Basics of Infant Conventional Mechanical Ventilation: An Interactive Animated Teaching Module

Abstract

Introduction: While conventional mechanical ventilation is a common therapy in the neonatal intensive care unit (NICU), pediatric residents receive insufficient instruction. This stand-alone computer module provides an interactive method of learning basic infant pulmonary physiology and principles of mechanical ventilation. Methods: This module runs offline and is compatible with a variety of operating systems. Participants complete a six-question, case-based pretest. The seven-section instructional module is selfpaced, narrated, animated, and interactive. Learners can repeat each section as needed. At the conclusion of the module, participants complete the same six-question test and receive feedback. In total, the module requires 15-20 minutes to complete. Results: The curriculum has been implemented at the beginning of the NICU rotation over a 2-year period within our pediatric residency program. Participants preferred this interactive module and had higher posttest scores when compared to a PowerPoint presentation. After 4 months, there was evidence of knowledge decay. Discussion: The interactive module is enjoyable, effective, and convenient. It engages participants in active learning and allows them to control the time and pace of their instruction. We have implemented the curriculum within our residency program and believe it would be useful for a variety of NICU health care providers.

A Flipped Classroom Pilot in Neonatal Mechanical Ventilation

“…Review of the literature identified few resources for training pediatric residents in neonatal MV. Although Aurora and colleagues described their approach to training in conventional ventilation ( 4 ), their curriculum did not include training in high-frequency ventilation. We surveyed pediatric residents at our institution in June 2020, so that reported views reflected the highest level of training for that academic year.…”

Neonatal Intensive Care Unit Boot Camp: A Preparatory Curriculum for Pediatric Residents

“…A total of 48 citations were identified, of which only 15 were related in some way to patient care and preparation for engagement in the NICU. Further review of these 15 citations revealed seven that each addressed a specific procedural training (e.g., neonatal resuscitation, lumbar puncture, mechanical ventilation, placement of peripherally inserted central catheter), 5–11 four addressing application of ethics principles in the NICU (end-of-life management decisions and communications with family), 12–15 and one each for the following aspects of patient care in the NICU: a patient case of jaundice, 16 application of evidence-based medicine to neonatal-perinatal patient care, 17 management of late preterm neonates in the Level II NICU, 18 and postdischarge nutrition for NICU graduates. 19 No published resources in MedEdPORTAL were identified that addressed the primary purpose, educational goals, and specific content focus we set for the preparatory (boot-camp) curriculum.…”

Modelo pulmonar suíno \"ex vivo\" para estudo e pesquisa de mecânica pulmonar

“…(5,11) Modelos experimentais têm sido propostos para facilitar o entendimento da VM e mecânica pulmonar, além de auxiliar em pesquisas clínicas e introdução de novas tecnologias. Simuladores constituídos por foles, pistões e pulmões teste (12)(13)(14)(15), manequins (15)(16)(17), modelos computacionais e softwares (18)(19)(20)(21) existentes contribuem para o treinamento de profissionais envolvidos no manejo da VM. (9)(10)(11)22) Já os modelos pulmonares ex vivo tem outra abordagem, uma vez que os pulmões estão fora da caixa torácica e são mantidos em ambiente externo, necessitando preservação, mas são muito úteis para estudos de diferentes naturezas.…”