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Respiratory Care Curriculum: Invasive Mechanical Ventilation

This is a self-paced, open-enrollment course that may be started and completed at any time. Please note: This course requires an updated browser to function properly. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher). To check your current browser version, click here.

About This Course

The attendee shall learn the fundamentals of pediatric invasive mechanical ventilation including intubation, ventilator setup, initiation, management, assessment and documentation. Additionally, the attendee will complete an online ventilator simulation.

This course was developed by the OPENPediatrics program at Boston Children's Hospital. To access a free, non-CRCE version of this course, as well as hundreds of other resources on pediatric care, sign up for a free account on the OPENPediatrics site.

Cost

USD $55.00

Instructional Time

5 hours, 30 minutes

Course Format, Media and Technical Requirements

Self-paced, using text and video, with post-test assessments. Requires 80% or higher score to earn CME credit. Online course assessment. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher).

Release/Review/Expiration Dates

Released: February 1, 2016

Reviewed: February 1, 2016

Expires: January 31, 2017

Learning Objectives

Module 1: Airway and Manual Ventilation

  • Describe the equipment and steps necessary to prepare for intubation.
  • List methods for providing manual ventilation including the operation of self-inflating and flow inflating systems.
  • Describe a common method for securing an oral endotracheal tube.
  • List important considerations when suctioning a patient with an artificial airway.

  • Module 2: Initiation of Invasive Conventional Mechanical Ventilation

  • Describe the connections and procedures necessary to setup a mechanical ventilator (air, O2 connections, pre-use check).
  • Select appropriate initial settings in pressure or volume controlled modes of ventilation including tidal volume, respiratory rate, inspiratory time, and PEEP.
  • Describe the differences between volume and pressure targeted modes of ventilation.

  • Module 3: Monitoring and Safety Assessment

  • Identify the normal ventilator waveforms including pressure, flow and volume-time.
  • Identify the peak pressure during pressure controlled ventilation.
  • List common abnormalities that can be identified on the capnogram.
  • Recognize the skills required to accurately assess a mechanically ventilated child and the interaction between the ventilator and the patient.

  • Module 4: Conventional Mechanical Ventilation Management

  • Identify what signs may warn of insufficient ventilation and how to properly adjust the ventilator.
  • Describe an extubation readiness test.

  • Module 5: Hands on Mechanical Ventilation Simulation

  • Properly identify and adjust the ventilator to treat hypoxia, hypercarbia, and mucous plugging.
  • Demonstrate appropriate alarm settings for a 6kg, 15kg and 40kg subject.
  • Choose appropriate ventilator settings in response to physiologic changes for a patient with bronchitis, seizures and acute respiratory distress syndrome.

  • There are 13 video and demonstration lectures. There are 7 ventilator tactics and 3 mechanical ventilator cases.

    Statement of Need/Target Audience

    Conventional mechanical ventilation is an important therapy applied to children with respiratory therapy in the pediatric intensive care unit. The mechanical ventilator is a life-saving therapy that requires expert management in order to obviate complications. Complications can arise from inappropriate setting on the mechanical ventilator. For new clinicians (RT, RN, resident, fellow) and those in developing nations, access to adequate training may be limited and the present educational offering provides an overview of many important aspects of care for the mechanically ventilated child.

  • Respiratory therapists and nurses treating pediatric patients
  • Accreditation/Designation Statements

    This course has been approved by the American Association of Respiratory Care for 5.5 continuing respiratory care education (CRCE) hours.

    Boston Children's Hospital is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Boston Children's Hospital designates this enduring material for a maximum of 5.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credit™ to an equivalent number of European CME Credits® (ECMECs®). Information on the process of converting AMA PRA Category 1 Credits™ to ECMECs® can be found at: www.eaccme.eu.

    Instructors

    Deb Morrow, RN

    Staff Nurse III
    Infection Prevention Coordinator
    Boston Children's Hospital

    Robert Pascucci, MD

    Senior Associate in Critical Care Medicine
    Senior Associate in Perioperative Anesthesia
    Boston Children's Hospital

    Traci Wolbrink, MD, MPH

    Associate in Critical Care Medicine
    Boston Children's Hospital

    Craig Smallwood, BS, RRT

    Coordinator of Clinical Respiratory Research
    Boston Children's Hospital

    Mary-Jeanne Manning, APRN, MSN, BC, PNP, CCRN

    Critical Care Clinical Nurse Specialist
    Boston Children's Hospital

    Nancy Craig, BS, RRT-NPS

    Supervisor, Respiratory Care
    Boston Children's Hospital

    Barry Grenier, RRT-NPS

    Coordinator of Learning and Development
    Respiratory Care Department
    Boston Children's Hospital

    Gerhard K. Wolf, MD

    Associate in Critical Care Medicine
    Boston Children's Hospital

    Brian Walsh, RRT

    Division of Critical Care Medicine
    Boston Children's Hospital

    Kevin Bullock, MS, RRT-NPS

    Respiartory Care Supervisor
    Boston Children's Hospital

    Disclosures

    In accordance with the disclosure policy of Boston Children's Hospital and the standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speakers and content reviewers list below any relevant relationships they or their spouse/partner have to companies producing, marketing, re-selling or distributing health care goods or services consumed by or used on patients.

    Instructor Disclosures

    No disclosures to report: Ms. Deb Morrow, Dr. Robert Pascucci, Dr. Traci Wolbrink, Mr. Craig Smallwood, Ms. Mary-Jeanne Manning, Ms. Nancy Craig, Mr.Barry Grenier, Dr. Gerhard K. Wolf, Mr. Brian Walsh, Mr. Kevin Bullock

    Content Reviewers

    No disclosures to report:
    Ms. Lesley Niccolini, Dr. Jeffrey Burns, Ms. Daphne Munhall, Dr. John Arnold, Dr. Kate Ryan, Mr. John Thompson

    Commercial Support Disclosure

    This program receives no commercial support.

    Privacy Policy

    Access the Boston Children's Hospital CME Privacy Policy here.

    1. Course Number

      BCH.RT002-OP
    2. Classes Start

      Dec 01, 2015
    3. Estimated Effort

      05:30
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