Ventilator for Dummies the not yet smart

Volume A/C

21 8 1.00 0.50 4.0

% bpm sec L L/m
FIO2 Ti Vte Total Ve

18 15 7 50 6
cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat Rpeak

30 1 :7.5 0 16 5
L/min I:E cmH2O b2/min/L cmH2O
PIFR MIP f/Vt PEEP

8 0.50 30 0 *** 0
Rate Volume Peak Flow Insp Pause Pressure Sens
Support

Settings
© 2009 - Ventilator Simulator "ASMSA"
David R. Gibson Productions - All rights re
Please see disclaimer on "Instructions" ta
6. Lessons 1-5, click the tabs below

Please ignore this section

Head Injury
CO2 51
O2 - no 79
Peep
Complian 56
Resistan 5
SaO2 - Di 92%
98%,99% 92
90%-97% 92
50%-89% 50

Types:
Head Injury
ARDS
Status Asthmaticus
 Instructions:
ver. MVD 1.0
Current ABG 1. On some lessons, Mode can be
changed by clicking the box.
pH 7.31 2. Circled, are the ventilatory
parameters that can be changed;
PCO2 51 unless the field is blocked.

PaO2 71 3. To the left you may see the results

of changes, either an ABG, or graph.
HCO3- 24
SaO2 92% 4. The rectangles in the top section
mimic the displayed ventilatory
BE -4.3 parameters such as flow, I:E ratio,
PIP, etc...

5. Videos accompany each lesson,

5 21 and are located at
PEEP FIO2 www.youtube.com , User:
"drifter120"

ntilator Simulator "ASMSA"

bson Productions - All rights reserved.
disclaimer on "Instructions" tab below.
 Volume A/C

=
21 10 1.20 0.60
% bpm sec L
FIO2 Rate Ti Vte

20 17 8 50
cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat

30 1 :5.0 0 16.67
L/min I:E cmH2O b2/min/L
PIFR MIP f/Vt

10 0.60 30 0 ***
Rate Volume Peak Flow Insp Pause Pressure
Support

Settings
© 2009 - Ventilator Simulator "AS
David R. Gibson Productions - All
Please see disclaimer on "Instruc

Please ignore this section

Head Injury
CO2 55
O2 - no Peep 76
Peep
Compliance 56
Resistance 5
SaO2 - Display 92%
98%,99% 92
90%-97% 92
50%-89% 50

Types:
Head Injury
ARDS
Status Asthmaticus
 ver. MVD 1.5
Current ABG
=

6.0 pH 7.28
L/m
Total Ve
PCO2 55
6
PaO2 71
Rpeak
HCO3- 24
5 SaO2 92%
cmH2O
PEEP BE -6.0

0 5 21
Sens PEEP FIO2

© 2009 - Ventilator Simulator "ASMSA"

David R. Gibson Productions - All rights reserved.
Please see disclaimer on "Instructions" tab below.
 I:E Trainer

Volume A/C

0 10 3.00 1.00
% bpm sec L
FIO2 Rate Ti Vte

### ### ### 0

cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat

20 1 :1.0 0 10
L/min I:E cmH2O b2/min/L
PIFR MIP f/Vt

10 1.00 20 0 ***
Rate Volume Peak Flow Insp Pause Pressure
Support

Settings
© 2009 - Ventilator Simulator "AS
David R. Gibson Productions - All
Please see disclaimer on "Instruc

3.0 0
3.0 6.0
 ver. MVD 1.5

(Volume) ÷ (flow) = (I-time)

10.0 1.00 ÷ 0.33 = 3.0
L/m
Total Ve Converted to L/S by dividing by 60

0 I-time : E-time = Total Cycle Time

Rpeak
3.0 : 3.0 = 6.0 Sec
0 1 : 1.0
cmH2O
PEEP I:E Ratio
I-Time E-Time

0 0 0
Sens PEEP FIO2

0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0

Total Cycle time

© 2009 - Ventilator Simulator "ASMSA"

David R. Gibson Productions - All rights reserved.
Please see disclaimer on "Instructions" tab below.
 Type of Patient: Normal

Volume A/C

40 8 1.00 0.50
% bpm sec L
FIO2 Rate Ti Vte

PIP Plate Compliance

16 ***
au 7 55
cmH2O cmH2O cmH2O mL/cmH2O Resistance
Ppeak Pplat Pmean Cstat

30 1 :6.5 0 16
L/min I:E cmH2O b2/min/L
PIFR MIP f/Vt

8 0.50 30 0 ***
Rate Peak Flow Insp Pause Pressure
Support

Settings
© 2009 - Ventilator Simulator "AS
David R. Gibson Productions - All
Please see disclaimer on "Instruc

Cstat Rpeak
Normal 55 4
Low compliance: ARDS 18 5
High Resistance: Asthma 55 18
Combined low compliance and High Reisistance 22 14
###
 Drop-down box to select type of patient
ver. MVD 1.5

Pressure/Time Graph (Waveform)

70
4.0 60
L/m
Total Ve 50
Press (cmH2O)

40
4 30
Resistance
Rpeak
20

5 10

cmH2O 0
PEEP 0.0 2.0 4.0 6.0 8.0 (Sec)
Time 10.0 12.0 14.0 16.0 18.0

0 5 40
Sens PEEP FIO2

© 2009 - Ventilator Simulator "ASMSA"

David R. Gibson Productions - All rights reserved.
Please see disclaimer on "Instructions" tab below.

5 0.0
Breath 5 0.5
16 1.5
14.09 1.6
14.09 1.6
5 1.7
5 2.2
5 7.5
Breath 5 8.0
16 9.0
14 9.1
14 9.1
5 9.2
5 9.7
Cough 5 15.5
60 15.8
5 15.9
5 16.4
14.0 16.0 18.0
 Volume A/C Drop-down box to change mode

40 18 *** 0.80
% bpm L L
FIO2 Rate Spon Vte Vte

25 20 30 11 55
cmH2O cmH2O 25 cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat

20

Press (cmH2O)
60 1 :3.215 0.80 22.5
L/min I:E sec b2/min/L
PIFR 10 Ti f/Vt

12 0.80 60 0
0.0
0 2.0
10 4.0 6.0
Rate Volume Peak Flow Insp Pause Pressure
Support
Note: Patient is on +5 PEEP (or CPA

Settings
© 2009 - Ventilator Simulator "AS
David R. Gibson Productions - All
Please see disclaimer on "Instruc

Spon Vte with PS Rate

Volume A/C *** 18
Volume SIMV 0.25 0.45 0.41 #VALUE!
CPAP 0.21 0.41 0.41 #VALUE!

Alveolar Ve
Alveolar Ve 11.70
 ver. MVD 1.5
Current ABG

14.4 pH 7.38
L/m
Total Ve
PCO2 42
5 PaO2 84
Rpeak
HCO3- 22
5 SaO2 97%
cmH2O
PEEP BE 0.0

4.0
0 6.0
5 8.0
40 10.0 12.0 14.0 16.0 18.0
Sens PEEP FIO2
Time (Sec)
te: Patient is on +5 PEEP (or CPAP)

© 2009 - Ventilator Simulator "ASMSA"

David R. Gibson Productions - All rights reserved.
Please see disclaimer on "Instructions" tab below.

Time A/C SIMV CPAP

0.0 5 5 5 5
0.1 5 5 5 5
0.2 5 5 5 3
0.3 5 5 5 4.75
0.4 5 5 5 6.5
0.5 3 3 5 8.25
0.6 5.75 5.75 5 10
0.7 8.5 8.5 3 5
0.8 11.25 11.25 5.75 5
0.9 14 14 8.5 5
1.0 16.75 16.75 11.25 5
1.1 19.5 19.5 14 5
1.2 22.25 22.25 16.75 5
1.3 25 25 19.5 5
1.4 20 20 22.25 5
1.5 20 20 25 5
1.6 5 5 20 5
1.7 5 5 20 5
1.8 5 5 5 5
1.9 5 5 5 5
2.0 5 5 5 5
2.1 5 5 5 5
2.2 5 5 5 3
2.3 5 5 5 4.75
2.4 5 5 5 6.5
2.5 5 5 5 8.25
2.6 5 5 5 10
2.7 5 5 5 5
2.8 5 5 5 5
2.9 5 5 5 5
3.0 5 5 5 5
3.1 5 5 5 5
3.2 5 5 5 5
3.3 5 5 3 5
3.4 5 5 4.75 5
3.5 5 5 6.5 5
3.6 5 5 8.25 5
3.7 5 5 10 5
3.8 3 3 10 5
3.9 5.75 5.75 5 5
4.0 8.5 8.5 5 5
4.1 11.25 11.25 5 5
4.2 14 14 5 3
4.3 16.75 16.75 5 4.75
4.4 19.5 19.5 5 6.5
4.5 22.25 22.25 5 8.25
4.6 25 25 5 10
4.7 20 20 5 5
4.8 20 20 5 5
4.9 5 5 5 5
5.0 5 5 5 5
5.1 5 5 5 5
5.2 5 5 5 5
5.3 5 5 5 5
5.4 5 5 5 5
5.5 5 5 5 5
5.6 5 5 5 5
5.7 5 5 5 5
5.8 5 5 5 5
5.9 5 5 3 5
6.0 5 5 5.75 5
6.1 5 5 8.5 5
6.2 5 5 11.25 3
6.3 5 5 14 4.75
6.4 5 5 16.75 6.5
6.5 5 5 19.5 8.25
6.6 5 5 22.25 10
6.7 5 5 25 5
6.8 5 5 20 5
 6.9 5 5 20 5
7.0 5 5 5 5
7.1 3 3 5 5
7.2 5.75 5.75 5 5
7.3 8.5 8.5 5 5
7.4 11.25 11.25 5 5
7.5 14 14 5 5
7.6 16.75 16.75 5 5
7.7 19.5 19.5 5 5
7.8 22.25 22.25 5 5
7.9 25 25 5 5
8.0 20 20 5 5
8.1 20 20 5 5
8.2 5 5 5 3
8.3 5 5 5 4.75
8.4 5 5 5 6.5
8.5 5 5 3 8.25
8.6 5 5 4.75 10
8.7 5 5 6.5 5
8.8 5 5 8.25 5
8.9 5 5 10 5
9.0 5 5 10 5
9.1 5 5 5 5
9.2 5 5 5 5
9.3 5 5 5 5
9.4 5 5 5 5
9.5 5 5 5 5
9.6 5 5 5 5
9.7 5 5 5 5
9.8 5 5 5 5
9.9 5 5 5 5
10.0 5 5 5 5
10.1 5 5 5 5
10.2 5 5 5 3
10.3 5 5 5 4.75
10.4 3 3 5 6.5
10.5 5.75 5.75 5 8.25
10.6 8.5 8.5 5 10
10.7 11.25 11.25 5 5
10.8 14 14 5 5
10.9 16.75 16.75 5 5
11.0 19.5 19.5 5 5
11.1 22.25 22.25 3 5
11.2 25 25 4.75 5
11.3 20 20 6.5 5
11.4 20 20 8.25 5
11.5 5 5 10 5
11.6 5 5 10 5
11.7 5 5 5 5
11.8 5 5 5 5
11.9 5 5 5 5
12.0 5 5 5 5
12.1 5 5 5 5
12.2 5 5 5 3
12.3 5 5 5 4.75
12.4 5 5 5 6.5
12.5 5 5 5 8.25
12.6 5 5 5 10
12.7 5 5 5 5
12.8 5 5 5 5
12.9 5 5 5 5
13.0 5 5 5 5
13.1 5 5 5 5
13.2 5 5 5 5
13.3 5 5 5 5
13.4 5 5 5 5
13.5 5 5 5 5
13.6 5 5 5 5
13.7 3 3 3 5
13.8 5.75 5.75 5.75 5
13.9 8.5 8.5 8.5 5
14.0 11.25 11.25 11.25 5
14.1 14 14 14 5
14.2 16.75 16.75 16.75 3
14.3 19.5 19.5 19.5 4.75
14.4 22.25 22.25 22.25 6.5
14.5 25 25 25 8.25
14.6 20 20 20 10
14.7 20 20 20 5
14.8 5 5 5 5
14.9 5 5 5 5
15.0 5 5 5 5
16.4 5
16.5 25
16.0 18.0
 Volume A/C Drop-down box to change mode

Combination of
all breaths
(Control/Assist/Spon)
40 18 *** 0.80
% bpm L L
FIO2 Rate Spon Vte Vte

24 20 12 55
cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat

50 1 :2.5 0.96 22.5

L/min I:E sec b2/min/L
PIFR Ti f/Vt

12 0.80 50 0 10
Rate Volume Peak Flow Insp Pause Pressure
Support
↓ Change Rate Setting ↓

12 Settings
© 2009 - Ventilator Simulator "AS
David R. Gibson Productions - All
Please see disclaimer on "Instruc

Spon Vte with PS Rate

Volume A/C *** 18
Volume SIMV 0.25 0.45 0.41 #VALUE!
CPAP 0.21 0.41 0.41 #VALUE!

Alveolar Ve
Alveolar Ve 11.70

4 4
6 6
8 8
10 10
12 12
14 14
16 16
18
20
 ver. MVD 1.5
Current ABG

14.4 pH 7.38 Mech Ve f Vt

L/m

PCO2 9.6 18 0.80

+
Total Ve
42
5 PaO2 Spon Ve f Vt
84
Rpeak
HCO3- None 0 ***
22
5 SaO2 97% =
cmH2O Total Ve
PEEP BE 0.0
14.4

0 5 40
Sens PEEP FIO2

© 2009 - Ventilator Simulator "ASMSA"

David R. Gibson Productions - All rights reserved.
Please see disclaimer on "Instructions" tab below.