I’m currently studying to retake the TMC & CSE in February after letting my license expire for almost 9 years. I graduated,passed the boards, and became licensed in 2014. I never worked in the field, I helped with our business and then had babies and became a SAHM. My twins are getting older and now I’m ready to be a working RT. So glad I found your channel!
I love this for you! I'm in a similar situation (except nearly three years out), and I LOVED listening to the Respiratory Coach's videos when I was in RT school. Good luck with your boards!
I let my license lapse 2 years as well because I followed a different career path. Just passed my CRT. Going to take again for a higher score. Good luck !
Omg Am preparing to take my board exam as a new grade and have been watching your videos to help as I study and believe me it’s making so so much sense. Is there a way one can schedule a 1 on 1 to help prep on their weak areas?. I would like to do so.
I am an RRT of 30 years, so listening to you explain concepts in your videos shows your true genius at teaching! I returned to the field recently and have learned much from these teaching videos.
I saw you in Dallas last year you were the special speaker. Thank you for these videos. I hope to graduate this year and take the boards in the summer wish me luck 🙏
Hi Joe! David here from Sweden. Thanks for an exelent explanation of compliance. As anyone can se from the waveform, and as you said, this is in VCV. I dare to say that we never ventilate patients in that mode but rather PC with volume garantee. In PCV there is only a platau without the PIP, how do you measure RAW? Would a loop illustate the differances between the two patient categories you talked about? Speaking about loops, As far as l know there are two kinds, PV and FV but have you seen a pressure-flow loop? Can you please explain how that looks and how to use it in practice? Cheers/ David Forsell.
In the question, when the pressures were high, the difference between the two pressures was 5. The possibility of hardening of the alveoli (decreased compliance), but in another video of yours, you said the possibility of COPD (increased compliance), so how can I distinguish between them, especially in the VC wave?
During the Exam Tips you have two examples of numbers to compare with each other. What if you only have one set of numbers and you have to decide if it's compliance or resistance. How big a difference between PIP and Plat do you need to see to know which if it's a compliance or resistance issue?
I was told not to level my PSV below the PEEP level. I don't quite understand as I see an increase in my patient's spont Vt even with just 2cmh20 of PSV while my PEEP level is 4. There is a difference which is clear as day but why was I told that?
Hey thank you, I've learned so much from you thank you for that. When monitoring Cstat as a monitoring parameter, will a high Rinsp affect the Cstat reading?
Hi Joe, i have a question...and I know this question may sound so ridiculous but Im a bit unsure of the rationale I have in my mind. Here it goes: Accding to Chang(MV book), dynamic compliance nirmal rang is 30-40cmh20. So it means, less than 30 cmh20 means a non or less compliant lung right? And >/=40 cmh20 means high compliance. Now I have a an actual patient whom we havve been monitoring for a long time. She usually have a dynamic compliance that is playing around 11-24 cmh20. But recently after ET suctioning, the dynamic compliance then shoot up to 63 cmh20(which to high from 40cmh20 maximum normal range) My question is, how do i interpret the sudden shoot up of 63cmh20 when she previously only had dynCompliance of 11-24cmh20? Is it correction of the previously low compliance? Or is it overcompliance? Thank you so much. I hope you read this. Would appreciate it😊
Breath stacking typically refers to control modes of ventilation where two breaths are delivered back to back without a complete exhalation between them. This is usually the result of volume hunger due to inadequately set tidal volume.
@@RespiratoryCoach Thank you! So once the tidal volume is adjusted this should resolve it. Can you do a video on this? I want to be able to identify it on the ventilator. I’m a nurse but I watch your videos to help me understand the ventilator more thoroughly
I’m currently studying to retake the TMC & CSE in February after letting my license expire for almost 9 years. I graduated,passed the boards, and became licensed in 2014. I never worked in the field, I helped with our business and then had babies and became a SAHM. My twins are getting older and now I’m ready to be a working RT. So glad I found your channel!
Go get that RRT! respiratorycoach.teachable.com/p/tmc-cse-boot-camp-exclusive
I love this for you! I'm in a similar situation (except nearly three years out), and I LOVED listening to the Respiratory Coach's videos when I was in RT school. Good luck with your boards!
I let my license lapse 2 years as well because I followed a different career path. Just passed my CRT. Going to take again for a higher score. Good luck !
Omg Am preparing to take my board exam as a new grade and have been watching your videos to help as I study and believe me it’s making so so much sense. Is there a way one can schedule a 1 on 1 to help prep on their weak areas?. I would like to do so.
You explained this so good ….
You make this stuff sound so easy!
I am an RRT of 30 years, so listening to you explain concepts in your videos shows your true genius at teaching! I returned to the field recently and have learned much from these teaching videos.
Welcome back, Charlotte! Thanks for tuning in and taking the time to leave the kind comment! GO BE GREAT!
Always a good day when coach post a video
What's up, Mike! Always a good day when I see a comment from Mike Burke!
Thank you my best teacher!
You are the best teacher sir
I saw you in Dallas last year you were the special speaker. Thank you for these videos. I hope to graduate this year and take the boards in the summer wish me luck 🙏
Appreciate these bite sized videos
thanks coach! got your boot camp, and its helping me with concepts I was struggling in class!
Always a great study!! Thanks Joe!!
Thanks for watching, Elizabeth!
Thanks!
Hi Joe! David here from Sweden. Thanks for an exelent explanation of compliance. As anyone can se from the waveform, and as you said, this is in VCV. I dare to say that we never ventilate patients in that mode but rather PC with volume garantee. In PCV there is only a platau without the PIP, how do you measure RAW? Would a loop illustate the differances between the two patient categories you talked about? Speaking about loops, As far as l know there are two kinds, PV and FV but have you seen a pressure-flow loop? Can you please explain how that looks and how to use it in practice? Cheers/ David Forsell.
You are amazing!!
As are you! Thanks for watching and kindly commenting.
Thank you
Thank you for watching and commenting!
Please try to discuss about the use of ultrasound and its potential benefit in weaning success.
You got it!
In the question, when the pressures were high, the difference between the two pressures was 5. The possibility of hardening of the alveoli (decreased compliance), but in another video of yours, you said the possibility of COPD (increased compliance), so how can I distinguish between them, especially in the VC wave?
Uure the besttt
Plz explain APRV, doupap
During the Exam Tips you have two examples of numbers to compare with each other. What if you only have one set of numbers and you have to decide if it's compliance or resistance. How big a difference between PIP and Plat do you need to see to know which if it's a compliance or resistance issue?
I was told not to level my PSV below the PEEP level. I don't quite understand as I see an increase in my patient's spont Vt even with just 2cmh20 of PSV while my PEEP level is 4. There is a difference which is clear as day but why was I told that?
Hey thank you, I've learned so much from you thank you for that.
When monitoring Cstat as a monitoring parameter, will a high Rinsp affect the Cstat reading?
For instance in pressure control ventilation when flow may not reach zero
Hey coach! ✌️
What is the normal Cs for intubated patients?
60-100 mL/cmH2O per Egan's 12th Edition (page 1153). Thanks for watching and commenting!
What is the best way to treat or manage PT biting tube?
An OPA (oralpharyngeal airway).
A manufactured bite block. An OPA can be used per Egans, but that often leads to more dysynchrony and discomfort in my personal experience.
Hi Joe, i have a question...and I know this question may sound so ridiculous but Im a bit unsure of the rationale I have in my mind.
Here it goes:
Accding to Chang(MV book), dynamic compliance nirmal rang is 30-40cmh20. So it means, less than 30 cmh20 means a non or less compliant lung right? And >/=40 cmh20 means high compliance.
Now I have a an actual patient whom we havve been monitoring for a long time. She usually have a dynamic compliance that is playing around 11-24 cmh20. But recently after ET suctioning, the dynamic compliance then shoot up to 63 cmh20(which to high from 40cmh20 maximum normal range)
My question is, how do i interpret the sudden shoot up of 63cmh20 when she previously only had dynCompliance of 11-24cmh20?
Is it correction of the previously low compliance? Or is it overcompliance?
Thank you so much. I hope you read this. Would appreciate it😊
What does it mean when the patient is “stacking” on the ventilator? What should I do when the patient is doing this?
Breath stacking typically refers to control modes of ventilation where two breaths are delivered back to back without a complete exhalation between them. This is usually the result of volume hunger due to inadequately set tidal volume.
@@RespiratoryCoach Thank you! So once the tidal volume is adjusted this should resolve it. Can you do a video on this? I want to be able to identify it on the ventilator. I’m a nurse but I watch your videos to help me understand the ventilator more thoroughly
My everyday School
GO BE GREAT!
Why hysteris is seen why complaince is less at low lung volume ..and high complaince at high volume