I have central sleep apnea, COPD and respiratory failure type 2. I spend 14 to 15 hours of a 24 hour day on Non Invasive Ventilation (VPAP) and I have just been cleared to start an minimum of 15 hours of 24 on a low level of oxygen because I get quite badly hypoxic on and off through the day (my normal is 88 to 92 % but I often hang in the high 70s to low 80s % and can go as low as 35%. It has taken a lot of time to increase the pressure on my ventilator, increasing the hours I’m on it trying to pull down my CO2 and struggling for any significant improved until last week. I had pulled my CO2 down a tiny bit but was still high and I really need to be on oxygen so we did a half hour trial and rechecked my blood gasses my CO2 had only raised a small amount so we went for the next past of the trial, a half hour on my ventilator with oxygen also going through. We we supper shocked and exited when my CO2 came back normal! I’m now waiting to be set up with my home oxygen machines and all the other oxygen needs I will have so I can still spend time outside home. I have other conditions so I am in a power chair and my ability to do much is very limited and I do have to spend all that time on a ventilator so… I’m not going to be burning through out of home cylinders lol!
Really sat down and started watching all your mechanical vent videos and practice tmc questions…all I can say is you deserve hundreds of thousands more subscribers. Thank you for making me feel like I’m smart enough to understand.
Can you consider making a video on the circumstances to do an ABG vs a VBG? I get into this a lot with providers who order ABG's unnecessarily when a VBG would suffice. Thanks!
Hey Joe! Hope all is well! I finally got my license approved in Florida and got a job! Many thanks to you and your videos!! Couldn’t have done it without you! I was just wondering if you had the equipment available to do equipment introductions and setups? I know you teach so maybe you could do a few hands on videos from your classroom. Thanks again for everything!!!
Hey respiratory coach. Your videos are super awesome. Please help me with mechanical dead space. How to increase or decrease mechanical dead space when PaCO2 is high or low.
increasing the length of the circuit will result in increasing the mechanical dead space, increasing the mechanical dead space will result in CO2 retention
Hey coach !! Can you pls consider making a video on copd specifically , which mode to choose when you only have a bennet vent and how much flow should I give a pateint who is constantly demanding flow, the limit??
Do you have any videos on obtaining other credentials such as PFT or Neonates? Or any suggested resources for preparing for these exams offered by the NBRC?
Patien of covid has respiratory distress on 4l/min O2but not responding...spo280%...ph7.3...CO2 50%...PaO2 48%...HCO328.....type of respiratory failure ??....ventilator settting plz
Hello I love your videos and I would love to get in touch with you because I’m a cervical spin injury patient that is out of the ICU with a tracheotomy and a lot of secretions. I would love to get your advise on a lot of things
I have central sleep apnea, COPD and respiratory failure type 2.
I spend 14 to 15 hours of a 24 hour day on Non Invasive Ventilation (VPAP) and I have just been cleared to start an minimum of 15 hours of 24 on a low level of oxygen because I get quite badly hypoxic on and off through the day (my normal is 88 to 92 % but I often hang in the high 70s to low 80s % and can go as low as 35%. It has taken a lot of time to increase the pressure on my ventilator, increasing the hours I’m on it trying to pull down my CO2 and struggling for any significant improved until last week. I had pulled my CO2 down a tiny bit but was still high and I really need to be on oxygen so we did a half hour trial and rechecked my blood gasses my CO2 had only raised a small amount so we went for the next past of the trial, a half hour on my ventilator with oxygen also going through. We we supper shocked and exited when my CO2 came back normal!
I’m now waiting to be set up with my home oxygen machines and all the other oxygen needs I will have so I can still spend time outside home. I have other conditions so I am in a power chair and my ability to do much is very limited and I do have to spend all that time on a ventilator so… I’m not going to be burning through out of home cylinders lol!
Really sat down and started watching all your mechanical vent videos and practice tmc questions…all I can say is you deserve hundreds of thousands more subscribers. Thank you for making me feel like I’m smart enough to understand.
That's very nice of you, Moassia! Thank you for watching and kindly commenting!!
Can you consider making a video on the circumstances to do an ABG vs a VBG? I get into this a lot with providers who order ABG's unnecessarily when a VBG would suffice. Thanks!
Wow. That was so well presented! Thank you x
You've helped me more than you know man. I appreciate your knowledge and time you put into these videos.
Thanks, coach, I appreciate your help and time...
Really good for explaining. Thank u
You do a great job ... Thank you for your work in promoting respiratory therapy.
Hey Joe! Hope all is well! I finally got my license approved in Florida and got a job! Many thanks to you and your videos!! Couldn’t have done it without you! I was just wondering if you had the equipment available to do equipment introductions and setups? I know you teach so maybe you could do a few hands on videos from your classroom. Thanks again for everything!!!
A break down of storage and Delivery of medical gases would be great!
Thank you very much , tomorrow I have seminar about this topic and you help me ❤
I hope you rock your seminar today!
Amazing video like always thanks for breaking it down for us! 👌🏽
You're amazing for watching and commenting! Thank you!
Joe where can I find where you break down Egans chapter 46 from Edition 12?!
Super clear 👌
thank you so much.
best video on this topic❤
@sandanirodrigo7384 Thanks for watching and kindly commenting! GO BE GREAT!
Thank you very much! Clearly explained! Which sources would you recommend re treatment? Thx
Thank you so much coach.
Question: when prescribing oxygen, how do you know a patients saturation levels 88-92 vs >92 vs 95 and above?
How to set inspiratory pressure. Like tidal volume we use weight and height to set Vt.
Do you think you could do a vent management/disease management of NMD?
Hey respiratory coach. Your videos are super awesome.
Please help me with mechanical dead space. How to increase or decrease mechanical dead space when PaCO2 is high or low.
You have discussed about mechanical dead space but didn't tell how to increase or decrease it, what settings need to change.
increasing the length of the circuit will result in increasing the mechanical dead space, increasing the mechanical dead space will result in CO2 retention
@@6wx689 How can we decrease the mechanical dead space.
Thanks in advance
@@naveenkumar2334 take things out of the circuit that aren’t needed or can go without. Or switch to a heated circuit if you were on an HME circuit
Hey coach !!
Can you pls consider making a video on copd specifically , which mode to choose when you only have a bennet vent and how much flow should I give a pateint who is constantly demanding flow, the limit??
Great
Is there treatment for type1,type2 sir,in Indian
Do you have any videos on obtaining other credentials such as PFT or Neonates? Or any suggested resources for preparing for these exams offered by the NBRC?
Thanks for the great channel! Can you perhaps make a video about the equation of motion in mechanical ventilation?
Thanks in advance!
Patien of covid has respiratory distress on 4l/min O2but not responding...spo280%...ph7.3...CO2 50%...PaO2 48%...HCO328.....type of respiratory failure ??....ventilator settting plz
Hello
I love your videos and I would love to get in touch with you because I’m a cervical spin injury patient that is out of the ICU with a tracheotomy and a lot of secretions. I would love to get your advise on a lot of things
I love you!!!
Thank you sir
Thank you
you are awesome!
Anyone can tell me where I can get some TMC practice question?
Great!
I need your TMC bootcamp please
Hi Denise! Here's the link to get access. respiratorycoach.teachable.com/p/tmc-boot-camp
Great🙏
Glad you think so! I appreciate you watching the channel!
Thanks
great
how can i get Egan text book?
Amazon...Egans Fundamentals of Respiratory Care
RT coach what is the highest level of IPAP you can set, say on patient that is 6"4" inches and Obese? Hypothetically ph is 7.26, poc2 65 Hco3 24.
Target 6-8ml/kg IBW with IPAP. Increase Delta P to support ventilation
I’ve seen IPAP in the low 20’s with a close EPAP
Thank you