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Mode (1= VCV; 2=PCV) 1 Tidal volume, L 0.5 PEEP 5 Peak inspiratory flow rate, lpm 60 Frequency 20 Inspiratory pause duration, s 0 Inspired fraction of oxygen, % 21 Outcomes from your settings Machine tidal volume 0.5 Measured minute ventilation 10.0 Peak Airway Pressure 29.0 Mean Airway Pressure 10.0 I/E ratio 0.5 Plateau pressure 13.0 End expiratory pressure 9.0 THIS IS PATIENT NUMBER 0 Push to change ventilator mode Push to run simulation with new inputs Push to administer fluid bolus
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[XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

Mar 14, 2018

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Page 1: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

Mode (1= VCV; 2=PCV) 1

Tidal volume, L 0.5

PEEP 5Peak inspiratory flow rate, lpm 60Frequency 20

Inspiratory pause duration, s 0Inspired fraction of oxygen, % 21

Outcomes from your settingsMachine tidal volume 0.5Measured minute ventilation 10.0Peak Airway Pressure 29.0Mean Airway Pressure 10.0I/E ratio 0.5Plateau pressure 13.0End expiratory pressure 9.0

THIS IS PATIENT NUMBER 0

Push to change ventilator mode

Push to run simulation with new inputs

Push to administer fluid bolus

Page 2: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

Attempts on this patient 0Total runs 0Total patients 0Fluid boluses given 0

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Oximetry and PaCO2 data 0

Blood gas data

Mean arterial pressure

0 2 4 6 8 10 120

2

4

6

8

10

12

Airway flowFl

ow

Push to generate new patient simulation when starting or if targeted outcomes are satisfied

Push to generate new patient simulation if unable to attain targeted outcomes

Page 4: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,
Page 5: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

GOALS

Minimum saturation90

Minimum pH7.35

Maximum pH7.45

Maximum Pplateau30

Minimum mean arterial pressure650 2 4 6 8 10 12

0

2

4

6

8

10

12

Airway flow

Flow

Push to generate new patient simulation when starting or if targeted outcomes are satisfied

Push to generate new patient simulation if unable to attain targeted outcomes

Push to completely reset tool

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Page 7: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

48837.38671875

48837.38671875

4.96597871736

17.2268085509

84.4216381951

Patient number Attempt number Patient cla Success/FaSaturation pH PAO2

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PACO2 HCO3 SvO2 Pplat autoPEEP

Page 9: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

Mode Frequency PEEP Set tidal v Driving pre PEEP HighPeak flow T insp Thigh

Page 10: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

T pause,s FiO2, % Decision ti Pplat checked autoPEEP ABG checkSvO2 chec CardiacOutMean art p

Page 11: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

Check MA Fluid bolus MinSat MinpH MaxPplat

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MinimumMAP

Page 13: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

impossible absolute time

Page 14: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

Imputed patient class

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In what country do you practice?

Have you obtained your professional degree (DO, MD, RRT, RN, APRN)?

If you have not obtained your professional degree, what degree are you working toward?

If you have not obtained your professional degree, how many years of training have you completed?

What is your PGY level (if in training)?

How many years have you been in practice if you have completed your training?

Have you completed fellowship or other advanced training in which the practice of mechanical ventilation was a significant component of the curriculum?(y or n)

Are you board certified in Critical Care? (y or n)

What is your base specialty?Medicine

Emergency MedicinePediatrics

AnesthesiaSurgery

Nursing/Advanced Practice NursingRespiratory Therapy

Other

In the past year, how many days have you spent caring for patients undergoing mechanical ventilation ?

How many days has it been- approximately- since you last cared for a patient undergoing mechanical ventilation?

On an average day during which you care for patients undergoing mechanical ventilation, approximately how many patients that you see are actually on ventilators?1-34-67-9

10 or more

On average, how many hours of sleep did you get on nights before using the simulator?

Approximately how often do you use pressure control ventilation in your overall practice?0-25% of patients

26-50% of patients51-75% of patients

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76-100% of patients

Approximately how often do you use pressure control ventilation, Bilevel ventilation, or APRV in patients with hypoxemic respiratory failure, ARDS, or acute lung injury?0-25% of patients

26-50% of patients51-75% of patients

76-100% of patients

Were the cases similar to what you would expect to see in your ICU?Strongly disagree

DisagreeAgree

Strongly agree

I was comfortable with the difficulty of the casesStrongly disagree

DisagreeAgree

Strongly agree

I gained knowledge about the pressure controlled mode of ventilation at the completion of the casesStrongly disagree

DisagreeAgree

Strongly agree

I gained knowledge about the volume cycled mode of ventilation at the completion of the casesStrongly disagree

DisagreeAgree

Strongly agree

Completion of the simulations made me more comfortable with the use of mechanical ventilationStrongly disagree

DisagreeAgree

Strongly agree

I believe that educational simulations might be a valuable tool for improving the practice of mechanical ventilationStrongly disagree

DisagreeAgree

Strongly agree

Page 20: [XLS]Ventilator training simulator v32 - Vanderbilt Universitypscrooke/CANVENT/Ventilator... · Web viewApproximately how often do you use pressure control ventilation, Bilevel ventilation,

I believe that simulation technology might be a valuable tool for assessing skills in the practice of mechanical ventilation in a standardized fashionStrongly disagree

DisagreeAgree

Strongly agree

Besides the user interface, what are the two most important aspects of the simulation software that would improve your educational experience? (free text below)

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