Curriculum for the 3 month structured program in Ventilation
Respiratory physiology – embryology, phases of development, dysmorphology time table
Lung mechanics – pressure volume IT time constant, compliance , resistance , PV curve normal atelectatic , saline , overexpanded . spirometry values . MAP ventilation . hypoxemia – hypercarbia – pathophysiology
Analysis of lung disease ( normal , atelectatic , obstructive ) , homogenous / nonhomogenous , resistance , IT , lung volumes
Blood gases interpretation , pitfalls etc
Hyaline membrane disease;pathophysiology . lung mechanics
Pneumonia ( congenital ) . pathophysiology , lung mechanics
Surfactant ; physical properties . various types ; mechanism of action ; administeration of surfactant , monitoring , complications . X rays
Meconium aspiration syndrome . pathophysiology . bedside management
Patient triggered modes
Volume targeted ventilation – VG , PRVC guidelines . pitfalls in operation etc .Our study on VG and optimizing PEEP
HFO– types of HFO , pathophysiology . types of machines . Hz . MAP . IT . strategies in diseases .
CPAP – bed-side application
Nitric oxide– mechanism of action . dosing . complications . circuit . protocols . future directions
Sildenafil– mechanism of action . dosing . complications . our 5 years experience and follow up with sildenafil
Neonatal nursing – humidification , care of IA , IV , TPN , central line . sterile techniques ,
Infection control– NICU , disinfection of equipment . antibiotic resistance . management of antibiotic resistance
PDA– mechanism of closure . term / preterm .
PPHN – pathophysiology . drugs review . vasodilators . tests of PPHN . echo etc . management strategies
Cardiac assessment – cyanotic / acyanotic – basic echocardiography
Neurosonogram- basic neurosonogram. MRI basic explanation on PVL,HIE and IVH .
Neuro developmental follow up – protocols . USG , MRI . VEP , BERA .
Neonatal spirometry. Applied physiology. PV, FV loops etc. aberrations. Interpretation and limitations.
Medications and normal values for age.
Inotropes in NICU, Normal values of Blood Pressures for gestation.
TPN Protocol and complications
Log-books will be maintained on practical procedures, lecture classes, bed side teaching and seminars.
An exit exam will be conducted before awarding course certificate
Course fee Rs-30,000/-
Question Paper for Structured Training in Ventilation 2009 – 1st batch