Episode #19 - Adaptive Support Ventilation with Jesse Carroll of Hamilton Medical - Part 1

The Critical Care Triad - The Ventilator Podcast

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Summary – Part 1 & Part 2

In this episode, we would like to introduce Jesse Carroll, the EMS accounts manager for Hamilton Medical. We discuss ASV (Adaptive Support Ventilation) on the Hamilton T1 ventilator and address misconceptions and myths about the mode. We want to highlight the benefits of ASV in reducing cognitive load for clinicians and promoting lung protective strategies. The limitations and contraindications of ASV are also discussed. This conversation explores the training methods and approaches for ventilator management. The discussion emphasizes the importance of waveform management and understanding pressure, flow, and volume. The dynamic lung graphic is introduced as a valuable tool for identifying disease processes. The conversation highlights the significance of practical training and the use of the dynamic lung in both ASV and conventional ventilation modes. The importance of time on target and the challenges of implementing complex formulas like the Otis and Meads equations are discussed. The conversation concludes with a focus on reducing cognitive load and engaging learners with practical applications.

These episodes (Part 1 & 2) conclude with a focus on educating and building trust in ASV.

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Key Takeaways for Part 1 & Part 2

• ASV on the Hamilton T1 ventilator leverages the power of the proximal flow sensor to measure and manipulate a patient's ventilation status.
• ASV is an advanced monitoring device that reduces cognitive load for clinicians and allows for optimal patient care.
• ASV provides lung protective strategies by monitoring static lung compliance, airway resistance, and expiratory time constant.
• ASV is not a set it and forget it mode, but rather a tool to optimize patient care and engage clinicians in the ventilation process.
• Education and trust-building are essential in promoting the use of ASV and transitioning from ASV to conventional ventilation.
• Understanding waveforms is crucial for effective ventilator training.
• The dynamic lung graphic is a valuable tool for identifying disease processes.
• Practical training and hands-on experience are essential for mastering ventilator management.
• Reducing cognitive load and engaging learners with practical applications can enhance understanding and retention.

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