=== Resources === [[https://drjonpelly.shinyapps.io/preceptorial_landing_page/ | Waveform Website]] | [[https://drive.google.com/drive/folders/0B95UWZ1sMNH1fkhOMjhFMDJTc1Y4am4wQVUxS083X3JCWkRHNndMb3duVUZNbUJwU010azQ?resourcekey=0-Dyh0du2nwmwYvNlB4M04yQ | Reading, Chapter A]] | [[https://drive.google.com/drive/folders/0B95UWZ1sMNH1fkFQbVBLV28tLWNlZUVRUFk3ajVzcmpKTloyNHY0bmpsRG01SEV3LTVzRXM?resourcekey=0-kwXviuU7pmVBLcF_6AjsMA | Reading, Chapter B]]| |[[https://drive.google.com/drive/folders/0B95UWZ1sMNH1flpqakZ6NDBhNXJuVFZwTmhwcVB5Qk1NTFE0dnVpS29oekIzR20zNU5vZm8?resourcekey=0--bFOEHsupGg60eCfYk_RDQ | Reading, Chapter C]]| [[https://drive.google.com/drive/folders/0B95UWZ1sMNH1fkxKb3p1ODJ3Rk9yQWFaWEgxNmN0WEVLZkhVZU1lTUwxZWQtTjMxNTdvVjg?resourcekey=0-p1lt3Adr0iyabpwsw6qelQ | Reading, Chapter D]]| |[[https://drive.google.com/drive/folders/0B95UWZ1sMNH1fmVyMWpUOUg3VkZLTGo3NGJSaWVXdE1fNFBDYzFpSEkxYnRZMHZQTHdnemc?resourcekey=0-kS7XFuFx3H1p57VNVkKR8A | Reading, Chapter E]]| [[https://drive.google.com/drive/folders/0B95UWZ1sMNH1aHhUcXdVWHd6b1U?resourcekey=0-ydlq5YT2bjaeCKV8XELHdg | Reading, Chapter F]] | | [[https://drive.google.com/drive/folders/0B95UWZ1sMNH1TkdKU2EyMWJSeGs?resourcekey=0-pj8nrIsDQ4rygoAqj8rThQ | Reading, Chapter G]]|[[https://drive.google.com/drive/folders/0B95UWZ1sMNH1RkJnM3YyZ3BUUTg?resourcekey=0-uNb2lsJhWChXoIbuzTZWgw | Reading, Chapter H]]| ====== Deadlines ====== ^ date ^ item^ |sep 30| chapter A| |sep 30*| schedule chapters B, C, D| |nov 15| waveforms set 1| |dec 15| chapter D| |apr 17| waveforms set 2| |may 15| chapter H| |jun 16| final assessment| *recommended, not hard deadline ====== Action Items ====== ===== Wave forms ===== {{ :ventilator_preceptorial_-_waveform_submission_deck_1.pptx |Waveform Submission Template}} ==== Due Nov 15 ==== ===Normal Waveforms (all)=== * Normal Pressure Control Breath * Normal Volume Control Square Waveform Breath * Normal Volume Control Decelerating Waveform Breath * Normal Volume Targeted Breath * Normal Passive Expiration * Normal Pressure Support Breath ===Maneuvers (all)=== * Plateau pressure (Pplat) measurement * Serial Measurement of Pplat at different PEEP levels * Measurement of Static Compliance * Measurement of Inspiratory Resistance * Calculating Tau * Measurement of zero autoPEEP * Measurement of AutoPEEP >2 cmH2O ===Features Concerning for the Presence of autoPEEP (>=1 of any of)=== * Unequal Areas of Flow-Time Curve * Persistent End Expiratory Flow * Ineffective Triggering - if submitting as feature of autoPEEP, please also submit screen showing measured autoPEEP ===Expiratory Asynchronies (all)=== * Active expiration * AutoPEEP (as noted above) and Management ===Trigger Asynchronies (all)=== * Autotrigger and Management * Ineffective Trigger and Management * Reverse Trigger and Management * Double Trigger and Management ==== Due Apr 17==== ===Flow Asynchronies (all)=== * Flow Starvation on Pressure Control and Management * Flow Starvation on Volume Control Decelerating Waveform and Management * Flow Starvation on Volume Targeted and Management ===Cycle Asynchronies (all)=== * Premature Cycling on Pressure Control and Management * Premature Cycling on Volume Control and Management * Delayed Cycling on Pressure Control and Management * Delayed Cycling on Volume Control and Management ===Other Cases and Maneuvers (>=2 of)=== * Breath Termination on Pressure Support Ventilation (PSV) - Expiratory Sensitivity (ESENS) adjustment for patient on PSV * Recruitment-Inflation Ratio Measurement * Increased Pressure-Time Product * Dynamic Airway Collapse During Exhalation * APRV * Esophageal Manometry Guiding PEEP Titration * Low-Flow Pressure Volume Loop * Mechanical Ventilation on VV ECMO