VOLUME CYCLED VENTILATION

Is guidance desired? y or n
Set tidal volume, ml
Set frequency
Inspired oxygen, %
Set PEEP
Set peak inspiratory flow, lpm
Inspiratory pause duration, seconds
This is patient number
Attempt number on this patient
Observed tidal volume, ml
Observed minute ventilation, liters

OUTCOMES
O2 saturation
pH
Mean arterial pressure
Plateau pressure

1
y
500
20
21
10
60
0.00
1
0
500
10.0

Observed
96
7.45
52
18

Push to run with selected mode and settings

Push to administer fluid bolus
Push to change ventilator mode

ode

F lo w , li t e r s / m i n u t e

Airway flow

80
60
40
20
0
0
-20

-40
-60
-80

Time, seconds

-100

Goal min
90
7.35
65
--

d settings

us

100

Goal Max
-7.45
-30

Oxygenation is acceptable
pH too high. Consider decreasing frequ
MAP too low. Consider decreasing frequ
Plateau pressure is acceptable

Push when treatment goals ha

Push to abandon current pat

Push to run performance assessment; you mus

Push to completely clear simulator and s

!THIS WILL ERASE ALL PREVIOUS WO

way flow

10

12

14

me, seconds

decreasing frequency or tidal volume

decreasing frequency, tidal volume, or PEEP OR giving fluid bolus
ceptable

eatment goals have been attained

ndon current patient and move on

essment; you must have completed at least 10 cases

clear simulator and start over

ASE ALL PREVIOUS WORK !

g fluid bolus

Attempt numbers
Overall
Average
Recruitable
Asthma
12
COPD
10
Restrictive
Unrecruitable

number of attempts needed to solve cases

% o f v e n tila to r c h a n g e s c o m p lic a te d b y d e r a n g e m e n t

Failure
rates
6
Overall
4
Recruitable
Asthma
2
COPD
0
Restrictive
Overall
Unrecruitable

Recruitable

Asthma

COPD

Restrictive

Unrecruitable

Frequency of derangements during management of scenarios

Complication
Hypoxia
ratesHypotension Overdistention
Overall 12
10
Recruitable
8
Asthma 6
COPD
4
2
Restrictive
0
Unrecruitable Overall
Recruitable
Asthma
Exacerbation rates
Overall
Recruitable
Asthma
COPD
Restrictive
Unrecruitable

Acidosis

COPD

Alkalosis

Restrictive

Unrecruitable

Failure rates (failure to resolve derangement)

of scenarios

% o f v e n tila t o r c h a n g e s p ro v o k in g o r w o r s e n in g d e r a n g e m e n t

Unrecruitable

Percent of failed cases in class

olve cases

Hypoxia

Hypotension

Overdistention

Acidosis

Alkalosis

12
10
8
6
4
2
0
Overall

Recruitable

Asthma

COPD

Restrictive

Unrecruitab

Frequency with which management provokes or worsens a given derangeme

Hypoxia

Hypotension

Overdistention

Acidosis

Alkalosis

12
10
8
6
4
2
0
Overall

Recruitable

Asthma

COPD

Restrictive

Unrecruitable

derangement)

Alkalosis

Restrictive

Unrecruitable

worsens a given derangement

ruitable

1
2
3
4
5
6
7
8
9

10
11
12

13
14

15

16

17

18

19

20

21

22

23

If y

If you h

Have you completed fellowship or other advanced training in which

In the past

How many days has

On an average day during which you care for patients undergoing mech

Approximately how often do you use pressure control ventilation, Bilevel v

I gained

Ig

Com

I believe that educati

I believe that simulation technology might be a valua

Besides the user interface, what are the two most important aspects