Use of Strategic National Stockpile (SNS) Ventilators in the Pediatric Patient: Instructional Guidelines with Training Scenarios [open pdf - 1MB]
From the 'Overview & Mechanical Ventilation Review': "The threat of nature in the form of an influenza illness has accelerated preparations for a potential pandemic flu, which may result in thousands of patients requiring mechanical ventilation. In the wake of a pandemic flu most available ventilators owned by hospitals will be in use, necessitating the delivery of ventilators currently stored in the Strategic National Stockpile [SNS]. In addition to a surge of all patient populations in a pandemic, there may also be many children who require respiratory support in hospitals that do not routinely care for children on ventilators. This document has been developed for use by clinicians (physicians, nurses and respiratory care providers) who have baseline knowledge of pulmonary physiology and the concepts of ventilation and who may find themselves working with ventilators that are not used on a daily basis. The intent is to provide clinicians with a quick reference for Just-in-Time training and set up of the SNS Ventilators (as of 2010). Mechanical Ventilation is indicated in pandemic flu for acute respiratory failure, defined as insufficient oxygenation, insufficient alveolar ventilation, or both. The principal benefits of mechanical ventilation are improved gas exchange and decreased work of breathing. Mechanical ventilation can be volume, pressure, flow or time-limited."
Illinois Department of Public Health, Loyola University of Chicago
Loyola Medicine: http://www.luhs.org/