(1085) Intensive Breaths: Simulation-Based Mechanical Ventilation Training for Critical Care Fellows

Introduction: Mechanical ventilation proficiency is crucial for critical care providers, yet there are no standard guidelines for teaching this skill. We hypothesized that a simulation-based course combining didactics and hands-on training would improve fellows' knowledge and skills in mechanical ventilation management, addressing the variability in teaching methods and practitioner backgrounds.

Methods: We developed a one-day course for 10 Anesthesiology Critical Care Fellows, combining didactic lectures and hands-on simulation workshops. The curriculum covered oxygen delivery devices, non-invasive ventilation, mechanical ventilation modes, ventilator setup, and extubation strategies. Simulations included waveform interpretations, ARDS management, auto-PEEP recognition, and handling ventilator alarms. Pre- and post-tests were conducted to assess knowledge improvement, with the post-test administered two months after the course to evaluate retention.

Results: Post-test scores showed significant improvement compared to pre-test scores (p=0.004). Participants reported enhanced skills in diagnosing respiratory issues, improved proficiency in mechanical ventilation management, better emergency communication, and coordination with ICU teams. Fellows expressed interest in further simulation workshop participation. The course effectively mimicked real-life scenarios, allowing trainees to practice in a risk-free environment.

Conclusions: The simulation-based mechanical ventilation course significantly improved critical care fellows' knowledge and skills, addressing the need for standardized education in this area. The combination of didactics and hands-on simulations proved effective in enhancing proficiency in ventilator management across diverse practitioner backgrounds. Future steps include incorporating additional scenarios and expanding the workshop to other healthcare providers. This approach shows promise in improving patient care outcomes and standardizing mechanical ventilation education in critical care.