Really good information, i would add two things remember to center your piston or speaker. Also if the Oscillator looses pressure from electrical disconnect or leak, the Oscillator will have shut down and have to manual restarted by staff.
Thank you for your video sir. I am a biomed at a big hospital with quite a few of these due for PM soon and just seeing the basics helps a ton especially circuit set-up.
Great presentation of the 3100a, thank you so much for sharing this on UA-cam Jimmy. I've watched several different presentations on this oscillator and yours is fantastic for the RCP brain :) learning from the inside out of equip has always been my preference and your video was the first to offer this. I got it down now !!! super grateful !!
It was definitely interesting seeing this machine in action the first time I saw it. My first experience with this was when my first child was born 3 months premature and was on the oscillating vent for the first almost 3 days after birth. A very interesting thing to see when you have only seen the traditional vent being used, for me it was seeing the way the baby vibrated i guess you would call it.. or as he called it "chest wiggle". Very interesting actually listening to the mechanics of this machine.
Great videos, thank you. Would you be able to do a video inomax nitric setup with the oscillator. And also calibrations from the beginning when you are setting up the circuit. Just a few questions... Also I’m a bit confused, do you have to dial in the Fio2 from the oxygen sensor? And why does it alarm every time you change a parameter?
Mia, Do you want an oscillator setup or nitric setup? Your question... Yes, you adjust the FiO2 on the blender and monitor delivered oxygen with the oxygen analyzer. It alarms because we keep a tight leash on the MAP. Each oscillator change slightly changes the MAP, so we are continuously adjusting the alarm too.
Jimmy McKanna - RT Clinic Thank you for your reply. It would be great to see a oscillator setup combined with the nitric☺️ or anything I would appreciate.
hi Jimmy, excellent presentation and very thorough!! i had a question, I heard recently that now the tubes between the oscillator and the baby do not necessarily have to be perfectly straight like in the past, our RRT claims that there are recent studies that demonstrate that there is no real difference in having the tubes straight or curved. although the infant does still need to be at a higher elevation to allow the humidity to drain back into the trap and not the infant's airway. i have no t been able to find any recent studies on this, can you shed some light on this? thanks for everything that you do!!
Sorry for the super delayed answer! I've also seen the tubing curve on a few patients. There isn't anything definitive, but with the key being consistent and effective chest wiggle. I would go for the path of less resistance for the oscillations.
Jimmy McKanna - RT Clinic Thanks for the response! I’ve lost pressure on a jet in the NICU and I’m confused if you meant the oscillator will or will not lose pressure
@@rtclinic Hello, If I may piggy back on suctioning question. Would bag lavage be considered when using an oscillator? will this process cause much loss in recruitment?
@@audrinnatrujillo5305 Although bag lavage works to break up plugs, it can definitely rupture already weak airways in neonates. I would recommend the use of manometer to control the PIP and adapt a PEEP valve to the expiratory side of the self inflating bag for adults. The PEEP valve will maintain your recruitment.
Really good information, i would add two things remember to center your piston or speaker. Also if the Oscillator looses pressure from electrical disconnect or leak, the Oscillator will have shut down and have to manual restarted by staff.
I can't wait to start learning how to use all of this equipment! I think we should be starting that next semester.
Thank you for your video sir. I am a biomed at a big hospital with quite a few of these due for PM soon and just seeing the basics helps a ton especially circuit set-up.
You are welcome!
Great presentation of the 3100a, thank you so much for sharing this on UA-cam Jimmy. I've watched several different presentations on this oscillator and yours is fantastic for the RCP brain :) learning from the inside out of equip has always been my preference and your video was the first to offer this. I got it down now !!! super grateful !!
+Carol Junette Thank you for the comment. RCP brains are pretty awesome!
It was definitely interesting seeing this machine in action the first time I saw it. My first experience with this was when my first child was born 3 months premature and was on the oscillating vent for the first almost 3 days after birth. A very interesting thing to see when you have only seen the traditional vent being used, for me it was seeing the way the baby vibrated i guess you would call it.. or as he called it "chest wiggle". Very interesting actually listening to the mechanics of this machine.
Appreciate your series of explanation
Such a great explanation. Great job sir
Good video content but like was the video quality like weird do anyone else?!
Nice job Jimmy!
This video is great. I am an educator for an RT department. Would you mind if I used this to review with my team? Thanks.
Of course! Please use it. 😁👍
Thank You!
Great videos, thank you. Would you be able to do a video inomax nitric setup with the oscillator. And also calibrations from the beginning when you are setting up the circuit.
Just a few questions...
Also I’m a bit confused, do you have to dial in the Fio2 from the oxygen sensor? And why does it alarm every time you change a parameter?
Mia,
Do you want an oscillator setup or nitric setup?
Your question...
Yes, you adjust the FiO2 on the blender and monitor delivered oxygen with the oxygen analyzer.
It alarms because we keep a tight leash on the MAP. Each oscillator change slightly changes the MAP, so we are continuously adjusting the alarm too.
Jimmy McKanna - RT Clinic Thank you for your reply. It would be great to see a oscillator setup combined with the nitric☺️ or anything I would appreciate.
Could you please do a jet video?
I don't have a jet vent to demo 😕
hi Jimmy, excellent presentation and very thorough!! i had a question, I heard recently that now the tubes between the oscillator and the baby do not necessarily have to be perfectly straight like in the past, our RRT claims that there are recent studies that demonstrate that there is no real difference in having the tubes straight or curved. although the infant does still need to be at a higher elevation to allow the humidity to drain back into the trap and not the infant's airway. i have no t been able to find any recent studies on this, can you shed some light on this? thanks for everything that you do!!
Sorry for the super delayed answer! I've also seen the tubing curve on a few patients. There isn't anything definitive, but with the key being consistent and effective chest wiggle. I would go for the path of less resistance for the oscillations.
hello Like nice video I am Turkey
Will the oscillator lose pressure during suction?
Yes, but since you are suctioning very delicately through a small catheter it should drop the pressure enough to cause you to have to re-pressurize.
Jimmy McKanna - RT Clinic Thanks for the response! I’ve lost pressure on a jet in the NICU and I’m confused if you meant the oscillator will or will not lose pressure
The suction shouldn't decrease circuit pressure enough to cause the oscillator to be repressured.
@@rtclinic Hello, If I may piggy back on suctioning question. Would bag lavage be considered when using an oscillator? will this process cause much loss in recruitment?
@@audrinnatrujillo5305 Although bag lavage works to break up plugs, it can definitely rupture already weak airways in neonates. I would recommend the use of manometer to control the PIP and adapt a PEEP valve to the expiratory side of the self inflating bag for adults. The PEEP valve will maintain your recruitment.