Post Graduate Diploma in Respiratory Therapy (1 Year)

Semester -1

1). Introduction to Respiratory therapy (3+0):

Course Content:

• Roles and scope of respiratory therapy
• Patient safety
• Infection prevention
• Patient hygiene
• History & Physical examination

Recommended Books:

• Fundamentals of Respiratory care (EGAN’S 8th edition) 

• Rosen Emergency medicine (10th edition)

Practical’s

• Donning of PPEs
• Doffing of PPEs
• Taking vitals (blood pressure, respiratory rate, heart rate)
• Physical assessment of respiratory failure patients
• Indication of Oxygen therapy devices\

2).  Pulmonary Anatomy & Physiology (3+0):

• Anatomy of respiratory system
• Physiology of respiratory system
• Lung’s mechanics (Volumes and Capacities)
• Gaseous exchange and transport of respiratory gases
• Spirometer

Recommended Books:

• Respiratory physiology The Essentials (John B. West 7th Edition)
• Essential of Medical physiology (k.sembulingam, prema sembulingam 7th edition)
• Textbook of Medical physiology (Guyton & Hall 14th edition)

Practical’s

• Physical Examination (Inspection, Palpation, Percussion, Auscultation)
• Auscultation of Lung sounds
• Interpretation of Chest X-ray (AP, PA & odontoid View)
• Identification of different anatomical regions on Chest X-ray

 3). Pulmonary Diseases (3+0):

• Asthma 
• COPD
• Pneumonia
• ARDS
• Pneumothorax, hemothorax

Recommended Books:

• Oxford Handbook of Respiratory Medicine (3rd Edition
• Clinical Management of chronic obstructive pulmonary disease 2nd Edition

    Practical’s

• Nebulization Techniques by mask
• Inline Nebulization
• Good technique for Incentive spirometry
• Plural tapping
• Chest Intubation Assistance
• Care of chest drains

4). Airway Management (Non-invasive) (2+1):

• Medical gases supply, cylinders and pipeline
• Types of oxygen masks and airways 
• Advance airway devices (ETT, LMA, Tracheostomy tube, AMBU bag, Breathing Circuits)
• CPAP
• BIPAP

Recommended Books:

• Fundamentals of Respiratory care (EGAN’S 8th edition) 
• ATLAS of Airway management (Steven L. Orebaugh, Paul Bigeleisen 2nd Edition)
• Tintinalli’s Emergency Medicine Manual

Practical’s

• Identification and using of different gas related Equipment’s (oxygen, Medical Air & Suction pods and cylinders)
• Identification of Different Oxygen therapy devices (Nasal cannula simple mask, Nebulizer Mask, NRM, Venturi Mask, T-piece, Hydrotrach)
• Identification and using of Oral & Nasal Airways
• Preparing, handling, and using of Every type of Portable CPAP & BIPAP Machines
• Indication & techniques required for Airway related Equipment’s (ETT, LMA, Tracheostomy tube, AMBU bag, Breathing Circuits)

5). Arterial Blood Gas Analysis and Patients monitoring (2+1):

• Acid base balance
• ABGs taking and interpretation.
• Vitals monitoring and their impact on respiration.
• Invasive monitoring devices insertion technique (Arterial line, CVP line)
• Airway assessment (predicting tests)

Recommended Books:

• Oxford Handbook of Respiratory Medicine (3rd Edition)
• The ICU Book (Paul L. Marino 4th Edition)

Practical’s

• Arterial blood gases Samling Technique (Direct prick & from arterial line)
• Arterial blood gases machine operation
• Abnormal Arterial blood gases management
• Performing Arterial line
• Assisting CVP line Insertion

6). Clinical Rotation (2+1):

 

Semester-2

1). Invasive Ventilation (intubation, tracheostomy) (2+1):

• Indication of invasive ventilation
• Techniques of intubation
• Indication of tracheostomy
• Tracheostomy care
• Suctioning

Recommended Books:

• Oxford Handbook of Respiratory Medicine (3rd Edition
• Mechanical ventilation (Deshpande 2nd edition)
• Fundamentals of Respiratory care (EGAN’S 8th edition) 

 

Practical’s

• Identification and preparation of Equipment’s for Intubation (ETT, bougie, stylet, syringes etc.)
• Intubation Technique
• Tracheostomy care (sterilization, dressing)
• Identification of suctioning equipment’s (Different size suction catheters, Yankauer
• Suction techniques include oral, tracheal and tracheostomy suctioning

2).  Sedatives and relaxants use in Mechanical ventilation (2+1):

• Induction agents (Propofol, Ketamine, etomidate)
• Benzodiazepine
• Opioids
• Muscles relaxants 
• Bronchodilators 

Recommended Books:

• Morgan &Mikhail’s Clinical Anesthesiology (7th Edition)
• Smith and Aitken heads Textbook of Anesthesia (7th Edition)

  Practical’s

• Knowledge of different classes of Sedative and Muscle relaxants
• Drug dose calculations
• Indication, contraindication and preparation of sedatives and relaxants
• Dose calculation of inotropes (Noradrenaline, adrenaline, dopamine etc.)

 3). Mechanical Ventilation (2+1):

• Pressure control vs volume control
• Assist control ventilation.
• SIMV and PSV
• Plethysmograph
• Pressure volume graph
• Flow volume graph
• Capnograph 
• Weaning and extubating

Recommended Books:

• Fundamentals of Respiratory care (EGAN’S 8th edition)
• Mechanical ventilation (Deshpande 2nd edition)
• Mechanical Ventilation E-book (peter j)
•  The basics of mechanical ventilation in adults

 

     Practical’s

•  Setting of portable and ICU ventilators
• Different modes of ventilation (control, assist and spontaneous ventilation)
• Identification and uses of pressure volume settings
• Recruitment maneuvers for lung collapse
• Performing SST (short self-test) and EST (Extended self-test)
• Changing various parts of ventilator machine (Inspiratory and expiratory filters)
• Clinical criteria for Extubation

 4). Ventilators Trouble Shooting (2+1):

• Alarms
• Driving and peak pressures
• Auto PEEP
• Inspiratory and expiratory pause
• Pneumothorax identification and management

      Recommended Books:

• Ventilatory Support for chronic Respiratory failure (Nicolino Ambrosino volume225)
• Smith and Aitken heads Textbook of Anesthesia (7th Edition)
• Fundamentals of Respiratory care (EGAN’S 8th edition) 

     Practical’s

• Alaram changes according to ventilator setting and patient age.
• Management of Auto peep
• Pressure support using techniques.
• Calculations of Ideal body weight (Inches, cm)

5). Patient transport (3+0):

• Types of transportation (inside hospital, outside hospital
• Invasive lines (arterial line, cvp line, chest tubes, urinary catheter)
• Management of critical situations in transportation
• High risk medicines for transportation

Recommended Books:

• The ICU Book (Paul L. Marino 4th Edition)
• Critical care patient transport (Richard A patason)

Practical’s

• Preparation of patient transport tray
• Preparation and using of transportation equipment’s.
• Different circuits required in transportation.
• Checking and preparation of oxygen gas cylinder

6). Clinical Rotation (2+1):

Eligibility: 

• BS Emergency Care Technology/BS Health Technology 
• BS Intensive Care Technology
• Anesthesia Technology