Training activity information
Details
Review patients and identify the correct modes of ventilation with reference to depth of sedation
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Considerations
- Available modes of ventilation for sedation level
- Assisting healthcare professionals with regards to option appraisal, bedside support/teaching for option appraisal where required
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- What is the specific focus of this activity – is it on a particular patient group or a range of scenarios?
- What is your current understanding of the different modes of mechanical ventilation (e.g., controlled, assist-control, spontaneous modes)?
- How does the depth of sedation influence the choice of ventilation mode? What are the physiological considerations?
- What patient factors (e.g., underlying lung pathology, respiratory drive) other than sedation need to be considered when selecting a ventilation mode?
- What specific aspects of the relationship between sedation and ventilation modes do you hope to understand better? For example, when might a specific mode be preferred for a lightly sedated patient versus a deeply sedated one?
- How will you learn to synthesise information about the patient’s clinical status, sedation level, and respiratory mechanics to make informed decisions about ventilation modes?
- Discuss with your training officer the types of patients you will be reviewing and the specific learning objectives for this activity. Review relevant literature or resources on different ventilation modes and their indications in relation to sedation levels.
- Consider potential scenarios involving patients with varying levels of sedation and different respiratory conditions. Think about which ventilation modes might be appropriate in each case and why.
In action
- What is the process you are following to review patient information and assess their depth of sedation? What specific clinical parameters and data are you considering in your review? Based on your assessment, what potential modes of ventilation are you considering, and why?
- Are there any inconsistencies or ambiguities in the patient data that are making the identification of the correct mode challenging? How are you relating the patient’s sedation level to the different modes of ventilation available? What resources or guidelines are you referencing to inform your decision-making?
- If the patient’s condition or sedation level changes during your review, how are you adjusting your thinking regarding the appropriate mode? Are you discussing your assessment and potential options with other healthcare professionals?
On action
- Describe the patient information and clinical parameters you reviewed to assess their depth of sedation. What different modes of ventilation did you consider, and what were your initial thoughts on their suitability? What correlation did you observe between the patient’s sedation level and the potential ventilation modes?
- What did you learn about the relationship between depth of sedation and appropriate ventilation modes? Did you encounter any situations where the choice of mode was not straightforward? What did you learn from these? How did you justify your reasoning for considering specific ventilation modes? What monitoring parameters are crucial in this decision-making process?
- How will you refine your assessment of a patient’s sedation level in relation to ventilation needs? What specific resources or guidelines will you refer to in the future? How will you discuss and justify your choices with colleagues?
Beyond action
- Having gained more experience in assessing patients and understanding different ventilation modes, do you now evaluate the relationship between sedation and ventilation differently? Have you encountered cases where the initial choice of ventilation mode had to be adjusted based on the patient’s response and sedation level? What did you learn from those situations? Looking back at your initial reasoning for considering specific modes, are there any additional factors you would now take into account?
- Has this DTA improved your ability to assess a patient’s suitability for different ventilation modes based on their clinical status and sedation? Have you become more adept at recognising and responding to changes in a patient’s sedation level that might necessitate adjustments to ventilation? How has this experience contributed to your communication with medical staff regarding ventilation strategies?
- What transferable skills (e.g., clinical assessment, critical thinking in response to physiological parameters, understanding the interplay of different clinical factors) were developed? What further learning or exposure would enhance your expertise in optimising ventilation based on patient sedation?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Select the appropriate mode of ventilation related to the patient’s level of sedation. |
| # 2 |
Outcome
Select the appropriate pattern of ventilation with respect to the patient’s lung physiology/pathophysiology. |
| # 6 |
Outcome
Assess clinical and technical issues with ventilators and troubleshoot accurately. |