Foundation course (Introductory) in Acute Respiratory Failure Monitoring and Mechanical Ventilation 2025
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 take place on April 3-4, 2025 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 9
Open 09.10.2024
Close 06.07.2025
Available for ESICM limited places
Last Updated October 9, 2024
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.