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Wow! I've been watching your videos for the past 2 hours and they have really helped. I'm a 3rd year nursing student from Australia and am due to start 4 week's placement in the ICU tomorrow.
the notes on screen from your videos are great and the different colors really help. one addition for this video and it may be in another series you did, the oxygen hood. :)
In determining need in hypoxia the respiratory rate ,depth of breathing and patients mental status example air hunger or drowsy is an essential especially if pulse oximeter is inaccurate .
I think recent guidelines regarding humidification of nasal canula are against it. Not sure though.. Yes. Low flow device use for short duration doesn't need humidification
thank you so much for posting this video! it has been a huge help with my CCRN program. I did want to ask though, I noticed that you have listed the Venturi mask as a "low flow" device but ive been taught that it is to be considered a "high flow" device. Is anyone able to clarify this for me? It would be very much appreciated :)
Would love to know more about high flow nasal cannula. My mam has COPD desating on moving to the High 60s. Settled down her 02 is staying at 82/85. She will be sent home on high-low Airvo 2. She's on 30 ltrs of oxygen on that machine. So trying to find out as much as possible about the machine before she gets discharged from hospital
On UpToDate and many other resources they say nasal cannula is 1-4L/min and simple mask is 6-10L/min but I routinely see your numbers as well. Can I get some guidance on which is correct?
When I was younger it was my original plan. Then lost interest in it. At this point you couldn't pay me to go back to school haha. I'm pretty content where I'm at and doing what I'm doing.
That’s awesome. I used to be an ICU educator and got tons of help from you. Now I am in CRNA school looking for the “CRNA advantage” but no one compares …. Appreciate all your videos and dedication to quality education. Keep it up! Maybe one day we can team up for the CRNA advantage…. It’ll be a couple years when this program is done 😅
Thats awesome and congrats on getting into CRNA school. Many of my friends had gone that route and still often try and convince me. If I hadn't have had the success with this channel, perhaps I may have considered it, but man the thought of going through school again. More power to you haha. And I was about to say, perhaps its something you could do when you get done. Its a great way to cement the knowledge you have and to learn new things along the way. If you ever get to that point, I'd be happy to help ya out.
Had to look it up as I wasn't familiar with it. Ive only ever seen this on the tubing for EtCO2 detection as well. Seems like it creates a tiny reservoir of oxygen and can potentially allow for higher concentrations, but thats just on a quick search.
I have a question How T-piece is a noninvasive device? Cause when we try to extubate a patient at last we connect t-piece with ET-tube with 10-15L oxygen. Can you please explain it?
@@user-od5hr3up6g I'm a student Respiratory Therapist. The air entrainment mask or Venti mask is for OXYGENATION. The SMALL volume nebulizer is for medication delivery only. The LARGE volume nebulizer is for oxygenation.
They certainly can but the RN can as well. If you are ever in doubt absolutely check with them and discuss. Some of these will either require a physician (CPAP/BiPAP/Vent/ECMO) but sometimes the provider may specifically ask for a Venturi or NRBM etc. That said, when managing hypoxia in the moment, the RN can and often will make these adjustments as well as the RT.
Can you explain the term “flow” for high flow nasal cannula. I’ve had a patient on 40% and 55L (which Ik is a pretty high setting) but ig I’m asking what exactly that means?
The liters is amount of oxygen they are getting and the percentage is the quality of oxygen. It’s 40% oxygen mixed with 60% room air and it’s flowing at 55 L per minute
@@ThenZ6I hope you’re not a preceptor or charge nurse because that attitude is why new people in healthcare are afraid to ask questions…like girl get off the internet being rude and miserable…go on somewhere 😂 me and my patients are just fine.
I'm a student RT. The partial rebreather does not have a one-way valve between the patient and the bag, it's just an opening. This means that the patient can "rebreathe" some of the C02 that they exhale (from their lungs) into the bag.
❤ Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support
💲 10% off EACH Month @ Nurisng Mastery membership: 👉🏼 adv.icu/mastery
NOTES for this lesson (and all previous lessons) are availably only to UA-cam and Patreon members. Links to join both here ⬇
► UA-cam: adv.icu/ym | ► Patreon: adv.icu/pm
Oh my gosh just what I needed after my shift today in my nursing placement in ICU. Thank you ! xx
Awesome! I love when the timing works out like this!
Wow! I've been watching your videos for the past 2 hours and they have really helped. I'm a 3rd year nursing student from Australia and am due to start 4 week's placement in the ICU tomorrow.
I work in critical care and this is the very first topic which they taught us in the icu . Loved the video so informative .
I just found my place of learning outside the actual classroom. Thank you so much! I’m now looking for more videos for first year RT students🙏🏽
This video helped so much. My professor barely covered oxygen delivery systems and this video explained it so well. Thank you!! 😊
In fact, you have been of help for this lesson. Very simple and concise. Thanks for the good job.
Glad to hear it!
The venturi mask is a high-flow oxygen delivery device. It can meet the patient's inspiratory demands. The Non-Rebreather is a High Flow device.
The Non- Rebreather is NOT a true Hi-Flow device. It still delivers a variable (estimated) FiO2.
Thanks for this! Just going over respiratory in class, this video was perfect!
Love it! Happy to help
I am a first year RT student and this is SO helpful! Thank you!
Awesome! Best of luck on the rest of your schooling
NRB 10-15 LPM
Non rebreather mask at 15 LPM is also used for Carbon monixide poisoning.
Thank you for these, concise and keeps our attention.
Great to hear! Happy to be able to help!
the notes on screen from your videos are great and the different colors really help. one addition for this video and it may be in another series you did, the oxygen hood. :)
Very well elaborated and clear...thank you
Nice! This is a great recap of the Airway and O2 unit I just took!
Nice! Glad you liked it
Thank you for this wonderful video 😊❤.
You are so welcome!
In determining need in hypoxia the respiratory rate ,depth of breathing and patients mental status example air hunger or drowsy is an essential especially if pulse oximeter is inaccurate .
Very clear, concise and helpful - thank you!
Very informative and precise, thank you!
Glad to hear it!
Thank your for this video, I just want to let you know that venturi mask is considered as high flow device, also the face tents. source Cairo book.
I think recent guidelines regarding humidification of nasal canula are against it. Not sure though..
Yes. Low flow device use for short duration doesn't need humidification
Isn't Venturi HIGH flow?!
Yea it is
Is the simple mask low or high flow?
@@yojutubelow
High flow in non rebreather mask nd in venturi mask you can give a fix amount of oxygen to the person
Yes it is according to my textbook.
Very helpful..Thanks for creating this and helping us to learn...
You are amazing i take notes on every lesson you make! Keep the good work!Wish i would reach your level of knowledge one Day!
Great videos! Much appreciated🙏🏽
My pleasure!
Bro you are a beast. Thankz. Highly recommended
I actually needed this video
Perfect!
lectures starts @ 1:30
Thanks for the excellent video but it really starts at 1:28. If you could skip the intro to the end it would be helpful as it’s repetitive m. Thanks!
thank you so much for posting this video! it has been a huge help with my CCRN program. I did want to ask though, I noticed that you have listed the Venturi mask as a "low flow" device but ive been taught that it is to be considered a "high flow" device. Is anyone able to clarify this for me? It would be very much appreciated :)
I know 1 year later- maybe because venturi typically is not use for flow greater than 50%?
You are incredible! Thank you doc.
Very good information
Glad you liked it!
I really appreciate you so much...many more healthy years to you and continue inspiring and teaching us everyday... Barikiwa mwalimu 🙏🙏🙏😍😍
Thank you so much! Truly happy to be able to help and just glad to videos are well received.
Too much informative 👏💐🙏
Thanks a lot!
thank you so much i love your content
Awesome! Thanks so much!
Thank you so much! I can fully understand this!
Fantastic to hear!
Would love to know more about high flow nasal cannula. My mam has COPD desating on moving to the High 60s. Settled down her 02 is staying at 82/85. She will be sent home on high-low Airvo 2. She's on 30 ltrs of oxygen on that machine. So trying to find out as much as possible about the machine before she gets discharged from hospital
Thank you so much for this
Youre welcome!
this was a great video!!!!!
Great Information!!!!
venturi mask is a high flow device
On UpToDate and many other resources they say nasal cannula is 1-4L/min and simple mask is 6-10L/min but I routinely see your numbers as well. Can I get some guidance on which is correct?
max for nasal cannula is 6l/min
Very informative and concise but also had the required level of detail I required at the time.
Thank you
Great video! Are there any guidelines regarding the OSat and what type of oxygen delivery devices to use?
It usually has to do with the patients disease process. Most are ok with 92-96%. At least where I’m at.
Thank you very much
Oscillator, how does it work , is part of ventilator?
Hi Eddie, can you talk about extubation in the future? Thanks!
Yes I do have that still on the todo list!
Thanks 👍
Its a very informative video thnx
Youre welcome!
I’m so grateful to you.. can you make a Ved how to do nursing care plan in Icu and how give perfect handover endorsement please 🙏
Is the last one Lance Armstrong blood doping exchange
Excellent
Thanks
Great! Thanks.
Thank you
You're welcome
thank u !!!
So the ambu bag should be connected to the opa or npa or with mask is more functional?
Still use the mask, but have the OPA or NPA in place to help keep the airway open.
Cannot thank you enough!!!
You're very welcome!
Have you ever thought about going to CRNA school and making all of these videos for CRNA topics. Some overlap...
When I was younger it was my original plan. Then lost interest in it. At this point you couldn't pay me to go back to school haha. I'm pretty content where I'm at and doing what I'm doing.
That’s awesome. I used to be an ICU educator and got tons of help from you. Now I am in CRNA school looking for the “CRNA advantage” but no one compares ….
Appreciate all your videos and dedication to quality education. Keep it up! Maybe one day we can team up for the CRNA advantage…. It’ll be a couple years when this program is done 😅
Thats awesome and congrats on getting into CRNA school. Many of my friends had gone that route and still often try and convince me. If I hadn't have had the success with this channel, perhaps I may have considered it, but man the thought of going through school again. More power to you haha.
And I was about to say, perhaps its something you could do when you get done. Its a great way to cement the knowledge you have and to learn new things along the way. If you ever get to that point, I'd be happy to help ya out.
why would one use a nasal pendant? Ive seen them a few times but I havent known why use them instead of a regular nasal canula
Had to look it up as I wasn't familiar with it. Ive only ever seen this on the tubing for EtCO2 detection as well.
Seems like it creates a tiny reservoir of oxygen and can potentially allow for higher concentrations, but thats just on a quick search.
I have a question
How T-piece is a noninvasive device?
Cause when we try to extubate a patient at last we connect t-piece with ET-tube with 10-15L oxygen.
Can you please explain it?
Because for NIV procedure test do not enter the body
How to transfer pt. To wheel chair with oxygen
10/10👍🏻
Thank you! Glad you liked it
Which device provide 70 prcnt oxygen?
How about air entrainment mask/nebulizer?
It may help reduce inflammation in the lungs and open airways especially in the case of respiratory illnesses like asthma
@Charlie Wang- The air entrainment mask is the venti mask. The nebulizer can be given w/O2 but is for medication delivery.
@@user-od5hr3up6g I'm a student Respiratory Therapist. The air entrainment mask or Venti mask is for OXYGENATION. The SMALL volume nebulizer is for medication delivery only. The LARGE volume nebulizer is for oxygenation.
Do RTs typically make the decisions on which device to use?
They certainly can but the RN can as well. If you are ever in doubt absolutely check with them and discuss. Some of these will either require a physician (CPAP/BiPAP/Vent/ECMO) but sometimes the provider may specifically ask for a Venturi or NRBM etc. That said, when managing hypoxia in the moment, the RN can and often will make these adjustments as well as the RT.
scientifically how much different forms of oxygen is there?
Can you explain the term “flow” for high flow nasal cannula. I’ve had a patient on 40% and 55L (which Ik is a pretty high setting) but ig I’m asking what exactly that means?
The liters is amount of oxygen they are getting and the percentage is the quality of oxygen. It’s 40% oxygen mixed with 60% room air and it’s flowing at 55 L per minute
I hope you’re not a nurse or emt yet lol
@@ThenZ6I hope you’re not a preceptor or charge nurse because that attitude is why new people in healthcare are afraid to ask questions…like girl get off the internet being rude and miserable…go on somewhere 😂 me and my patients are just fine.
Could you please explain how oxygen below 6 L/min in partial rebreather/ simple mask causes CO2 to be rebreathed? Sorry slightly lost here
I'm a student RT. The partial rebreather does not have a one-way valve between the patient and the bag, it's just an opening. This means that the patient can "rebreathe" some of the C02 that they exhale (from their lungs) into the bag.
Saya dri indonesia tidak bahasa inggris bisakah mr. Edi mengaktifkan teksnya pada tiap vidio terimakasih
Makes sense.
Good video
You missed the non re breather mask.
NRB should say 12-15L/min not 6-15L/min :)
❤❤❤
nice
Thank you!
Madie Landing
What is a “salter” device?
?
@@ICUAdvantage i often hear patient is on “8 liter salter”. To me that sounds like a face mask (and usually is). But salter? Is that a brand name?
@@monsieurok5523 Im not sure as Ive not heard that one.
@@monsieurok5523 you are correct, salter is a common brand name of oxygen supplies
Elizabeth Rani 🎉
Thank you so much
Thank You
You're welcome