Course Image Transition course (application) in Acute Respiratory Failure and Mechanical Ventilation

Transition course (application) in Acute Respiratory Failure and Mechanical Ventilation

Pathways
ARF and MV

Summary

This unique, interactive training experience blends theory with practice to facilitate the transfer of what is being learned throughout the sessions to the clinical setting with immediate feedback from the experts to improve your daily practice.

The training programme employs a variety of educational strategies, from interactive lectures, moderated debates, interviews with experts, to case-based sessions.

An online support classroom has been created and includes various study resources on the topic. Participants are welcome to study them for a better in-class performance. Continuous monitoring and follow will be carried out in order to ensure that any shortcomings are avoided. 

The classroom will stay open for 3 months after the Live Event. A pre-test will be open 72 hours in advance and will close the first day of the course. The course will be followed by a post-test, available 72 hours post-course along with the quality assessment questionnaire. Pre and post evaluation results will be evaluated to measure the training impact. 

Enjoy!




General Information

Enrolled trainees 33

Open 28.02.2024

Close 09.10.2024

Available for ESICM limited places

Last Updated February 28, 2024

Intended Learning Outcomes

  • To consolidate knowledge on respiratory drive physiology and modulation
  • To identify respiratory effort physiology and impact on the diaphragm
  • To learn about oesophageal pressure: advanced lung protective ventilation 
  • To demonstrate energy transfer to the lung
  • To present mechanical ventilation and the right ventricle
  • To present non-invasive monitoring of respiratory drive and effort
  • To learn about safe transition from controlled to assisted ventilation
  • To illustrate patient - ventilator interaction
  • To apply lung and diaphragm protective ventilation in clinical practice
  • To describe PEEP titration, airway closureTo describe APRV as a slow recruitment tool.
  • To describe APRV as a slow recruitment tool 
  • To recognize the effect of proning on recruitment and hemodynamics 
  • To recognize when lung protective ventilation fails: vv-ECMO
  • To understand invasive mechanical ventilation in obstructive lung disease
  • To determine the principles of mechanical ventilation in acute asthma
  • To describe new insights: non-invasive respiratory support in acute hypoxemic failure
  • To determine dyspnea sensation in ventilated patients
  • To understand how to improve weaning from mechanical ventilation
  • To calculate challenging weaning

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 ARDS (ALI / 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 a limited Seats course.

To access Limited Seats courses visit ESICM.

Course Image Foundation course (Introductory) in Acute Respiratory Failure Monitoring and Mechanical Ventilation

Foundation course (Introductory) in Acute Respiratory Failure Monitoring and Mechanical Ventilation

Pathways
ARF and MV

Summary

This unique, interactive training experience blends theory with practice and is now offered in new formats that overcome social distancing barriers and facilitate the transfer of what is being learned throughout the sessions to the clinical setting with immediate feedback from the experts to improve your daily practice.

The training programme employs a variety of educational strategies, from interactive lectures, moderated debates, interviews with experts, to case-based sessions, video analysis and group work.

The course will be provided in morning and afternoon sessions of 3, 5 h each, during three non-consecutive days (April 9-10, 2024) and it will be accessed directly from here. Please kindly note that links will not be sent by emails. For further details see below The Support Classroom in a Nutshell or the Live event section.

The programme will start with the physiology of gas exchange, respiratory mechanics, mechanical ventilation in specific categories, patient-ventilator interaction and lung recruitment and setting PEEP. It will continue with proning, ECMO, main and specific ventilatory modes, monitoring in ventilation, air opening pressure, mechanical ventilation in COVID-19 patients, techniques and relevance in assessing the respiratory effort,  NIV and HFNO in hypoxemic failure,  paralysis for severe ARDS, when to start assisted mode, best predictive successful extubation, complications of mechanical ventilation, difficult weaning, and much more. Lastly, the course will include a journal club where papers of utmost importance will be debated as well as practical tasks to be carried out in the clinical setting in between the sessions. Upon their completion, participants will share their results and experts will give immediate feedback to assist and improve their daily practice.

Evidence shows that for a successful learning process longer time for better penetration of what is being learned and multiple exposure to content is required. In this light the current support classroom has been created and includes various study resources on the topic.

The classroom will stay open for 3 months after the Live Event. A pre-test will be open 72 hours in advance and will close the first day of the course. The course will be followed by a post-test, available 72 hours post-course along with the quality assessment questionnaire. Pre and post evaluation results will be evaluated to measure the training impact. 






General Information

Enrolled trainees 91

Open 23.10.2023

Close 14.07.2024

Available for ESICM limited places

Last Updated October 23, 2023

Intended Learning Outcomes

General objectives

  • The basics of gas exchange important for the assessment and treatment of patients with acute respiratory failure
  • Fundamentals of lung mechanics and the underlying physical principles
  • The physiological principles and application of non-invasive and invasive mechanical ventilation
  • How to recognize and interpret ventilator data and waveforms
  • Principles of bedside lung imaging
  • Application of all learning objectives through workshops, case presentations, interactive discussions, and quiz

Fundamentals of physiology gas exchange

Objectives:

  • Understand causes and mechanisms of hypoxemia and hypercapnia
  • Understand how to assess hypoxemia and hypercapnia
  • Concepts of shunt, ventilation/perfusion mismatch

CO2, Deadspace, and capnography

Objectives:

  • Understand mechanisms of CO2 exchange
  • Understand Concepts of VCO2, respiratory quotient, Deadspace (anatomical, alveolar, physiological)
  • Understand interaction between shunt and deadspace
  • Understand and interpret capnometry and capnometry

Equation on motion for passive breathing

Objectives:

  • Understand the pressures and forces that move the respiratory system
  • Understand how these concepts will be applied to a passively breathing patients

Fundamentals of respiratory mechanics

Objectives:

  • Understand concepts of Plateau pressure, Peak pressure, compliance, resistance, driving pressure, intrinsic PEEP
  • Understand how to make measurements in a passive patient
  • Recognize that can affect compliance and resistance

Basic concepts of non-invasive respiratory support

Objectives:

  • Understand the physiological mechanisms of action of non-invasive support from HFNC, CPAP and NIV
  • Understand Ventilation interfaces
  • Understand general indications of non-invasive support

Airway management and intubation  

Objectives:

  • Understand the indications for intubation
  • Understand the best preparation for intubation
  • Understand potential complications and way to minimize them

Basic modes of controlled and assisted ventilation: how do they work  

  • Understand different modalities of delivering controlled ventilation in a passive patient and in supported/assisted ventilation.
  • Understand the working difference among them

Setting and monitoring mechanical ventilation

Objectives:

  • Understand the practical application of the different modes of ventilation and when to select them
  • Understand the setting and target variables

Lung volumes, PV curves and ventilatory waveforms

Objectives:

  • The different lung volumes and capacities
  • Understand the different types of ventilation waveforms (e.g., flow, pressure, loops) and their physiological meaning

Lung protective ventilation in ARDS

Objectives:

  • Understand the characteristics of a lung protective ventilation strategy
  • Setting of tidal volumes, driving pressure, PEEP and respiratory rate
  • Understand balances and trade-offs between gas exchange and avoidance of injury

Prone position: fundamentals

Objectives:

  • Understand the physiological characteristics of ventilation in prone positions: ventilation and perfusion in supine and prone position
  • Expected changes in gas exchange
  • Understand the concept of “prone responsiveness”
  • Understand the hemodynamic changes following prone position

Ventilation in COPD: clinical case-based discussion

Objectives:

  • This case study will illustrate pathophysiology of COPD
  • The types of ventilation in COPD using a clinical case

Basic concepts of patient-ventilation interaction

Objectives:

  • Understand the concept of patient-ventilator interaction
  • Understand the different types of interactions and their causes
  • Brief introduction on how to address the most common types of asynchronies

Weaning: the basics

Objectives:

  • Understand concepts of readiness to wean
  • Understand how to measure and interpret weaning parameters
  • Formulate a readiness to wean assessment

Basic thoracic imaging: USS and EIT.

Objectives:

  • Understand basic principles of Lung USS
  • Understand the principles of EIT
  • Understand basic clinical applications of the two techniques


Relevant competencies in CoBaTrICE

  • 2.3b Performs and interprets ultrasonographic assessment of the lungs and pleura for the recognition and assessment of consolidation, pleural effusion and pneumothorax
  • 2.6 Obtains and interprets the results from blood gas samples
  • 2.7 Interprets chest x-rays
  • 2.8 Liaises with radiologists to organise and interpret clinical imaging
  • 2.9 Monitors and responds to trends in physiological variables
  • 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
  • 3.8 Recognises and manages the patient with acute respiratory failure and Acute respiratory distress syndrome (ARDS)
  • 4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support
  • 5.1 Administers oxygen using a variety of administration devices
  • BASIC SCIENCES - Anatomy: Respiratory System; Physiology & Biochemistry General: Respiratory. 
  • BASIC SCIENCES - Anatomy: Respiratory System; Physiology & Biochemistry General: Respiratory; Physics & Clinical Measurements: Gases & Vapours
  • BASIC SCIENCES - Physiology & Biochemistry General: Respiratory.


Enrollment Options

You are currently NOT enrolled in this course.

This course is a limited Seats course.

To access Limited Seats courses visit ESICM.