Teresa A. Volsko - Equipment for Respiratory Care

SECOND EDITION

Teresa A. Volsko, MBA, MHHS, RRT, CMT-E, FAARC

Director, Respiratory Care

Akron Childrens Hospital

Robert L. Chatburn, MHHS, RRT-NPS, FAARC

Clinical Research Manager, Respiratory Institute Cleveland Clinic Associate Professor, Department of Medicine Lerner College of Medicine of Case Western Reserve University

Mohamad F. El-Khatib, MD, PhD, MBA, RRT

Professor, Department of Anesthesiology

American University of Beirut School of Medicine

Director of Respiratory Therapy Department

American University of Beirut Medical Center

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Library of Congress Cataloging-in-Publication Data

Names: Volsko, Teresa A., editor. | Chatburn, Robert L., editor. | El-Khatib, Mohamad F., editor.

Title: Equipment for respiratory care / edited by, Teresa A. Volsko, Robert L. Chatburn, Mohamad F. El-Khatib.

Description: Second edition. | Burlington, Massachusetts : Jones & Bartlett Learning, [2022] | Includes bibliographical references and index.

Identifiers: LCCN 2020007426 | ISBN 9781284196221 (paperback)

Subjects: MESH: Respiratory Therapy--instrumentation | Respiratory Tract Diseases--therapy

Classification: LCC RC735.I5 | NLM WF 26 | DDC 615.8/3620284--dc23

LC record available at https://lccn.loc.gov/2020007426

6048

Printed in the United States of America

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Dedication

I dedicate this book to the respiratory students whose quest for knowledge inspired me to find new and innovative ways to maximize their educational experience and to my family, whose love and support allowed me to pursue my dreams!

Teresa A. Volsko

Learning and teaching are fundamental to existence. I dedicate this book to all those who understand that to achieve extraordinary results you must live an uncommon life.

Robert L. Chatburn

To Mayssa, Farouk, Dina, and Manarthanks for your love and support. You are the joy of my life.

To my mother, Souad, and to the soul of my father.

Mohamad F. El-Khatib

Anna RubaK/ShutterStock, Inc.

Anna RubaK/ShutterStock, Inc.

Anna RubaK/ShutterStock, Inc.

T hroughout my career, I have found that airway management is the major role of the respiratory therapist, whether opening and maintaining a closed airway or sustaining breathing through mechanical ventilation. With this role comes an expectation of being the expert on all the equipment that is needed to maintain an airway and provide ventilation. This expertise is what sets respiratory therapists apart from other hospital personnel. Biomedical engineers know how equipment works by its mechanical design, and anesthesia personnel know how to ventilate patients in the controlled environment of the operating room. But troubleshooting skills and knowledge of airway and ventilation equipment separate the respiratory care professional from these other professionals.

Troubleshooting is an important skill for any respiratory therapy student to learn and for all practicing respiratory therapists to maintain. Troubleshooting involves locating and correcting technical problems related to the machinery used in patient care. Under most circumstances, this requires logical reasoning, as opposed to problem posing and problem solving. Troubleshooting is always essential in clinical practice because members of the medical team in the ICU rely on respiratory therapists technical expertise to advise, explain, and troubleshoot equipment used for airway management and mechanical ventilation. Respiratory therapists work in teams, but there are times when they must work without assistance. It is in such circumstances that troubleshooting respiratory care equipment is most crucial. The topic of troubleshooting in respiratory therapy is taught at a level that cannot be found in the core curriculum of medical or nursing schools. Thus, it is a unique skill of respiratory therapists that is not shared by other allied health clinicians, nurses, and physicians.