Introduction To Neonatal Ventilation

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Suitable for level one trainees who are new to neonatal ventilation or seniors revisiting the basics.
Takes 2 hours.
Certificate for completing this course.

This course is to help the trainee who is starting their NICU rotation by refreshing their knowledge about ventilation and boosting their confidence in day-to-day practice with ventilated neonates. After completing this course you are expected to understand the basics of gas exchanges & interpretation of blood gases, the basics of ventilation & lung injury mechanisms. You will be also able to understand basic ventilator settings and how to manipulate the ventilator by responding to the baby’s condition and blood gas results.

Course director

Khadiga Hussien

ST4 Speciality Trainee in Paediatrics
Derriford Hospital

John Madar

Consultant Paediatrician and Neonatologist
Derriford Hospital

Learning objectives

  1. Understand the fundamental principles of lung physiology and gas exchange in neonates. This will enable you to gain a deeper understanding of respiratory function in premature patients and their unique requirements.
  2. Develop competency in understanding and interpreting blood gas parameters specific to neonatal patients, empowering you to assess respiratory status and make informed clinical decisions accurately.
  3. In-depth understanding of conventional ventilators, including various parameters, ventilation modes, and graphical representations, facilitating comprehensive analysis and competence in ventilation equipment use.
  4. Provide adequate respiratory support tailored to individual patient requirements by gaining practical skills knowledge in ventilating neonates, encompassing indications, initial settings, adjustments, and troubleshooting strategies.
  5. Explore condition-oriented ventilation strategies and weaning approaches for neonatal patients, equipping you with the ability to navigate complex respiratory conditions and optimize ventilatory management.
  6. Gain a basic overview of High-Frequency Oscillatory Ventilation (HFOV), covering its types, indications, settings, adjustments, and weaning techniques, enhancing your knowledge of this specialized ventilation mode as an additional tool in neonatal care.
Progress+ / Core Syllabus
  • Outcome 3: Performs appropriate clinical assessments of a baby, child and young person.
  • Outcome 4: Recognises the potential life-threatening events in babies, children and young people and leads resuscitation and emergency situations.
  • Outcome 4: Takes into consideration the individual needs of the baby, child or young person.
  • Outcome 11: Implements an evidence-based approach to practice to inform decision-making and enhance patient care and patient outcomes.
Progress+ / Speciality Paediatric Generic Syllabus
  • Outcome 3: Manages and co-ordinates the response to an emergency situation
  • Outcome 4: Assesses the evidence base for treatment and assessment strategies, their limitations and when to act outside them with appropriate advice.
  • Outcome 8: Applies understanding of national and local regulatory bodies, particularly those involved in standards of professional behaviour, clinical practice and education, training and assessment
Neonatal SPIN
  • Outcome 2: Appropriately diagnoses and treats common neonatal disorders using a variety of diagnostic skills.
  • Outcome 5: Skilled in airway management, including the use of airway adjuncts (including LMA) and intubation of preterm and term babies. Competent and confident in the administration of surfactant to manage RDS using invasive and less invasive approaches.
  • Outcome 5: Demonstrates knowledge and understanding of all medications and equipment used in the Neonatal Unit.

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