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Module 4: Mechanical Ventilation (post-mindmap) - Coggle Diagram
Module 4: Mechanical Ventilation (post-mindmap)
Overview
Knowledge on anatomy and physiology is crucial
Familiarity with the Ventilators used at your facility is crucial; understanding modes/settings and how to modify, and implement more advanced techniques such as MHI.
Knowledge of the patients' 'bigger picture' is important within ICU; other body systems and and support they may require could impact on potential PT treatment.
Facts
Good refresher for common modes + basic settings, complications. Able to recall most of these.
Proactive against secondary complications where possible- key to PT role in the ICU setting, and supported by evidence.
Models for weaning/extubation vary for each facility and each Intensivist; understanding of these is important.
Combination of skills (auscultation, interpretation of blood gases, CT/x-rays) is crucial for safe and effective practice. The ability to clinically reason and recognise the patients hierarchy of problems is key- and as Physiotherapists our knowledge of many systems and pathophysiology lends itself to safe practice in this complex area.
Feelings
This module has sparked an interest in this clinical area again; look to more clinical scenarios and experience with clinical supervision in upcoming sessions, something which has been recently lacking.
Still feel a little bit intimidated sometimes when working in this area. Reassured that my clinical knowledge is evidence based.
Difficulties
Unknown timeframe for next treatment of vent patient; hopefully clinical supervision will allow me to organise this soon in order to consolidate new knowledge.
In our base hospital; reluctance of Intensivists to allow early mobilisation whilst on vent. (in clinically appropriate patients). Has taken the building of trust for this to happen on the very rare occasion, despite evidence suggesting a benefit.
Opportunities/benefits
Utilise refreshed knowledge for a joint treatment session and review of reasoning with clinical supervisor (when clinical opportunities next allow)
Literature review on the benefits of a specialised MDT (e.g. Speech, PT) and whether this impacts on success of weaning/extubation of long term vent. patients. Unfortunately not something our facility support currently, more an ad-hoc basis.
Creativity
From this module, realised I probably need to review my knowledge of Non-invasive Vent. (CPAP + BiPAP). Plan to do this with my clinical supervisor in the next 2-3 months, or as clinical opportunities allow