Technology in Critical Care

Fellow's Curriculum

 

This is a 12 month curriculum intended to demystify the complex technology involved in the support of critically ill children. The sessions will focus on clarifying the biomechanical and physiologic principles necessary to appropriately initiate and use the devices discussed. Devices to be discussed will be divided into three groups: mechanical respiratory support devices, monitoring devices, and extracorporeal organ support devices. Faculty for these sessions will be primarily the therapists and technicians who use them in the ICU, with physician faculty included as deemed appropriate. Considering the heavy reliance on mechanical respiratory support devices in critical care, first year fellows will also undergo individual tutorials on the basic use of the principle ventilators used in the ICU.

  • Texts: Tobin, Principles and Practice of Mechanical Ventilation; Tobin, Principles and Practice of Intensive Care Monitoring; Duncan, Mechanical Support for Cardiac and Respiratory Failure in Pediatric Patients; Zwischenberger, ECMO: Extracorporeal Cardiopulmonary Support in Critical Care

 

  • Mechanical Respiratory Support Devices
  • Session 1: Servo 900C & Puritan Bennett 840
  • Session 2: Servo i & Draeger Babylog
  • Session 3: Sensormedics 51A High Frequency Oscillatory Ventilator
  • Session 4: Non-invasive support: CPAP/BIPAP, O2 delivery, nebulizers

 

  • Monitoring Devices
  • Session 5: Pulse Oximetry, Capnography, Dynamap
  • Session 6: Respiratory Mechanics, Single Breath CO2 Analysis
  • Session 7: Pulmonary Artery Catheter

 

  • Extracorporeal Support Devices
  • Session 8: ECMO circuit & protocols
  • Session 9: CPB circuit and VAD
  • Session 10: Hemodialysis, CVVH
  • Session 12: Cardiac Pacing