Simulation of Mechanical Ventilation

ARDS Protocol for mechanical ventilator settings

Find here  videos and bibliography using a simple protocol that helps to titrate PEEP individually in case of severe ARDS with PF<150 (Video of Express Protocol); a method to assess lung recrutability (video of Recruitment/Inflation ratio method) associated with prone position if PF remains < 150.

We propose these documents to help the healthcare professionals that will have to take care of patients with ARDS and are not used to. 

The Toronto Center for Excellence in Mechanical Ventilation proposes Covid-19 ARDS monitoring and protocols.


Mission statement

Healthcare simulation is an innovative method to improve safety within patient’s care. Our field of interest in simulation is Mechanical Ventilation management in daily practice, for everyone in charge of ventilated patients.

The reason is that millions of patients are ventilated artificially every year in critical care unit, in operating rooms or at home. Experimental and clinical research have demonstrated that  improper artificial ventilation settings are responsible for morbidity and mortality.

The goal of SimVA is to reduce it through training.

We created a tool in order to train everyone involved in mechanical ventilation and  improve Patient Ventilator Interaction in various respiratory functions (normal, ARDS, COPD…) under controlled modes, pressure support or proportional assist modes. We developed many physiological monitoring tools with an educational point of view, driving and alveolar pressures, end expiratory lung volume, Diaphragm Electrical Activity, muscular inspiratory and trans pulmonary pressures, pressure volume curves…

This tool is a virtual simulator called SimVA, it is a tablet with a software and a learning program with video tutorials from basic to advance level. 

Who is behind the conception?

SimVA comes from a vision of a passionate team with a MD,PhD in intensive care and in the operating room dealing with lung transplantations everyday and a PhD in machine learning, artificial intelligency and electrical heart modelisation. Both doing scientific research. Because complex things need to be explained with simplicity they created a research team to simulate daily bedside mechanical ventilation in a software. After two years of innovations with patents,  a software solution that simulates all the major modes of artificial ventilation available on commercially respiratory devices, for all major pathologies, has been created: SimVA. Interactions between patient’s respiratory mechanic  (with or without spontaneous breathing) and ventilator’s settings are displayed on a screen (TV, iPad, Retroprojection). Validations of mathematical models have been published as abstracts in various ICU congresses, and a randomized study in residents assessed knowledge on mechanical ventilation with significant improvement with SimVA.

Our statement with  this technology, is that mechanical ventilation can be tough through an easier safe unique innovative and interactive way, for everyone from basics to advance levels.

SimVA Learning Program

What can we do with this simulator ?

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