John McManigle
VPMCTS 10: Optimize oxygenation using PEEP and FiO2. Get an introduction to ventilator-induced lung injury.
VPMCTS 9: Treat hypercarbia by increasing minute ventilation. Examine the trade-offs of auto-PEEP, increased plateau pressure, and truncated inspiration.
VPMCTS 8: Dive into causes of hypoxemia: hypoventilation, insufficient inspired oxygen pressure, diffusion insufficiency, ventilation-perfusion mismatch, and shunt.
VPMCTS 7: Look at the relationship between alveolar CO2 and ventilation, and derive the alveolar gas equation. Examine hypoventilation and insufficient inspired oxygen.
VPMCTS 6: Computer controlled ventilator modes: Volume Support, Proportional Assist Ventilation, Automatic Tube Compensation, and Mandatory Minute Ventilation.
VPMCTS 5: Understand the mechanics of patient-triggered breaths in assist and assist/control, pressure support, and IMV and SIMV modes.
VPMCTS 4: Combine the "best" of pressure and volume control: "ramped" volume control, pressure regulated volume control, and volume assured pressure control.
VPMCTS 3: Explore the advantages and disadvantages of pressure and volume control, with a focus on changes in the patient's pulmonary compliance.
VPMCTS 2: Explore the physiology of compliance and resistance, use peak and plateau pressures for clinical diagnosis, and avoid auto-PEEP.
VPMCTS 1: Build a basic model ventilator, and use Ohm's law to understand the pressure- and flow-time behaviors of pressure control and volume control modes.