Respiratory Simulation Specialists

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QuickLung Breather – Patient Settings

The QuickLung® Breather is capable of simulating a spontaneously breathing patient in a variety of modes and patterns. In response to customer requests,  we have compiled several common respiratory cases below. Connect to any ventilator to demonstrate these critical patient-ventilator interaction concepts that deepen and anchor your learners’ skills with hands-on training – at no risk to patients!

The settings indicated below are based on research completed by IngMar Medical in consultation with leading educators. We welcome any feedback to facilitate professional consensus on simulating respiratory patients. Click here to contact us directly!

If you would like more detailed instruction on applying these settings with the QuickLung Breather, please consult the Quick Reference Guide.

Adult Severe Respiratory Failure (ARDS)

AdultARDS1Patient: Adult admitted to the ICU due to a post-op infection which progressed to severe ARDS. The student should recognize severe respiratory failure and recommend a lung protective strategy.

Breathing Pattern: Eupnea

Resistance: 5 cmH20/L/s

AdultARDS2Compliance: 20 mL/cmH20 (left and right springs engaged)

Offset: 320 mL

Tidal Volume: 150 mL

I/E Ratio: 27%

Respiratory Rate: 20 bpm

Ventilator Settings: 

  • Mode: VC-CMV
  • Respiratory Rate: 16 bpm
  • Vt:  450 mL
  • PEEP: 10 cmH20
  • Flow: 70 L/min

Adult Ventilator Dysynchrony

AdultDys2Patient: Adult intubated in the emergency room due to refractory hypoxemia and hypoxic ventilator failure and transferred to the ICU. The learner should recognize breath stacking due to premature cycling on the ventilator.

Breathing Pattern: Eupnea

Resistance: 20 cmH20/L/s

AdultDys1Compliance: 20 mL/cmH20 (left and right springs engaged)

Offset: 430 mL

Tidal Volume: 400 mL

I/E Ratio: 43%

Respiratory Rate: 18 bpm

Ventilator Settings: 

  • Mode: VC-CMV
  • Respiratory Rate: 16 bpm
  • Vt:  500 mL
  • PEEP: 10 cmH20
  • Flow: 70 L/min

Pediatric Severe Respiratory Failure (ARDS)

PedARDS1Patient: 8 year old male (25 kg) presented to the ER following motor vehicle accident intubated and initiated on mechanical ventilation due to impending respiratory failure. The learner should recognize the inability to safely meet ventilation and oxygenation goals and implement a lung protective strategy.

Breathing Pattern: Eupnea

PedARDS2Resistance: 20 cmH20/L/s

Compliance: 10 mL/cmH20 (all three springs engaged)

Offset: 190 mL

Tidal Volume: 80 mL

I/E Ratio: 20%

Respiratory Rate: 26 bpm

Ventilator Settings: 

  • Mode: PC-SIMV
  • Respiratory Rate: 20 bpm
  • PIP:  17 cmH20
  • Pressure Support: 10 cmH20
  • PEEP: 5 cmH20
  • Inspiratory Time: 0.45 sec

Pediatric Ventilator Dysynchrony (asthma exacerbation)

PedDys2Patient: 4 year old male (20 kg) intubated in the PICU due to respiratory failure secondary to an asthma exacerbation. The main goal in this simulation is to recognize and treat air trapping caused by an expiratory dysynchrony.

Breathing Pattern: Eupnea

Resistance: 50 cmH20/L/s

PedDys1Compliance: 50 mL/cmH20 (no springs engaged)

Offset: 610 mL

Tidal Volume: 120 mL

I/E Ratio: 33%

Respiratory Rate: 34 bpm

Ventilator Settings: 

  • Mode: PC-SIMV
  • Respiratory Rate: 25 bpm
  • PIP:  20 cmH20
  • PEEP: 5 cmH20
  • Inspiratory Time: 1 sec

Adult COPD Exacerbation

COPD2Patient: Adult admitted to the emergency room and intubated due to impending ventilatory failure secondary to a COPD exacerbation. Learner should assess an increase in the patient’s airway resistance which results in a decreased expiratory time leading to air trapping or intrinsic PEEP.

Breathing Pattern: Eupnea

COPD1Resistance: 20 cmH20/L/s

Compliance: 50 mL/cmH20 (no springs engaged)

Offset: 400 mL

Tidal Volume: 300 mL

I/E Ratio: 25%

Respiratory Rate: 20 bpm

Ventilator Settings: 

  • Mode: VC-CMV
  • Respiratory Rate: 5 bpm
  • Vt:  500 mL
  • PEEP: 5 cmH20
  • Flow: 50 L/min
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