Advanced Mechanical Ventilation Modes and Patient Synchrony in the ICU
An Educational Collaboration between the American College of Physicians and the American College of Chest Physicians
|ACCP Simulation Center for
Advanced Clinical Education
|November 9-11, 2012||Learn More
Mechanical ventilation is one of the most commonly applied interventions in ICUs. Despite its lifesaving role, mechanical ventilation is associated with additional risks to the patient and additional health-care costs if not applied appropriately.
Our understanding of patient-ventilator interactions has grown tremendously during the last two decades. Serious patient-ventilator dysynchrony is now known to frequently exist during all three phases of breath delivery: the trigger phase, the flow-delivery phase, and the breath-cycling-off phase. This dysynchrony can create substantial imposed work of breathing on the ventilatory muscles, which can lead to muscle fatigue, discomfort (with resulting sedation use), and unnecessary time supported by the ventilator.
To decrease patient care risk, new ventilator modes continue to be developed with the goal of improving clinical outcomes. Advances in ventilator modes include dual-control modes that enable guaranteed tidal volume and inspiratory pressure, pressure-style modes that permit spontaneous breathing at high- and low-pressure levels, and closed-loop systems that facilitate ventilator manipulation of variables based upon measured respiratory parameters. Clinicians need to develop a thorough understanding of these modes, including their effects on underlying respiratory physiology, to be able to deliver safe and appropriate patient care.
This 2.5-day immersive educational collaboration, brought to you by the American College of Physicians and the American College of Chest Physicians, will enable each participant to become more comfortable and proficient in their delivery of care to patients requiring mechanical ventilation.
This course is also approved for AMA PRA Category 1 credit™. Please visit the individual course page for specific information.
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