Back Module: S-CC-S3

Advanced Ventilation and Adjunct Therapies

Module information

Module details

Title
Advanced Ventilation and Adjunct Therapies
Type
Specialist
Module code
S-CC-S3
Credits
10
Phase
3
Requirement
Compulsory

Aim of this module

This module aims to develop the trainee’s ability to distinguish between the methods of applying the mechanical ventilator to a range of patients and pathophysiologies.

Work-based content

Training activities

# Learning outcome Training activity Type Action
# 1 Learning outcome 5, 6 Training activities

Apply nitric oxide therapy to a patient to include:

  • Set up
  • Preparation
  • Connection to the patient
 Type DTA Action View
# 2 Learning outcome 5, 6 Training activities

Apply high frequency oscillation ventilation to include:

  • Set up
  • Preparation
  • Connection to the patient
 Type DTA Action View
# 3 Learning outcome 5, 6 Training activities

Apply inhalation agents via conventional mechanical ventilators to include:

  • Set up
  • Preparation
  • Connection to the patient
 Type DTA Action View
# 4 Learning outcome 5, 6 Training activities

Set up and assist ECCOR to include:

  • Review of access options
  • Assistance with set up
  • Preparation
 Type DTA Action View
# 5 Learning outcome 1, 2, 6 Training activities

Advise on ventilation strategy

 Type ETA Action View
# 6 Learning outcome 1, 2, 6 Training activities

Review patients and identify the correct modes of ventilation with reference to depth of sedation

 Type DTA Action View
# 7 Learning outcome 1, 2 Training activities

Evaluate appropriate breath delivery type for patients with reference to lung and airway pathophysiology

 Type DTA Action View
# 8 Learning outcome 3, 4, 6 Training activities

Respond to ventilator settings/alarms with respect to clinical requirements of patients for a variety of clinical scenarios

 Type ETA Action View
# 9 Learning outcome 3, 4, 6 Training activities

Use monitoring to troubleshoot clinical issues with mechanical ventilation

 Type ETA Action View
# 10 Learning outcome 3, 4, 6 Training activities

Troubleshoot technical/circuit/accessories issues with mechanical ventilation

 Type ETA Action View

Assessments

Complete 2 Case-Based Discussions

Complete 2 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Set up circuit and perform pre use checks on a bedside/transport ventilator.
  • Perform troubleshooting exercises on a selection of clinical and technical issues.

Observed Clinical Event Titles 

  • Communicate with healthcare professionals to ensure equipment is fit for use.
  • Provide bedside coaching in use of equipment.
  • Prioritise clinical requests.

Learning outcomes

# Learning outcome
1

Select the appropriate mode of ventilation related to the patient’s level of sedation.
2

Select the appropriate pattern of ventilation with respect to the patient’s lung physiology/pathophysiology.
3

Select the appropriate alarm settings on the ventilator with respect to patient safety and monitoring.
4

Interpret and apply monitoring techniques on high specification ventilators.
5

Set up, apply and manage a range of adjunct ventilation therapies.
6

Assess clinical and technical issues with ventilators and troubleshoot accurately.

Clinical experiences

Clinical experiences help you to develop insight into your practice and a greater understanding of your specialty's impact on patient care. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. Reflections and observations from your experiences may help you to advance your practice and can be used to develop evidence to demonstrate your awareness and appreciation of your specialty.

Activities

  1. Attend the admission of a patient to appreciate the process of initiation of mechanical ventilation.
  2. Observe a ward round.
  3. Attend a patient discussion/audit forum to appreciate the patient’s experience of their care and any issues raised.
  4. Participate in simulation exercises involving the use of mechanical ventilation and adjuncts.
  5. Observe other members of the multidisciplinary team performing their role relating to the ventilated patient; such as Physiotherapists or Pharmacists.
  6. Attend follow up clinics to appreciate the patient’s experience of care in the ITU, and the impact on their immediate and future quality of life and lifestyle.

Academic content (MSc in Clinical Science)

Important information

The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.

Learning outcomes

On successful completion of this module the trainee will be able to:

  1. Demonstrate extended understanding of the modes of ventilation, patterns of gas delivery and settings involved in the use of mechanical ventilation, justifying the selection relative to the individual patient’s clinical need.
  2. Critically evaluate the monitoring capabilities of modern ventilator technologies, including the setting of alarms and to give examples of data, waveforms and loops, and to critically appraise weaning strategies.
  3. Explain the principles and the application of extra corporeal therapies related to mechanical ventilation and the underpinning evidence.
  4. Explain the principles and the application of adjuncts to mechanical ventilation.
  5. Critically appraise the setup and monitoring required to deliver anaesthetic agents via an ICU ventilator safely and effectively.

Indicative content

  • Patterns of ventilation: pressure controlled, volume controlled, dual controlled (PRVC, VC+, auto flow).
  • Modes of ventilation: controlled (CMV, IPPV, MV). synchronised modes (SIMV, Bilevel, BiPAP, Duopap, Bivent etc).
  • Pressure/flow/volume waveform interpretation.
  • High frequency ventilation, heliox, nitrous oxide, inhaled agents and humidification.
  • Humidification (active and passive), and nebulisation therapies.
  • ECMO, ECCOR.
  • Sedation options and application.
  • Ventilation/weaning strategies.
  • Optimisation of settings, (FiO2, TV, PEEP, I: ratios, pressures, rates etc.).
  • Alarms, troubleshooting with respect to optimising the patient’s safety.
  • Clinical and technical issues with respect to troubleshooting mechanical ventilators.

 

Module assigned to

Specialties

Specialty code Specialty title Action
Specialty code SPS1-5-22 Specialty title Critical Care Science [2022] Action View
Specialty code SPS1-5-23 Specialty title Critical Care Science [2023] Action View
Specialty code SPS1-5-24 Specialty title Critical Care Science [2024] Action View
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