CSRT Rapid Response Return To Practice Toolkit .

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CSRT Rapid Response Return to Practice Toolkit – Mechanical VentilationCSRT Review Courses: Mechanical Ventilation: Part 1: Review of basic theory, pressure gradients, lung mechanics, adverse effects, andindications: CSRT Mechanical Ventilation Review Part 1Part 2: Ventilator settings and modes: CSRT Mechanical Ventilation Review Part 2Part 3: Alarms, titrating the ventilator, weaning: CSRT Mechanical Ventilation Review Part 3Clinical Practice Guidelines/Review Articles: European Respiratory Society/American Thoracic Society (2017): Click hereNoninvasive Ventilation: Piraino. T. Respiratory Care May 2017, 62 (5) 623-628. Click hereOther Online Resources: Prone positioning video (Mount Sinai): Click hereReview videos (includes basic respiratory therapy procedures and set up of various ventilatormodels, delivered by NAIT RT instructor, George Onyschuk, RRT): Click hereAPRV Network: Click hereIndustry-Developed Resources: Advanced Pressure Control Ventilation (ARDS): Click hereDraeger APRV information: Click hereDraeger review of ventilator modes: Click hereDraeger COVID-19 information: Click hereHamilton Medical educational resources: Click hereInterpretation of Ventilator Waveforms: Click hereNoninvasive ventilation: Click hereOptimizing the Patient-Ventilator Interaction Part 1 (Asynchrony): Click hereOptimizing the Patient-Ventilator Interaction Part 2 (Asynchrony): Click hereVentilator Training Alliance app download (multi-vendor library of training and productinformation): Click hereThe CSRT Rapid Response Refresher Resource is intended to provide respiratory therapists with reviewmaterials. For information specific to the management of Coronavirus disease, please refer to the CSRTCOVID-19 resource page: es/.1

Ventilator-Specific Resources Avea guide and modes of ventilation: Click hereBellavista 1000 video: Click hereDraeger online training resources (Evita, Oxylog, V500, VN500): Click hereDraeger training videos: Click hereEOVE 150 Guide de poche : Cliquez iciEOVE 150 Guide d’utilisateur : Cliquez iciEOVE 150 Pocket Guide: Click hereEOVE 150 User’s manual: Click hereEOVE Battery pack (guide): Click hereEOVE Pack batterie (guide d’utilisation) : Cliquez iciGE CARESCAPE R860 resources: Click hereGE CARESCAPE R860 Quick Reference Guide: Click hereGE CARESCAPE R860 User’s Reference Manual: Click hereHamilton C3, C6, G5: Click hereLTV ventilator educational resources: Click hereMaquet Servo-i manual: Click hereMaquet Servo-i modes and NAVA: Click hereMaquet Servo-u learning guide: Click hereMonnal T60 manuel utilisateur : Cliquez iciMonnal T60 user manual: Click herePB 980 ventilator training: Click herePB 980 manuals and addenda / manuels et addenda: Click here / Cliquez iciPB 840 ventilator training: Click herePB 840 manuals addenda / manuels et addenda: Click here / Cliquez iciPB 560 manual: Click hereVentilator Adjunct Resources: Aerogen nebulizer: Click here (various resources) or here (manual)o List of ventilators with Aerogen modules Click hereDraeger PulmoVista: Click hereFisher & Paykel 850 System Overview and Set-Up: Click hereFlusso bypass adapter: Click hereThe CSRT Rapid Response Refresher Resource is intended to provide respiratory therapists with reviewmaterials. For information specific to the management of Coronavirus disease, please refer to the CSRTCOVID-19 resource page: es/.2

FormulasIdeal body weight (female, lb): 105 5(height [inches]-60) (divide by 2.2 to get kg)Ideal body weight (male, lb): 106 6(height [inches]-60) (divide by 2.2 to get kg)(If height is measured in cm, divide by 2.54 cm/inch)Static complianceCst Effective tidal volumePplat – PEEPResistanceRaw PIP – PplatFlow (L/sec)To adjust minute volume to achieve a desired PaCO2: Current minute volume x CurrentPaCO2DesiredPaCO2Effective (Delivered) Tidal Volume Set tidal volume – volume lost to the ventilator circuit Volume lost to the ventilator circuit PIP-PEEP x tubing comp factor (frompackaging)If you must calculate the tubing comp factor: Dial the maximum P limit to max [sothe ventilator doesn’t pressure cycle], occlude the outlet of the patient wye,manually deliver a breath and note the achieved PIP and exhaled VT. From there,tubing compliance is calculated at volume/PIP.The CSRT Rapid Response Refresher Resource is intended to provide respiratory therapists with reviewmaterials. For information specific to the management of Coronavirus disease, please refer to the CSRTCOVID-19 resource page: es/.3

Summary for providing acute non-invasive ventilation(From Davidson AC, Banham S, Elliott M, et al BTS/ICS guideline for the ventilatory management ofacute hypercapnic respiratory failure in adults. Thorax /Suppl 2/ii1 [Accessed April 5, 2020.])The CSRT Rapid Response Refresher Resource is intended to provide respiratory therapists with reviewmaterials. For information specific to the management of Coronavirus disease, please refer to the CSRTCOVID-19 resource page: es/.4

Some notes on passive humidification (HMEs) versus active humidification (heatedhumidity, HH)Restrepo and Walsh (2012)1 notes that heat and moisture exchangers (HMEs) arecontraindicated when the patient has copious thick or frank bloody secretions, when theexhaled tidal volume is less than 70% of the delivered tidal volume, when low tidal volumes areused, when the patient’s temperature is less than 32 C, when the spontaneously breathingpatient has a high minute volume (greater than 10 lpm) or in NIV with a large leak. A recentCochrane review (Gillies et al., 2017)2 comparing HMEs to HH noted no increase in pneumonia,airway blockage or mortality in patients using HMEs versus HH.Some, but not all, HMEs are also filters. The efficiency of these filters varies, so it is wise toverify the filtration efficiency of any HME prior to using it.HMEs are better suited to short-term ventilation (less than 96 hours)1 and should be changedas per manufacturers’ recommendations, or if they have become contaminated withsecretions. HMEs should not be left in-line when delivering aerosolized medications.1.2.Restrepo, RD., Walsh, BK. Humidification during invasive and noninvasive mechanical ventilation. Respir Care2012;57(5):782-788.Gillies, D., et al. Heat and moisture exchangers versus heated humidifiers for mechanically ventilated adultsand children. Cochrane Database of Systematic Reviews 2017; Issue 9. Art. No.:CD004711.The CSRT Rapid Response Refresher Resource is intended to provide respiratory therapists with reviewmaterials. For information specific to the management of Coronavirus disease, please refer to the CSRTCOVID-19 resource page: es/.5

LTV ventilator educational resources: Click here Maquet Servo-i manual: Click here Maquet Servo-i modes and NAVA: Click here Maquet Servo-u learning guide: Click here Monnal T60 manuel utilisateur : Cliquez ici Monnal T60 user manual: Click here

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