause of chronic morbidity and mortality worldwide. COPD represents a significant public health challenge, as many people suffer from the disease for years, and die prematurely due to disease-related complications. Moreover, COPD results in an economic and social burden that is both substantial and increasing.
General Information
Enrolled trainees 1949
Open 28.02.2020
Available for ESICM members
Student effort 2
Last Updated March 29, 2024
Intended Learning Outcomes
After studing this module you should be able to:
- Understand the pathophysiology in stable COPD
- Understand the main pathophysiology in stable asthma
- Understand the pathophysiology of acute exacerbation of COPD and asthma
Relevant competencies in CoBaTrICE
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.