RT here from LA, CA! Thank you so much for all your videos. I've watched them all while in school and still watching them now with a license! There is always questions to ask! haha
Would love to see some examples of tricky patients, and how to troubleshoot what's going on by looking at an alarming vent. Excellent videos and explanations! Keep 'em coming!
Excellent presentation. Really enjoy the content and how you put concepts into a readily understandable format. I will indeed watch more of these presentations. Quite possibly the best I've come across. Working as a flight nurse, we utilize ventilators very frequently and as nurses we do not have the background of the RT. But your videos really bring things into very clear light indeed. Thanks again.
Awesome, thank you! I appreciate all feedback, but especially RN feedback. Glad to know that the videos aid other disciplines beyond RT. Thanks for watching!!!
Wow your videos are super insightful and easy to follow !!! Question with COPD patients, you mentioned they do not have pressure problems or oxygenation problems. Aren't COPD patients have high PIPs due to obstruction (increased Raw).Also they are hypoxemic due to alveolar and capillary destruction?
Hmm the only part I can't see is why the I time would increase when you switch from VC to PC. Side note: I'm an RN in ICU and every time I train nurses new to the unit (new to vents) I send them a link to your videos! Thank you for all your help!
great explanation sir , thank you for the lecture sir , sir does mean airway pressure mean surface area of pressure wave form,sir is that the way to calculate it , sir whats the definition of mean air way pressure .sir how do we set the mean air way pressure parameter, sir what are the general values of mean air way pressure ,
I was doing a practice exam online and they had a question similar to this. Would they have a question on the TMC were they changed a patient from Volume control to pressure control? I’m retaking my test.
100% Be on the lookout for rising peak (>40) and plateau pressures (>30) in volume control as an indicator to switch to PC. Keep your head up! You'll get it.
I am a therapist in a sub acute facility in California I have a patient right now whose PIPs are in the 40s to 50s. I know I should switch her to pressure control but I cannot get a good title volume what kind of settings should I set to achieve adequate tidal volume
Hi. I need more data. Typically an insp pressure is set on top of peep, this means whatever the Insp pressure is set to, the vent will increase pressure to this level for the set I time. If we're talking NIV, then we're talking more about ipap and epap. What are those settings? You provided me with a RR and Peep.
Silly question here. When you have someone on PC and you check a plat pressure, you realize that the plat pressure is higher than your set inspiratory pressure, how accurate is the plat pressure? Thank You.
You are amazing, in fact your explanations are better than most of my professors in medical school. Keep it up!
Wow! What a nice comment. Thank you for that and for watching!
RT here from LA, CA! Thank you so much for all your videos. I've watched them all while in school and still watching them now with a license! There is always questions to ask! haha
I am a second year student in New Jersey. I really appreciate this video, it is enlightening. Thanks Mr joe 👍👍
Would love to see some examples of tricky patients, and how to troubleshoot what's going on by looking at an alarming vent.
Excellent videos and explanations! Keep 'em coming!
Stay tuned! Lots of those scenarios coming soon.
Excellent presentation. Really enjoy the content and how you put concepts into a readily understandable format. I will indeed watch more of these presentations. Quite possibly the best I've come across. Working as a flight nurse, we utilize ventilators very frequently and as nurses we do not have the background of the RT. But your videos really bring things into very clear light indeed. Thanks again.
Awesome, thank you! I appreciate all feedback, but especially RN feedback. Glad to know that the videos aid other disciplines beyond RT. Thanks for watching!!!
You are a legend, Joe!
THANK YOU FOR YOUR PRESENTATION ON THE DIFFERENCE BETWEEN RISE TIME AND I TIME
Thank you for watching, Emebet!
These lectures are excellent and really helped me understand this tough topic which I was afraid of earlier
I wished this guy could start his TMC review 3 days class like Kettering does
That would be cool! May have to look into that!
Well done! Explained so well!
Great explanation! You made it easier. Keep it up
Thanks, will do!
You are an awesome instructor
This was an exceptional video. Thank you!
You're very welcome, Stephanie!! Glad you liked it!
Very useful and easy to understand. Thanks.
You're welcome, Ripudaman. Glad you found it helpful. Thank you for watching and kindly commenting!!!
Wow your videos are super insightful and easy to follow !!! Question with COPD patients, you mentioned they do not have pressure problems or oxygenation problems. Aren't COPD patients have high PIPs due to obstruction (increased Raw).Also they are hypoxemic due to alveolar and capillary destruction?
Hmm the only part I can't see is why the I time would increase when you switch from VC to PC. Side note: I'm an RN in ICU and every time I train nurses new to the unit (new to vents) I send them a link to your videos! Thank you for all your help!
great explanation sir , thank you for the lecture sir , sir does mean airway pressure mean surface area of pressure wave form,sir is that the way to calculate it , sir whats the definition of mean air way pressure .sir how do we set the mean air way pressure parameter, sir what are the general values of mean air way pressure ,
Hi, the MAP is the area under the curve, so the area over the peep in expiration is not included in calculating the MAP. thanks for all the efforts
This video is sooo good and easy to understand 🔥 thank you!
Thanks, Jerrickl! Always appreciate you watching!
Amazing sir❤
please make a video about ventilation and weaning in copd patients...
Can you address the Paco and PaO2 changes and what changes does what like changing VT Vs changing from:fio2 please
Great stuff! I'm using it on my oral presentation
Appreciate ya, Max! Thanks for watching. Good luck on your oral presentation. Be in touch soon.
Thanks you soo much, this is really helpful...
You're very welcome, Yazan. Thank you for watching!
I was doing a practice exam online and they had a question similar to this. Would they have a question on the TMC were they changed a patient from Volume control to pressure control? I’m retaking my test.
100% Be on the lookout for rising peak (>40) and plateau pressures (>30) in volume control as an indicator to switch to PC. Keep your head up! You'll get it.
Thank you @respiratory coach for always giving a thorough answer and explaining your thoughts. I appreciate you sharing your knowledge!!
I am a therapist in a sub acute facility in California I have a patient right now whose PIPs are in the 40s to 50s. I know I should switch her to pressure control but I cannot get a good title volume what kind of settings should I set to achieve adequate tidal volume
Hi Tiffani! Why are pressures so high? Pulmonary fibrosis?
Can u please tell me
Initial settings।
When we put patient in PCV mode।
And upto what limit we
Increase pressure and peep in that case
Can you please make video on dysynchrony thanks
Absolutely! It's on the list!
What does pc over peep in copd pt infer?what is the pulmonologist trying to do?(RR-20,PEEP-5) pt is on NIV in this scenario.
Hi. I need more data. Typically an insp pressure is set on top of peep, this means whatever the Insp pressure is set to, the vent will increase pressure to this level for the set I time. If we're talking NIV, then we're talking more about ipap and epap. What are those settings? You provided me with a RR and Peep.
I am a CCT-Paramedic. Vent transports are a huge part of the job. You spoke of "pressure wave form". Is that the same as capnography(capnograph)?
Silly question here. When you have someone on PC and you check a plat pressure, you realize that the plat pressure is higher than your set inspiratory pressure, how accurate is the plat pressure? Thank You.
Can you do a video of weaning a patient of the vent. For example, mode, ABG, steps and what to see...etc
Absolutely, got your request on the list. Thanks for watching and commenting!
@@RespiratoryCoach Thank you
Here you go! ua-cam.com/video/Au6e3t6k0aM/v-deo.html
Thank you so very much for doing these videos. Everything is coming together for me in the concepts.
@@RespiratoryCoach
Hii sir can u explain about recruitment inflation ratio
Amazing
amazing. i have no idea what a lung is but you somewhat explained. Plus your voice is a bit like eminem
You look like Luke Bryan
LMAO...I might have heard that before.