Respiratory Care

Garant předmětu:

Lecturer:

Tutor:

Supervisor:

Department of Biomedical Technology

Synopsis:

The aim of the course is to provide students with a comprehensive knowledge of the technical provision of respiratory therapy, current protective ventilation modes and techniques and unconventional techniques of artificial lung ventilation. Attention is also given to monitoring artificial pulmonary ventilation and the use of respiratory system models in ventilators and ventilation monitors.

Requirements:

Requirements for the award of clinical credit:

Credit will be awarded after meeting the following criteria:

(1) Participation in the exercises and completion of the prepared laboratory assignments.

(2) Successful completion of the final credit verification of knowledge. The award of credit will have a written and oral component. The written part will be in the form of a test, which will have two parts: questions and a part of the professional text with which the student will work. The number of questions is between 5 and 15. Some questions may have more weight in the assessment than others, for example those that are more complex and difficult. The assessment will be based on the percentage of success according to the ECTS grading scale in force. If the results of the written part are sufficient for classification, the oral part of the graded credit may be waived.

Syllabus of lectures:

1. Technical provision of artificial pulmonary ventilation - principles, adversarial effects, history, present and perspectives. Physical basics of ventilators and other devices. Mechanical properties of ventilators and the respiratory system.

2. Concepts of modern ventilators - structure, principle of operation, main blocks, possibilities of malfunctions and incorrect or inaccurate operation. Classification of ventilation and ventilators and their relation to their technical design. Principles of mechanical ventilation - invasive, non-invasive.

3. Characteristics of the most common ventilators for conventional artificial lung ventilation I - common characteristics. Assisted modes. Characteristics of the most common ventilators for conventional artificial lung ventilation II - specific characteristics of particular devices.

4. Ventilation technology in home care: oxygen therapy, oxygenators, ventilators. Technical provision of non-conventional ventilation methods: HFV, HFOV, HFJV, TGI.

5. Monitoring elements, sensors and monitors for artificial lung ventilation. Potential failures and inaccuracies in the measurement of ventilation parameters.

6. Advanced ventilation monitoring, parameter calculations (esophageal pressure, work of breathing, intrapulmonary ratios, etc.).

7. Respiratory system modelling and lung models, basic principles. Possible sources of errors. Identification and validation of respiratory system models, their use in ventilators and artificial lung ventilation monitors.

Syllabus of tutorials:

1. Physical examples - partial pressures, evaporation, dissolution of gases.

2.Demonstration of types of artificial lung ventilators, basic ventilator operation.

3.Measurements on a conventional ventilator. Monitoring of ventilation parameters.

4.Respiratory system models, their design, limitations and errors.

5.Instruments for monitoring artificial pulmonary ventilation.

6.Demonstration of high-frequency oscillatory ventilation. Monitoring and management of HFOV.

7.Demonstration of high-frequency jet ventilation. Monitoring and guidance of HFJV.

Study Objective:

Study materials:

Mandatory:

-LUMB, Andrew B. Nunn's applied respiratory physiology. 7th ed. Edinburgh: Churchill Livingstone, 2010. xii, 556 s. ISBN 978-0-7020-2996-7.

-WHITE, Gary C. Equipment theory for respiratory care. 5th ed. Stamford: Cengage Learning, ©2014. xxi, 567 s. ISBN 978-1-439-05959-3.

Recommended::

-CAIRO, Jimmy M. a Susan P. PILBEAM. Mechanical ventilation: physiological and clinical applications. 5th ed. St. Louis: Elsevier, ©2012. xvi, 591 s. ISBN 978-0-323-07207-6.

-CAIRO, Jimmy M. Workbook for Pilbeam's mechanical ventilation: physiological and clinical applications. 5th ed. St. Louis: Elsevier, ©2012. vii, 228 s. ISBN 978-0-323-07208-3.

Note:

Time-table for winter semester 2024/2025:

Time-table is not available yet

Time-table for summer semester 2024/2025:

Time-table is not available yet

The course is a part of the following study plans:

• Biomedical and Clinical Engineering (compulsory elective course)