As a Psychiatrist 11 years out of Med school, I truly appreciate these lectures. If they need me beyond a mental health professional role then I want to be competent, even if I am relieving shifts. Truly dire times. I do feel like a soldier of sorts. God knows there will be a lot of PTSD on the healthcare worker side after this pandemic is over. Stay safe, your life is worth saving as well.
I am a retired RRT, and I worked 35 years in hospitals and home care. i am enjoying your lectures, brings back memories. Very important refresher for clinicians thank you
how many thanks !!! a million!! not enough.. im a resident finished my ICU rotation in surgery.. its disgusting how no one cared to stop a minute and give us the valuable knowledge u have.. I guess he who lacks something.. can't give it away!! thanks again
I am a respiratory therapist, and I find this lecture to be a very useful review. I wished many doctors new as much as this doctor about ventilators. Thank you!
am a medicine resident in india ,but it was a rocket science for me before i saw this video now i feel confident about ventilator.thank you very much sir for simplifying this complicated machine.
Dear Dr. Roger, I'm from Vietnam I'm grateful for your videos. I watched your video when I was in Med school, although the language barriers I completed my MBBS, and keep subscribing to your channel for further study. Thank you for contributing modern medicine to this corner of the world, I have learned a lot from your lectures which are clear explanations and well ordered. I wish you all the best.
Your lectures are super helpful and allow for convoluted subjects to be understood in plain English all the while maintaining a generous amount of depth. Thank you.
I work as a safety assistant and these lectures are awesome for me to know just to be informed and to be able to inform staff of problems. Thank you for providing such valuable knowledge! You have earned my subscription.
I am a respiratory student. Your videos are awesome. I have my midterm on intro to mechanical vent tomorrow. Please know that these videos you made have helped me and several of my classmates out. Thank you.
i just started my icu rotation-im a pgy 1 at howard in DC internal medicine..i freaked out my first day in ICU..but i must say im feeling more comfortable after watching this..thanx bunch
An Ontario🇨🇦Canada🇨🇦 Doc has figured out a way to DOUBLE ventilator capacity! There’s a catch......the patients need to be of similar size and lung capacity. It’s still fantastic and if one vent can help two people, less horribly difficult decisions will have to be made by Docs like what has/is taking place in Italy......who gets a ventilator? Small miracle but still a miracle and heck yeah, any miracle right now is welcome! Way to go Dr. Gauthier!!!
Thank you SO MUCH! Im in the respiratory therapist program and we are having to do everything online because of the pandemic and I was struggling so bad with mechanical vent and this helped me so much! Thank you!!
this is not easy to explain or understand, but I am a nursing student, 4th semester and already am doing my clinical rotations with vent patients, so as difficult as it is to GET the ventilation system, I still have to learn it. It is nearly impossible for me to get it the first time when the professors teach it, so I appreciate very much how this is explained in English and the visual animation. This is so much better than listening to someone read off a power point. I still don't quite get it, but I will watch this entire lecture multiple times over the next few months. Thank you very much for putting in the time to make this visual lecture.
So incredibly helpful. As a new intern that started in July I am feeling a bit out of my depth. Your videos are a HUGE help. I'm playing them on repeat.
I love the bite sized length of your lectures, it makes them easily accessible and the clear explanations that you demonstrate on each subject are great and easy to understand. Keep up the fantastic work. Thank you
i just want to say THAN YOU SO MUCH FOR WHAT YOU DO. It is so helpful to get visual because just the books aren't going to do it, at least not for me. You do such an amazing job teaching, I review and get a much better understanding on these videos so THANK YOU SO MUCH FOR WHAT YOU DO!!
Thank you so much for posting these videos, I am a RT student online and I had been having so much trouble with understanding the vent, even when I attend clinicals I am so lost. I will be subscribing to all your videos and watching them on the regular.
I am watching this to learn function of ventilators n i found it very informative. Actually we are planning to make cost effective ventilators due to the current situation of CORONA.
at 9:13 - you mention the set TV is given once the negative pressure is identified. This subsequently increases pressure. However, I thought based on PV=nRT; the two are inversely proportional so the increase in volume will lead to a decrease in pressure, provided the gas is constant. Can you please clarify this?
Thank you for sharing your knowledge to the world! You are brilliant! I couldn't be able to understand it really good without your outstanding explanation! A million thanks to you!
Great explaination except when discussing the AC mode, the waveforms discussed in the later portion of the video's actually describing VC-AC (Volume Control Assist Control). In VC-AC mode you set the desired tidal volume. The issue I'm trying to identify is that PC-AC (Pressure Control Assist Control) mode exist as well, where the operator sets the desired pressure. In the VC mode pressure is variable (influenced by lung characteristics) and in the PC mode volume is variable. The AC mode simply means when the patient triggers the ventilator a set pressure (PC) or volume (VC) will be delivered. I hope this helps people grasp a better understanding.
+Celine Dubeau Thank you for the comment- I was hoping to avoid the confusion by also calling it cmv. Even though theoretically you can give either pressure or volume (as we discuss). Colloquially, at least in my practice in the Western United States we usually use the term "ac" when referring to cmv and volume control and pc when referring to pressure control. Thanks again.
nice lecture....im an engineer and i get to learn the medical part of this ventilator. i sure hope i dont get to use one, nor any of my love ones, but it sure is helpful to learn how a ventilator works. thank you for these videos
Wow! Reminds me of Mr. Mandrelle, my high school biology teacher, who always made me see myself in a white coat but limited dalliance with calculus would time and again sneak in and point the other direction..:))
great videos, I'd love to see noninvasive ventilation videos and hemodynamic principles like SVR and PVR added to your list. Thanks for the great stuff :)
Good overview, trigger is misrepresented. If on a PEEP of 5 you showed a pressure drop below zero to about -2 cwp. In actuality the pressure should only deflect -0.5 - 2.0, if using pressure triggering, below the baseline of 5 cwp in this example. What you demonstrated was a trigger set at -7 which would be an incorrect setting. And flow trigger would show no pressure deflection.
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
THANK YOU! this is excellent lecture! I am RN in ICU for few years this is still a cloud for me :) after your video-lecture I started to understand better. What changes on vent will help to decrease PaCO2? vent: AC, FiO2 65%, PEEP 10, RR 10, Vt 450. Working on study case is helping but still not clear. Thank you
I am a 54 year old male in moderately good health now working from home. I use a CPAP machine as was wondering should I come down with symptoms, what are the ramifications of my CPAP usage? If symptomatic, should I continue to use or would it exacerbate the course of the illness. BTW, I get very little quality sleep if not on my CPAP machine.
If this is answered in a later video of the 5 part series, I'll delete it, butttt when the pressures increase due to a lower compliance, what is your next step of action in adjusting the vent settings? Would you get some ABG's to determine your next move? Thank you and thx for the vid! Well made!
Loving these videos. Can you guys do more videos with anesthesia management? This ventilation material is very much related to that. Anesthesia Perioperative Management will help the CRNAs, AAs & MDs/DOs! Thanks!
When should we start the patient on Volume controlled or Pressure Controlled types of Mech Vent? Like in Pediatric patients can we use Volume or Pressure controlled?
As a Psychiatrist 11 years out of Med school, I truly appreciate these lectures. If they need me beyond a mental health professional role then I want to be competent, even if I am relieving shifts. Truly dire times. I do feel like a soldier of sorts. God knows there will be a lot of PTSD on the healthcare worker side after this pandemic is over. Stay safe, your life is worth saving as well.
I am a retired RRT, and I worked 35 years in hospitals and home care. i am enjoying your lectures, brings back memories. Very important refresher for clinicians thank you
I am RN in Canada, I cant thank enough on how much your lectures help me. Keep up the good work..
how many thanks !!! a million!! not enough.. im a resident finished my ICU rotation in surgery.. its disgusting how no one cared to stop a minute and give us the valuable knowledge u have.. I guess he who lacks something.. can't give it away!! thanks again
Right now these lectures are unbelievably relevant and important. The non ICU surgeons and docs should all watch these. THANK YOU.
I am a respiratory therapist, and I find this lecture to be a very useful review. I wished many doctors new as much as this doctor about ventilators. Thank you!
am a medicine resident in india ,but it was a rocket science for me before i saw this video now i feel confident about ventilator.thank you very much sir for simplifying this complicated machine.
i work in neurosurgery icu as a junior doctor.u have no idea how much your videos helped me adapt .plenty thanks!
Dear Dr. Roger, I'm from Vietnam
I'm grateful for your videos. I watched your video when I was in Med school, although the language barriers I completed my MBBS, and keep subscribing to your channel for further study. Thank you for contributing modern medicine to this corner of the world, I have learned a lot from your lectures which are clear explanations and well ordered. I wish you all the best.
Wonderful!
Your lectures are super helpful and allow for convoluted subjects to be understood in plain English all the while maintaining a generous amount of depth. Thank you.
+Michael Salerno Thank you for the kind feedback
Michael S
I work as a safety assistant and these lectures are awesome for me to know just to be informed and to be able to inform staff of problems. Thank you for providing such valuable knowledge! You have earned my subscription.
I am a respiratory student. Your videos are awesome. I have my midterm on intro to mechanical vent tomorrow. Please know that these videos you made have helped me and several of my classmates out. Thank you.
i just started my icu rotation-im a pgy 1 at howard in DC internal medicine..i freaked out my first day in ICU..but i must say im feeling more comfortable after watching this..thanx bunch
An Ontario🇨🇦Canada🇨🇦 Doc has figured out a way to DOUBLE ventilator capacity!
There’s a catch......the patients need to be of similar size and lung capacity.
It’s still fantastic and if one vent can help two people, less horribly difficult decisions will have to be made by Docs like what has/is taking place in Italy......who gets a ventilator?
Small miracle but still a miracle and heck yeah, any miracle right now is welcome! Way to go Dr. Gauthier!!!
Thank you SO MUCH! Im in the respiratory therapist program and we are having to do everything online because of the pandemic and I was struggling so bad with mechanical vent and this helped me so much! Thank you!!
I can never thank you more for breaking this into such an understandable and easy to grasp manner.
Thank you so much!!! Fellow RT student here and the ventilator is a bit scary but you make it so clear!
Excellent . from a hand surgeon preparing for corona disaster
The best vent lecture ever. Much easier to understand than my textbook.
this is not easy to explain or understand, but I am a nursing student, 4th semester and already am doing my clinical rotations with vent patients, so as difficult as it is to GET the ventilation system, I still have to learn it. It is nearly impossible for me to get it the first time when the professors teach it, so I appreciate very much how this is explained in English and the visual animation. This is so much better than listening to someone read off a power point. I still don't quite get it, but I will watch this entire lecture multiple times over the next few months. Thank you very much for putting in the time to make this visual lecture.
Super nice, especially in corona time for medical students in clinical semesters who want to prepare for work at ICU. Thanks for your lectures
So incredibly helpful. As a new intern that started in July I am feeling a bit out of my depth. Your videos are a HUGE help. I'm playing them on repeat.
Thank you - from a UK nurse returning to ICU after 20 years
Neurology on surge standby here, thanks for making these available
This video was very helpful. If you need a solid review of vent modes, look no further! You’ve found it!
Thank you for the feedback!
Very good explanation that is not always provided by the books or by the Critical care staff .Now I got it straight .Thank you.
I am a nursing student and cannot thank you enough for these videos! You explain them so clearly and well.
I spent so much time reading about this stuff, and it just wasn't sticking. Thank you so much for this series of videos; they were extremely helpful!
I love the bite sized length of your lectures, it makes them easily accessible and the clear explanations that you demonstrate on each subject are great and easy to understand. Keep up the fantastic work. Thank you
Such a great teacher! I have been following your lectures for weeks now. Thank you for all you do!
Very helpful! As an intern I was always curious about interpreting a Vent machine and you’ve simplified it so well
a brilliant series of videos of a complex topic - well done and sincerely appreciated !
i just want to say THAN YOU SO MUCH FOR WHAT YOU DO. It is so helpful to get visual because just the books aren't going to do it, at least not for me. You do such an amazing job teaching, I review and get a much better understanding on these videos so THANK YOU SO MUCH FOR WHAT YOU DO!!
Excellent presentation on how AC works and how the associated graphs depict the patients compliance with the settings.
Thank you so much for posting these videos, I am a RT student online and I had been having so much trouble with understanding the vent, even when I attend clinicals I am so lost. I will be subscribing to all your videos and watching them on the regular.
+Candace Beasley Good to hear- thank you. Best wishes with your RT studies
Thanks !
These are so good!
I can't see how anyone could have clicked that they don't like them.......
Nothing to comment, your lectures are just excelent. Thank you.
Thank u very much....
This helped me a lot with understanding the ventilator settings for my nursing exam. Shared it with some friends. Thanks a bunch!
Very helpful lectures, starting new job at icu, this lectures sure help me prepare
Really enjoying these lecture videos, grateful for these great contents.
the way you explain tells us how deep you understand this topic.. thanks Doc
Series is a nice orientation to the ventilator for aspiring critical care medics.
THANKYOU!!! enjoying your videos greatly, much love and gratitude from a Respiratory Therapy Student.
This is an amazing series, so easily understandable and it hits all the topics in an adequate amount of detail! Great job, thank you for the videos.
I am watching this to learn function of ventilators n i found it very informative.
Actually we are planning to make cost effective ventilators due to the current situation of CORONA.
Thank you very much for making the complex so easy to understand
Amazing life saving lecture, once again! I was struggling with definitions and books and websites, your videos came as an enlightenment.
Crzk glad the videos were helpful- thanks for the feedback.
Excellent lectures , easy to understand . Thank you
at 9:13 - you mention the set TV is given once the negative pressure is identified. This subsequently increases pressure. However, I thought based on PV=nRT; the two are inversely proportional so the increase in volume will lead to a decrease in pressure, provided the gas is constant. Can you please clarify this?
I was so lost before I watched this video. Thank you thank you thank you!
thanks for these amazing lectures . They are super helpful for understanding mechanical ventilation .
Thank you!
Very good learning materials. Just aware of a small bug: The common unit of PEEP is cmH2O instead of mmHg.
You are correct, thank you for catching this
untill upto the 2 of 5 precise, clear and paced presentation. look ahead for the same. Thanks a lot!
The videos are absolutely great even for residents.
Listening to your lectures makes reading the ICU book so much easier.
Thank you Dr. Seheult!
DrOz Good to hear- thanks for the feedback.
many thanks Dr. very clear explanations
Thank you, thank you, thank you!! These lectures hit every point.
***** You're welcome- thanks for the feedback
Thank you for sharing your knowledge to the world! You are brilliant! I couldn't be able to understand it really good without your outstanding explanation! A million thanks to you!
Thank you for the great comment!
Outstanding teaching!
Blessings your videos are very informative, thank you God bless you
Excellent lecture! Very easy to follow!
Incredibly helpful - now subject is clear!
you are a born teacher sir
Love your stuff. I think it would be clearer to just define AC as the mode and 16 as the rate (frequency) when teaching this.
easy to understand. great videos! wish there was videos for ecg interpretation and hemodynamic monitoring!
mrsherwin626 thanks for the future lecture topic idea
Great explaination except when discussing the AC mode, the waveforms discussed in the later portion of the video's actually describing VC-AC (Volume Control Assist Control).
In VC-AC mode you set the desired tidal volume. The issue I'm trying to identify is that PC-AC (Pressure Control Assist Control) mode exist as well, where the operator sets the desired pressure. In the VC mode pressure is variable (influenced by lung characteristics) and in the PC mode volume is variable.
The AC mode simply means when the patient triggers the ventilator a set pressure (PC) or volume (VC) will be delivered.
I hope this helps people grasp a better understanding.
+Celine Dubeau Thank you for the comment- I was hoping to avoid the confusion by also calling it cmv. Even though theoretically you can give either pressure or volume (as we discuss). Colloquially, at least in my practice in the Western United States we usually use the term "ac" when referring to cmv and volume control and pc when referring to pressure control. Thanks again.
from sri lanka, really helpful in preperation for the COVID-19 issue here.. Thank you
these lectures are impressive ... good work
Thank you so much for this video! It really helped to clear things up !
Could you please do ones for pediatrics and neonatal settings?
Thank you for very informative and clear lectures
Excellent explanation!!
God bless you Dr !
nice lecture....im an engineer and i get to learn the medical part of this ventilator. i sure hope i dont get to use one, nor any of my love ones, but it sure is helpful to learn how a ventilator works. thank you for these videos
Wow! Reminds me of Mr. Mandrelle, my high school biology teacher, who always made me see myself in a white coat but limited dalliance with calculus would time and again sneak in and point the other direction..:))
Excellent instructor! Thank you. I want to understand what is coming on CNN...Pandemic wise.
Very good description again. Thanks Doc.
Thanks you for sharing. You guys are incredible!
great videos, I'd love to see noninvasive ventilation videos and hemodynamic principles like SVR and PVR added to your list. Thanks for the great stuff :)
+Jesse O Thanks= we'll add those topics to the list
thanks for clear explanation.
Good overview, trigger is misrepresented. If on a PEEP of 5 you showed a pressure drop below zero to about -2 cwp. In actuality the pressure should only deflect -0.5 - 2.0, if using pressure triggering, below the baseline of 5 cwp in this example. What you demonstrated was a trigger set at -7 which would be an incorrect setting. And flow trigger would show no pressure deflection.
You’re absolutely amazing! Thank you so much for this information.
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
THANK YOU! this is excellent lecture! I am RN in ICU for few years this is still a cloud for me :) after your video-lecture I started to understand better. What changes on vent will help to decrease PaCO2? vent: AC, FiO2 65%, PEEP 10, RR 10, Vt 450. Working on study case is helping but still not clear. Thank you
Useful also per GP
I am a 54 year old male in moderately good health now working from home. I use a CPAP machine as was wondering should I come down with symptoms, what are the ramifications of my CPAP usage? If symptomatic, should I continue to use or would it exacerbate the course of the illness. BTW, I get very little quality sleep if not on my CPAP machine.
Very informative. Thank you so much
thank you very much for your time and effort. very simple illustration up to the point
Randa Badawi You are most welcome- thank you for the comment
Very helpful and easy to understand. Thank you
Thank you for the feedback!
Magnificent, its just a matter of minutes that u spent to learn great facts about MV. ive spent, eum lets say weeks to learn it . chabeau!!
Thank you for your time and the lecture, I find it very useful
anthony han thanks for the feedback- glad you found the video useful
If this is answered in a later video of the 5 part series, I'll delete it, butttt when the pressures increase due to a lower compliance, what is your next step of action in adjusting the vent settings? Would you get some ABG's to determine your next move?
Thank you and thx for the vid! Well made!
Great videos ! Thanks !
Sir it is marvelous. But pl note that u can not fix same rates for us and india. Pl consider. Regards
Thank you very much it was really helpful
Loving these videos. Can you guys do more videos with anesthesia management? This ventilation material is very much related to that. Anesthesia Perioperative Management will help the CRNAs, AAs & MDs/DOs! Thanks!
+Victor Mbachu Thank you for the comment and topic suggestions!
Thankyou very much you the matter very easy and simple by explaing the pathophysiology behind
These videos are awesome. Thank you very much!
Hi, Im a ICU nurse in Malaysia. Could you create another video that explains about BiLevel Ventilation?
hi ..ur videos are amazing ..so helpful ..could u please make a video about intubation ..and how to intubate th patient ??
soooo amazing and very easy to understand , thank you very much
When should we start the patient on Volume controlled or Pressure Controlled types of Mech Vent? Like in Pediatric patients can we use Volume or Pressure controlled?