NICU Ventilation Training: In treating preterm and term-born infants, invasive and non-invasive mechanical ventilation is one of the cornerstones. Though respiratory support contributes to the survival and long-term wellbeing of the infants it is also associated with many complications including pulmonary hemorrhage, air leak syndrome, chronic lung disease, bronchopulmonary dysplasia, etc.
Consequently, training in mechanical ventilation for physicians and nurses is crucial in order to decrease the therapy’s possible harm.
As it may take a few breaths with pressure to cause damage that is irreparable or overly high volume, the lung of the baby does not allow mistakes.
Simulation applications and lung simulators have been developed to overcome the problem of learning by doing’. These simulators allow users to train situations and to try different ventilation strategies on neonatal situations that are average.
One drawback of lung simulators and conventional simulation programs is that the response of the lung to the ventilation requires the trainer’s input. As it requires the presence of experienced senior staff, this method does not permit individualized training of staff, although very helpful for team simulations.
NICU Ventilation Training with Junior Staff
Low threshold training of junior staff can be performed using a simple to use simulator where bodily-based models once the simulation is running not needing any manual input drives the answer to a particular treatment.
The most important difference and biggest advantage compared to conventional simulator programs is the fact that no”driver” is necessary during the simulation. This makes simulators extremely flexible in their application.
They can be used from physiological basics to complex ventilation strategies and also for hands-on teaching sessions, like traditional simulator applications for team simulation training.
Physiological feedback enables the assessment of ventilator settings and patient-ventilator interactions. Autonomous simulators can be utilized for self-training at times of workload due to their easy-to-use interface.
A training space on the neonatology ward that’s set up with a ventilator, a simulation, and a monitor, enables the staff whenever somebody has time to flip on the ventilator and the 44, to have training sessions.
In every simulation, the training is only as good as the programmed situations, which is also true for simulators. The better the physiological models that are utilized with the simulators, the more cumbersome and complex are the programming of scenarios.
Programming a patient situation with a development takes quite some physiological knowledge and, as with other programming, a lot of time.
Autonomous lung simulators offer new possibilities for ventilation training in neonatology. Compatibility with any ventilator that is, minimum requirements for wireless communication, and programming will lead to the more easy application and thus help to implement a simulation of respiratory diseases into work in NICUs.