Respiratory Failure Management

These self-guided case based tutorials review the key concepts of acid-base disturbances and blood gas analysis.

This interactive module reviews:
• Ventilation & Oxygenation
- Alveolar-arterial Oxygen Gradient
- O2 Saturation vs. ABG
- P/F ratio (PaO2/FiO2)
• Acid-Base Balance
• Acute vs. Chronic Respiratory Disturbances
• Steps in ABG Analysis

By the end of this module, learners will be able to:
1. Perform and interpret pulmonary ultrasound
2. Interpret bronchoscopy visuals

By the end of this module, learners will be able to:
1. Monitor patient with capnography
2. List normal values of end tidal CO2

This a 10-video series that will teach you how to confidently interpret a chest xray for the non-radiology providers.

This slideset provides an overview of considerations for managing patients with respiratory failure in settings with variable access to an arterial blood gas (ABG) analyzer.

In this course you will learn about:
- Basic physiology of oxygen transport
- How pulse oximeters work
- How to use a pulse oximeter, including the Lifebox pulse oximeter
- Using a systematic approach to manage hypoxemia in severe acute respiratory infections (SARI)

By the end of the modules below, learners will be able to:
1. List indications for mechanical ventilation
2. Describe physiologic basics of mechanical ventilation
3. Describe the basic modes of mechanical ventilation

By the end of the modules below, learners will be able to:
1. Describe and choose modes of ventilation including initial ventilator settings
2. Describe physiologic affects that different ventilator modes have on patients

(Note: some modules may duplicate content. Learners should select the content from these courses that is most applicable to their setting and level of training.)

By the end of this modules, learners will be able to:
1. Set appropriate controls for various clinical scenarios
2. Set-up and break down a ventilator
3. Identify key components of various ventilator circuit setups

Esta ilustración muestra diferentes configuraciones para filtros de ventilador, circuitos y sistemas de humidificación.

La serie de presentaciones de diapositivas didácticas está destinada a servir como marco de contenido para ser modificado, actualizado y utilizado por los instructores locales que apoyan a los trabajadores de la salud que atienden a pacientes con COVID19.

This interactive, online case simulator is expanding its case library to include the latest case management updates for COVID-19 as well as scenarios specific to resource-variable settings.

Esta plantilla de pedido se puede modificar y utilizar para el manejo del ventilador de pacientes adultos con SDRA. Incluye ventilación protectora pulmonar ARDS Net, así como órdenes para pruebas de respiración espontánea (SBT), pacientes difíciles de destetar y pruebas de fugas del manguito.

Nueva versión el 16 de abril de 2021 (v2021.4). Esto incluyen nueva información sobre destete y extubación del ventilador.

This video provides an overview of mechanical ventilator circuit setup as well an introduction to humidification devices and bacterial viral filters.

Online Training Course on Severe Acute Respiratory Infections (SARI) for provides in low-resource settings, by BASIC and MSF.

The series of teaching slides decks is intended to serve as a framework of content to be modified, updated and used by local instructors supporting healthcare workers caring for COVID19 patients.

La serie de presentaciones de diapositivas didácticas está destinada a servir como marco de contenido para ser modificado, actualizado y utilizado por los instructores locales que apoyan a los trabajadores de la salud que atienden a pacientes con COVID19.

This interactive, online case simulator is expanding its case library to include the latest case management updates for COVID-19 as well as scenarios specific to resource-variable settings.

By the end of this module, the learners should be able to:
1. Provide appropriate level of NIPPV to patients in respiratory failure
2. Demonstrate when and how to use bubble CPAP & high-flow nasal cannula

Nueva versión el 16 de abril de 2021 (v2021.4). Esto incluyen nueva información sobre destete y extubación del ventilador.

Course objectives:
- Describe the components of care during COVID-19, with special focus on clinical nursing care.
- Describe and implement procedures to minimise contamination and transmission of COVID-19 in any nursing and respiratory support activities.
- Discuss indications and procedures for non-invasive respiratory support.
- Monitor patients on non-invasive respiratory support, describe troubleshooting and solutions related to respiratory support activities.
- Apply patient care principles during and when exiting care with an emphasis on caring for patients post extubation and discharge from ICU to general wards

Esta calculadora calcula la cantidad de oxígeno que tiene y cuánto tiempo durará

La serie de presentaciones de diapositivas didácticas está destinada a servir como marco de contenido para ser modificado, actualizado y utilizado por los instructores locales que apoyan a los trabajadores de la salud que atienden a pacientes con COVID19.

This frequently asked questions (FAQ) contains peer-reviewed answers to questions posed by OCC users. Review or submit your questions here.

This planning guide offers high-level guidance to ministries of health (MOHs), hospital administrators and managers in low- and middle-income countries, and relevant NGOs to plan steps for setting up a system of liquid oxygen (LOX) in hospitals. This resource was developed by the EpiC project in consultation with PATH and Clinton Health Access Initiative (CHAI) as a high-level tool to help take the first step in planning a facility-based LOX implementation journey, particularly for countries without previous experience with LOX systems. This guide is designed to be used in addition to other more technical, LOX-specific tools.

Medical oxygen is critical for the treatment of severe cases of COVID-19 and other life-threatening conditions such as severe pneumonia, severe malaria, sepsis, trauma, and complications of birth or pregnancy. While there are multiple modalities for oxygen delivery, this planning guide focuses on LOX because, depending on the context and setting, LOX can offer an affordable cost-per-liter option to deliver oxygen to facilities with sufficient demand (or pooled demand across facilities if distribution patterns allow), high purity of medical oxygen, and good elasticity in the face of fluctuating demand.

Experts from the USAID STAR-UCSF COVID-19 Technical Advisory Group present a webinar on oxygen conservation for the non-engineer.

Esta plantilla de pedido se puede modificar y utilizar para el manejo del ventilador de pacientes adultos con SDRA. Incluye ventilación protectora pulmonar ARDS Net, así como órdenes para pruebas de respiración espontánea (SBT), pacientes difíciles de destetar y pruebas de fugas del manguito.

In this free online learning material designed by our collaborators at OPENPediatrics, participants can learn fundamentals of pediatrics mechanical ventilation (intubation, vent setup, vent management, assessment and extubation). The modules can be completed via the interactive online course and quizzes linked below.

This visual aid was created by the OpenCriticalCare.org Project with input from multiple stakeholders and support from USAID-STAR.

The series of teaching slides decks is intended to serve as a framework of content to be modified, updated and used by local instructors supporting healthcare workers caring for COVID19 patients.

This dashboard summarizes the latest guidelines from select leading authorities and institutions (WHO, CDC, NIH, IDSA, ESICM & more) and provides direct links to full guidelines and the evidence behind them.

A collaboration between IUCPQ and Open Critical Care, the Ventilo App v2023 has been released on iOS, with the new android app coming soon. The latest version has additional support for mechanical ventilation setting titration based on physiologic characteristics and care goals.

This visual aid was created by the OpenCriticalCare.org Project with input from multiple stakeholders and support from USAID-STAR.

This frequently asked questions (FAQ) contains peer-reviewed answers to questions posed by OCC users. Review or submit your questions here.

Please use the contact us form at the bottom of this page to receive modifiable version of this algorithm for download and adaptation to your local context.

This visual aid was created by the OpenCriticalCare.org Project with input from multiple stakeholders and support from USAID-STAR.

These respiratory care order set templates cover the key principles for respiratory care for both adult and pediatric patients. Separate Adult and Pediatric ARDS order sets are included, whereas other included respiratory care order sets are combined for adult and pediatric patients. These order sets should be modified to adhere with local practice guidelines and must be reviewed and implemented by appropriately trained and certified clinicians. Protocols also include ARDS Net lung protective ventilation as well as orders for spontaneous breathing trials (SBTs), difficult to wean patients and cuff leak tests.

Last updated January 2022. This card is also available in Spanish & French and is intended to be used on mobile devices or printed on cardstock and then folded. 8.5x11 inch versions are available upon request.
This visual aid contains informative summaries of key concepts in respiratory care for both non-invasive oxygen delivery and mechanical ventilation.