Syllabus #ItemLevel 1Level 2Level 3
Module 1: Respiratory physiology and pathophysiology
1Pulmonary mechanics and gas exchange
2Ventilatory muscle physiology, pathophysiology, and therapy, including polyneuropathy of the critically ill and prolonged effect of neuromuscular blockers
3Pulmonary haemorrhage and haemoptysis
4Oxygen transport and utilisation
Module 2: Respiratory failure
1Acute respiratory failure
 1.1Hypoxaemic respiratory failure including acute respiratory distress syndrome
 1.2Acute and chronic hypercapnic respiratory failure
Module 3: Respiratory medical and surgical conditions
1Status asthmaticus
3Chest trauma (e.g. flail chest, pulmonary contusion, rib fractures)
4Bronchopulmonary infections including bronchiolitis
5Upper airway obstruction
6Bronchopleural fistulas
7Pleural diseases in severe respiratory failure
 7.2Pleural effusion
8Pulmonary embolism — thrombus, air, fat, amniotic
9Pulmonary hypertension and cor pulmonale (including pharmacological treatment)
10Management of obese patient
11Sleep disordered breathing
12Near drowning (optional item)
Module 4: Ventilation and airway management
1Oxygen therapy
2Hyperbaric oxygenation (optional item)
3Invasive mechanical ventilation
 3.1PEEP and CPAP
 3.2Indications for and hazards of mechanical ventilation
 3.3Barotrauma and volutrauma, atelectrauma, biotrauma
 3.4Extracorporeal membrane oxygenation (optional item)
 3.5Extracorporeal CO2 removal (optional item)
 3.6Lung-protective mechanical ventilation
 3.7High-frequency oscillatory ventilation (optional item)
4Criteria for extubation and weaning techniques
5Airway maintenance
 5.1Emergency airway management
 5.2Endotracheal intubation
6Noninvasive ventilation
 6.1Choice of interfaces
 6.2Ventilatory modes incl. CPAP
 6.3Choice of ventilators
 6.4Oxygen supply during NIV
 6.5Indications and contra-indications for NIV
 6.6Indication for withdrawing NIV
 6.7Criteria of failure
Module 5: Other respiratory therapies
1Positional therapy (i.e. prone position, rotational therapy)
2Inhalation therapies and humidification
3Nitric oxide (optional item)
Module 6: Cardiovascular disorders
1Shock syndromes and hypoperfusion including management principles (obstructive shock, sepsis and sepsis shock, other distributive shock, multi-organ dysfunction syndrome, hypovolaemic shock, cardiogenic shock)
2Myocardial infarction and its complications
3Cardiac rhythm and conduction disturbances
4Pulmonary oedema — cardiogenic, noncardiogenic
5Vasoactive and inotropic therapy
6Haemodynamic effects caused by ventilatory assist devices
7Thrombolytic and anticoagulant therapy
8Recognition, evaluation, and management of hypertensive emergencies and urgencies
Module 7: Renal disorders
1Regulation of fluid balance and electrolytes
2Renal failure: pre-renal, renal and post-renal
3Acid–base disorders and their management
4Evaluation of oliguria
5Drug dosing in renal failure
Module 8: Central nervous system disorders
1Coma: causes, assessment and prognosis
2Neuromuscular disease causing respiratory failure
 2.1Guillain-Barré syndrome
 2.2Amyotrophic lateral sclerosis
 2.3Myasthenia gravis
 2.4Myopathies (Duchenne's, etc.)
 2.5Post-operative phrenic nerve dysfunction
3Principles of sedation
4Principles of pain management
5Neuromuscular blockade: use, monitoring, and complications
6Delirium and agitation
Module 9: Metabolic and endocrine effects in critical illness
1Evaluation of nutritional state
 1.1Enteral and parenteral
2Glucose management
Module 10: Infectious diseases
 1.1Antibacterial agents
 1.2Antifungal agents
 1.3Antituberculosis agents
 1.4Antiviral agents
2Infection control for special care units
 2.1Development of antibiotic resistance
 2.2Universal precautions
 2.3Isolation and reverse isolation
 2.4Infectious risks to healthcare workers
3Definition, diagnosis and treatment of sepsis syndrome
4Systemic inflammatory response syndrome
5Hospital-acquired and opportunistic infections in the critically ill
6ICU support of the immunosuppressed patient
7Evaluation of fever in the ICU patient
Module 11: Acute haematological and oncological disorders
1Disseminated intravascular coagulation
2Anticoagulation; fibrinolytic therapy
3Principles of blood component therapy including complications
4Prophylaxis against thromboembolic disease
5ICU-acquired anaemia
Module 12: Acute gastrointestinal and abdominal disorders
1Prevention, treatment and principles of gastrointestinal bleeding
Module 13: Environmental hazards
1Drugs and narcotics leading to respiratory failure
2CO poisoning
3Biological and chemical terrorism (optional item)
Module 14: Immunology and transplantation
1Principles of transplantation (organ donation, procurement, preservation, transportation, allocation, implantation, maintenance of organ donors, national organisation of transplantation activities)
3Lung transplantation: indications, pre-operative and post-operative care
Module 15: Monitoring, quality control and biostatistics
1Prognostic indexes, severity, and therapeutic intervention scores
2Principles of ECG monitoring, measurement of skin temperature and resistance, transcutaneous measurements
3Noninvasive haemodynamic monitoring
4Respiratory monitoring
5Telemetric systems (optional item)
Module 16: Practical skills
1Interpretation of sputum, bronchopulmonary secretions, and pleural fluid
2Arterial puncture for blood gas determination and arterial catheter placement
3Principles, indications and limitations of pulse oximetry
4Physical principles, indications and limitations of end tidal and transcutaneous CO2 monitoring
5Pulmonary function testing to assess respiratory mechanics and gas exchange, including spirometry, flow–volume studies, lung volumes, diffusing capacity
6Arterial blood gas analysis
7Airway management including endotracheal intubation
8Management of the difficult airway
9Modes and principles of mechanical ventilation — invasive and noninvasive
10Modes and principles of oxygen supplementation
11Tracheostomy tube management and decannulation
12Emergent cardioversion and defibrillation
13Evaluation of sedation
14Diagnostic and therapeutic thoracentesis
15Chest tube insertion and maintenance of the tube and drainage systems, insertion of decompression needle for tension pneumothorax
16Central venous catheter placement (subclavian, femoral, jugular) with/without ultrasound guidance
17Set-up and operation of haemodynamic and respiratory monitoring systems
18Interpretation of haemodynamic and oxygen delivery and extraction data
19Diagnostic bronchoscopy including airway examination and bronchoalveolar lavage
20Therapeutic bronchoscopy (through an artificial airway) for secretion removal
21Insertion of nasal gastric and feeding tubes
22Imaging techniques commonly employed in the evaluation of patients with critical illness and/or pulmonary disorders
23Basic interpretation of chest radiograph
24Advanced cardiac life support
25Inhalation and humidification and secretion clearance devices
26Application of extracorporeal CO2 removal (optional item)
27Percutaneous tracheostomy (optional item)
Module 17: Management
1Understanding and evaluation of health cost and economics
2Resource allocation
3Triage (direction of patient flow to and off critical care units)
4Knowledge of prevailing legal norms regarding the legally incompetent patient, euthanasia, brain death determination and organ donation
Module 18: Communications and ethics
1Appropriate verbal and written communication
2Handling emotional effects of severe illness
3Handling of unfavourable messages and complaints
4Understanding medical ethics in due consideration of socioeconomic, cultural and religious differences
5Respect of patient autonomy
6Assessment of utility and futility of diagnostic and therapeutic procedures
7Informed consent
8End-of-life decision making and care
9Quality of end of life
Module 19: Research and evidence-based medicine
1Application of guidelines
2Scientific literature appraisal
3Use of information technology