3.3. SMART Ventilation Paulin Banguti.pdf

For students

1. Centerof Excellence (EFFO CoE):
Training Workshop
Paulin R. BANGUTI, MD
Associate Professor
MECHANICAL VENTILATION
Made
SMART

2. 15.03.2024 EFFO-CoETraining Workshop 2
Clinical Case Study
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
Clinical Case: A 40-year-old with sepsis-induced respiratory failure presents with acute
hypoxemic respiratory distress, necessitating immediate mechanical ventilation due to
severe respiratory compromise.
Case Questions
1.What are the key indicators of respiratory failure in this case?
2.How would you assess the patient's readiness for mechanical ventilation?
3.What initial settings would you consider for mechanical ventilation?
4.How would you monitor and adjust ventilation parameters based on patient response?

3. 15.03.2024 EFFO-CoETraining Workshop 3
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
EXPECTED LEARNING OUTCOME
1.Identify indications for initiating ventilation and selecting appropriate settings.
2.Understand differences between mechanical and smart ventilation, emphasizing adaptive,
personalized settings.
3.Evaluate advantages and disadvantages of ventilation modes, including troubleshooting alarms and
weaning processes.
4.Implement SMART ventilation strategies for improved patient outcomes and safety in clinical
practice.
By the end of this session, participants will be able to:

4. 15.03.2024 EFFO-CoETraining Workshop 4
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
OULINES
Chapter I: INTRODUCTION
➢SMART vs MECHANICAL
Chapter II: SMART Ventilation Strategies

5. 15.03.2024 EFFO-CoETraining Workshop 5
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
CHAPTER I: INTRODUCTION
I.1: Mechanical vs Smart Ventilation
•Mechanical Ventilation: Traditional, fixed parameters.
•Smart Ventilation: Adaptive, personalized settings based
on real-time data.

6. 15.03.2024 EFFO-CoETraining Workshop 6
I.2: Smart Mechanical Ventilation as a SMART Project
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
•SMART Project:
•Importance of SMART approach in optimizing patient care.
A.Specific,
B.Measurable,
C.Achievable,
D.Realistic,
E.Timely.

7. 15.03.2024 EFFO-CoETraining Workshop 7
I.3: SMART Ventilation
Introduction Logistics AdministrationPresentation / Q&ARegistration/ Recap Group work/ Simulation Sociometry
•Setting: Tailored parameters based on patient response.
•Modeof Ventilation: Adaptive modes for individualized support.
•Advantagesand Disadvantages: Benefits and limitations of smart
ventilation.
•Release or Weaning Process: Gradual reduction of support based on
patient readiness.
•TroubleshootAlarms: Addressing and managing ventilation alarms.

8. 15.03.2024 EFFO-CoETraining Workshop 8
Chapter II: SMART Ventilation Strategies
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
II.1: Settings
•Discussion on setting tidal
volume, respiratory rate,
PEEP, FiO2.
•Importance of
individualized settings for
optimal support.

9. 15.03.2024 EFFO-CoETraining Workshop 9
II.2: Modes of Ventilation
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
•Introduction to AC,
SIMV, and adaptive
modes.

10. 15.03.2024 EFFO-CoETraining Workshop 10
II.3: Advantages and Disadvantages
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
•Benefits: Improved
oxygenation, ventilation.
•Limitations: Risk of over-
assistance, potential for
respiratory muscle atrophy.

11. 15.03.2024 EFFO-CoETraining Workshop 11
II.4: Release or Weaning Process
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
•Gradual reduction of
support based on patient
progress.
•Transition from
controlled modes to
assisted, supported,
CPAP, extubation.

12. 15.03.2024 EFFO-CoETraining Workshop 12
II.5: Troubleshooting
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
•Addressing common
ventilation alarms.
•Strategies for
troubleshooting
ventilator issues.

13. 15.03.2024 EFFO-CoETraining Workshop 13
Back to the Clinical Case
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
Clinical Case: A 40-year-old with sepsis-induced respiratory failure presents with acute
hypoxemic respiratory distress, necessitating immediate mechanical ventilation due to
severe respiratory compromise.
Case Questions
1.What are the key indicators of respiratory failure in this case?
2.How would you assess the patient's readiness for mechanical ventilation?
3.What initial settings would you consider for mechanical ventilation?
4.How would you monitor and adjust ventilation parameters based on patient response?

14. 15.03.2024 EFFO-CoETraining Workshop 14
Take Home Message
Introduction Logistics AdministrationPresentation / Q&ARegistration Group work/ Simulation Sociometry
Importance of SMART Ventilation
•Recap of personalized approach for
patient care.
•Impact on outcomes and patient safety.