Ventilator Management Training: Who, What, and How?

Mechanical ventilation is a life-saving treatment for critically ill patients. As ventilators become increasingly sophisticated, the work of clinicians responsible for their management does not necessarily become easier. A new textbook on mechanical ventilation lists 298 mode names on 36 ventilators in the United States alone. In addition, hospitals have several different ventilators, each with multiple options for modes of ventilation. This is a major challenge for ensuring clinical competency from patient admission to discharge.

Who?

In the United States, respiratory therapists serve as the experts in mechanical ventilation. However, many other clinicians interact with the patient during their scope of care and therefore need to be trained in ventilation.

Here is a list of disciplines within an organization that can benefit from ventilation training:

  • Respiratory Therapists
  • Pulmonologists
  • Anesthesiologists
  • Neonatologists
  • Intensivists
  • Critical Care Physicians
  • Emergency Medicine Physicians
  • Nurses (ICU, ER)
  • Nurse Anesthetists
  • Nurse Practitioners
  • EMT/ Paramedics
  • Physiotherapists
  • Physician Assistants
  • Perfusionists

What? Laurel Students learn RespiSim System

Due to the number of clinicians who interact with a patient during their scope of care, ventilation training needs to cover a wide range of scenarios including: airway management, non-invasive ventilation, initiation of mechanical ventilation and how to properly ventilate apneic or spontaneously breathing patients with differing disease states and evolving patient conditions.

Here are a few main topics that should be covered in ventilation training:

  • Patient-Ventilator Interactions (patient-ventilator synchrony issues)
  • Ventilator Adjustments (Spontaneous Breathing Trials)
  • Ventilator Maneuvers (Finding optimal PEEP)
  • Types/ Modes of Ventilation (NIV, APRV, PAV, ASV, PRVC, etc.)
  • Patient Assessments (Hemodynamics)
  • Patient Conditions (ARDS, COPD, Asthma, etc.)

Please review our End Users and Training Applications resource.

How?

Typically, ventilation training is accomplished through textbooks and classroom discussion. Simulation may be integrated, but is usually less effective when using a standard test lung with limited functionality and realism. However, with the right equipment, simulation has the potential to be the most effective course of action to standardize and improve ventilation training.

Simulation offers:

  • Structured, repeatable simulations
  • Deliberate practice and experiential learning with mistakes
  • Customized, appropriately challenging training 
  • Low frequency, high risk patient scenarios
  • Hands-on teamwork and communication practice
  • No risk to patients

To accomplish the most high-fidelity ventilation simulations, we recommend a lung that simulates patient-ventilator interactions indistinguishable from a real patient, such as the ASL 5000™ Breathing Simulator. With this kind of realism, training can be expanded to include simulations of the following patient-ventilator interactions:

  • Highly realistic ventilator waveforms
  • Relevant and timely ventilator alarms
  • Both synchronous and dysynchronous patients
  • Air-trapping
  • Spontaneous Breathing Trials
  • Non-invasive ventilation
  • Impact of evolving patient conditions

Please review our ASL 5000 Patient-Ventilator Interactions web page.

If you are interested in learning more about how the ASL 5000 can enhance your respiratory training, please contact sales@ingmarmed.com.

Do I Need a Calibrated Test Lung Simulator?

The QuickLung Precision Test Lung Simulator

To meet the needs of different users, we provide calibrated and standard versions of the QuickLung and QuickLung Jr. For training applications, calibration is not necessary and even for testing applications, calibration is not always required.

However, if you are performing formal testing and validation, you may need a calibration certificate to show measurement traceability. The requirements for quality protocols related to calibration and accuracy typically come from your organization or from the manufacturer of the device under test.

QuickLung calibration is conducted using an ASL 5000 Breathing Simulator which has traceability to the National Institute of Standards and Technology (NIST) via A2LA showing the “unbroken chain” of traceability to the International System of Units (SI). The Calibrated QuickLung includes a calibration certificate with a stated level of accuracy for both resistance and compliance settings while the standard QuickLung does not include such a certificate. That stated accuracy for the Calibrated QuickLung is +/- 10% for Compliance and +/- 20% for Resistance. We recommend recalibration on a yearly basis.

The standard QuickLung accuracy is approximately +/- 20% for compliance, and for this configuration, the accuracy of the resistance is not validated or specified.

Please note that the standard QuickLung cannot be calibrated after purchase. This is because the resistance orifices are calibrated before assembly of the QuickLung. Once it is assembled, we cannot do the testing required for calibration.

If we can learn more about your application/requirements, we can work with you to be sure we match you with the right solution. Call us at 412.441.8228 or complete the form below to get started.

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New LLEAP Tutorials Available

To help you get the most out of your ASL 5000™ Lung Solution for SimMan®, we’ve created some new video tutorials. These concise (5-6 minutes) tutorials are designed to help you quickly develop or refresh your skills within our LLEAP Plugin Software.

Videos include:

  • A basic LLEAP plugin software tutorial
  • An advanced LLEAP plugin software tutorial

View videos here

After viewing these videos, should you have any further questions or desire more information please do not hesitate to contact us at +1.412.441.8228, x 133 or sales@ingmarmed.com.

Specialized Testing with the ASL 5000

A group demonstration on using the ASL 5000 to address some common R&D testing challenges.

Taking place on Tuesday July 16 at 9:00 am Eastern.

Hosted by Dr.-Ing. Stefan Frembgen, President of IngMar Medical.


Do you experience this common challenge with your specialized testing?

I’m constrained by the parameters I can use to create my patient models. I need precisely defined, repeatable, and realistic patient models.”

If so, then join us for a demonstration of how the ASL 5000™ Breathing Simulator can alleviate this R&D roadblock. The ASL 5000’s accuracy, flexibility, and precision makes it an essential instrument for in vitro research on the performance of respiratory therapy devices such as ventilators, CPAP devices, nebulizers, masks, and aerosol drug delivery devices.

During this free, 30-minute product demonstration, we will use the ASL 5000 to:

  1. Test ventilator trigger sensitivity threshold
  2. Test the resistance of an element(s) in your circuit

View webinar recording here

New LLEAP Software Plugin, Version 2.5 for the SimMan Platform

IngMar Medical is pleased to announce the release of its new LLEAP Software Plugin, version 2.5  for the SimMan® Platform. Version 2.5 is compatible with LLEAP versions 6.3, 6.4, and 6.6. This new version features the following updates and changes:

 

  • User can transfer one or more custom lung models to a different computer
  • IngMarDefault layout is available with all standard Themes
  • When patient effort is set to zero, patient’s respiratory rate becomes inactive
  • Effort parameter on simple Breath Effort Control window changed to Muscle Pressure to match advanced view
  • Equation of Motion window is now separate from ASL Monitor
  • Various aesthetic enhancements including larger text and more intuitive controls

 

 

 

 

 

 

 

 

 

 

 

 

Download here

Webinar: Training for Interdisciplinary ARDS Care, Using the ASL 5000 Lung Solution for SimMan

 


The course of treatment for acute respiratory distress syndrome (ARDS) is complex and can require many different healthcare professionals to support a single patient for up to 4 weeks.

In this free, 30-minute webinar, you will see how SimMan® and the ASL 5000™ Lung Solution can be used to develop clinical and teamwork skills for ARDS treatment. We will present an interdisciplinary ARDS treatment simulation for advanced learners. This sample simulation features a nurse and a respiratory therapist working together to stabilize a mechanically-ventilated patient.

During this webinar, you will see an RN and an RT practice:

  • Basic assessment
  • Communication skills
  • SBAR training
  • Suction skills
  • Ventilator management

The ASL 5000 Lung Solution for SimMan, developed in collaboration with Laerdal, allows you to integrate the world’s most realistic breathing simulator, the ASL 5000, with the SimMan 3G, SimMan Essential and SimMan 3G Trauma. This means you can use your SimMan to conduct high-fidelity ventilation management training in anesthesia, critical care, emergency medicine, pulmonology, and respiratory care.

If you would like to conduct advanced ventilator management training with your SimMan, this webinar gives you the chance to see the system in action.

Co-hosted with Laerdal

This webinar has already taken place. View the recording here.

Spring 2019 SUN Conference

April 24 – 26, 2019 | Mohegan Sun | Uncasville, CT |  www.laerdal.com/us/sun

Would you like to add advanced ventilator management to your simulation training program? The ASL 5000™ Lung Solution for SimMan® allows you to integrate the world’s most realistic breathing simulator, the ASL 5000, with the SimMan 3G, SimMan Essential and SimMan 3G Trauma. With this solution, SimMan can breathe spontaneously while being ventilated and hold PEEP at any clinically relevant level. You can use any ventilator and any ventilator mode, including NIV. 

Visit us at the SUN Solutions Bar at the Spring Laerdal SUN conference to see how it works. Learn how you can use your SimMan to conduct high-fidelity ventilation management training in anesthesia, critical care, emergency medicine, pulmonology, and respiratory care.

Can’t visit us at SUN? Contact us for a demo. Just fill out the brief form below.


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SimMan® is a registered trademark of Laerdal Medical.

Using the RespiSim System to Educate at Scale

How do you ramp up advanced ventilator management training, for a large group of learners, who all need the same, consistent training?

We recently spoke with Matthew Jurecki, BS, RRT, Program Coordinator of Respiratory Education at a large, leading academic medical facility. Matt relates that the RespiSim® System has helped his facility overcome training challenges, such as scalability, that were previously problematic.

Read full story

New Lungs for SimBaby!


We are pleased to announce that the  ASL 5000 Lung Solution  will soon be compatible with Laerdal’s new SimBaby. This will enable you to use the new SimBaby to conduct advanced ventilator management training in anesthesia, critical care, emergency medicine, pulmonology, and respiratory care.

With the ASL 5000 Lung Solution, SimBaby can breathe spontaneously while being ventilated and hold PEEP at any clinically relevant level. You can use any ventilator and any ventilator mode, including NIV. Resistance and compliance are minutely adjustable, allowing you to simulate a vast number of patient disease states. This will allow you to teach mechanical ventilation topics such as:

  • Managing IRDS and RSV
  • Adjusting the ventilator in response to a change in patient condition
  • Identifying and resolving patient-ventilator dysynchronies

Developed in collaboration with Laerdal, the popular ASL 5000 Lung Solution is currently compatible with SimMan®, SimMan 3G Trauma, SimMan Essential, and SimMan Essential Bleeding.

Opt-in below to receive updates on the development of SimBaby at IngMar Medical.

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SimMan® is a registered trademark of Laerdal.

IngMar Medical 17025:2017 Accredited

Anthony Rakow, Calibrations and Service Manager and Katherine Burdelski, Quality Manager

IngMar Medical is proud to announce that our calibration lab has been accredited by A2LA to ISO/IEC 17025:2017 (Certificate Nr. 4172.01). This is the latest edition of the ISO/IEC 17025 standard. We were previously accredited to ISO/IEC 17025:2005.  This accreditation demonstrates technical competence for a defined scope and for the operation of a laboratory quality management system.

Confidence in Testing with the ASL 5000

Accreditation to 17025 provides third-party confirmation that you can be confident in your results when using IngMar Medical’s ASL 5000™ Breathing Simulator for your critical research, development, and quality testing.

Laboratories that are accredited to this international standard have demonstrated that they are technically competent and able to produce precise and accurate test and/or calibration data. In fact, ISO/IEC 17025 is the single most important standard for calibration and testing laboratories around the world.

Moreover, as part of accreditation, our laboratory’s quality management system is thoroughly evaluated on a regular basis by A2LA, a highly respected third-party accreditation body.ilac-mra-a2la-accredited-symbol-4172-01
This ensures continued technical competence and compliance with ISO/IEC 17025.

 

Other Relevant ISO Standards

IngMar Medical is ISO 9001:2015 Certified (Registration Nr. (74 300 3727).

The ASL 5000 Breathing Simulator meets or exceeds the requirements for test lungs used for volume testing as specified in the following standards:

  • ISO 80601-2-12:2011 (Critical Care Ventilators)
  • ISO 80601-2-13:2011 (Anesthetic Workstations)
  • ISO 10651-6:2004 (Home Care Ventilatory Support Devices)
  • ISO 10651-3:1997 (Emergency and Transport Ventilators)

Request a demo or more information about the ASL 5000 here.