Evidence-Based Practice of Mechanical Ventilation
Presented by Karsten Roberts
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The initiation of mechanical ventilation is complex. RTs must understand technical aspects of ventilators as well as physiology and patient-ventilator interactions. A competency assessment should be maintained at least annually. This course ensures an interdisciplinary approach to initiation and adjustment of mechanical ventilator settings. At the end of this course, clinicians will independently initiate mechanical ventilation and assess the need for adjustments. The course covers basic ventilator settings for critically ill patients in volume control and pressure control ventilation. Adjustments to initial settings based on disease process, patients’ readiness to wean from mechanical ventilation, and post-extubation care are detailed throughout the course.
Meet your instructor
Karsten Roberts
Karsten J. Roberts, MSc, RRT, RRT-ACCS, FAARC, is a respiratory therapist with nearly two decades of experience. He earned a baccalaureate degree from Boise State University and a master’s degree from Northeastern University. Karsten has been honored as both a Speciality Practitioner of the Year (2019) and a Fellow of the…
Chapters & learning objectives
1. Modes of Ventilation
This chapter reviews the basics of volume control and pressure control modes of ventilation. Variables for each mode of ventilation and goals for minimizing lung injury are also reviewed.
2. Initiation of Mechanical Ventilation
This chapter is a more in-depth look at individualization of ventilator settings based on patient condition and ideal body weight (IBW). Target tidal volume and initial ventilator settings based on mode are also covered.
3. Disease-Specific Management
In this chapter, ventilator settings are distinguished based on disease process. Common disease processes discussed include asthma, COPD, ARDS, and postoperative patients. Setting changes and patient monitoring based on disease are described.
4. Weaning and Discontinuation
At the end of this chapter, learners will be able to prioritize a patient’s readiness to wean from mechanical ventilation. Additionally, the current evidence supporting management of mechanical ventilation will be examined.
