best explanation I found. I couldn't learn this from any book. I wish our teachers are as good as you sir. keep going and spreading your knowledge. thank you for your hard work
That's really great explanation I am a final year medical student but these explanations are really great and more importantly comprehensible at my level too Thank you very much for your work 🙌
Thanks alot sir!! Your explanation was really easy to understand and in simple words compared to other videos I watched. Everything was crisp and easy to understand. Really helped!
A Gem prsn ur..... Hrd se hrd topic ek dam khol k opnly explain krte ho... Jo practice me abhi aaye b nhi unko b easily smjh jayega.... Thnk u so much sir... I appreciate ur efforts.
Thank you so much sir...This is the first time i learned above the definition and understood fully..The way you explain sir Is Great...Thanks you once again
I have a question based on this video. What is the maximum difference that should be there in epap and ipap? Usually 10/5 is what I have seen so difference of 5. But is there a specific difference value that we should not cross? @@TheICUChannel
Simply fantastic,practical,easy to understand ,Must watch for all professionals including nurses and RMO,S using NIV thanks a lot Dr Uday Mahorkar Nagpur
Sir, i am a nursing professional. Today i clrared my doubt about cpap and bipap. To know about this i went through different videos and lecture but it doesn't help me, but you cleared my doubts. Thank you so much sir and Please continue to upload more videos, it will really helpful for us. 👏👏
Nicely explained sir.... Really helpful to understand my condition.... Doctor suggested to me using bipap.....my inhale and exhale difference is high.... Inhale well but there is difficulty to exhale long.... Please suggest some tips for me how can I maintain(decrease) this difference within my daily routine....currently and first time facing these all new things....
Hi sir, you're the best for making sense of exhaustively. I've as of late bought cpap and added O2 concentrator rather Bipap…will it truly works like a Bipap because in the cpap machine there’s a mode of Apap so will it works?…or do I have to buy the Bipap machine sir?
Sir,.is the effects of CPAP and HFNO are same ??? Assume we put HFNO in place of CPAP then it's outcome on a patient would be same or not ??? Plz clarify this problem in shorts video Sir.
If the abg shows pco2 high then increase the ipap to wash out the high co2 levels Epap cpap peep are same Ipap pressure support on invasive ventilator are same Thank you Dr. Ankur gupta sir.
U can’t adjust too much on NIV as it’s patient respiratory rate dependent… if tachypnea persists adjust the settings to decrease work of breathing and still not settle , invasive ventilation .
Sir in many invasive ventilator ( not bipap machines) the settings do not have terminology of bipap or CPAP , instead under pressure support spontaneous mode, there are settings similar to bipap ( pressure support inspiration, pressure support expiration, peep inspiration, peep expiration settings) So here pressure support means IPAP and peep means EPAP , is it so?
hi sir now days in ventilator there is no Bipap mode. when you select Non invasive ventilation, there will be option of P-SIMV and CPAP. so P-SIMV is Bipap? regards
Sir, high epap helps to keep the alveoli open during EXPIRATION so that the Patient can EXHALE fully, right? But that should help the patient to REDUCE CO2 and NOT INCREASE THE O2 level. So, to increase O2 levels, Ipap should be increased, and to DECREASE CO2, ePap should be INCREASED. I know this is NOT true, but this sounds logical, doesn't it? So please explain this paradox. Thank you, Dr. Basu
epap helps to prevent the closing of alveoli so it helps in oxygenation ; IPAP will increase the ventilation. for o2 , epap should be increased and for co2 , ipap should be increased.
@@TheICUChannel Thanks! I am aware that increase in iPAP reduces CO2 and increase in ePAP increases O2. BUT the very concept of PEEP states that alveoli tend to collapse at the end of EXPIRATION and hence a constant positive pressure would PREVENT that, and help in COMPLETE EXHALATION. If that is so, isn't it paradoxical? I had requested you to explain THIS apparent paradox.
@@StockMarketsMadeEasy PEEP would keep alveoli open during expiration so that next breath can fully oxygenate patient but at expense, now patient has to exhale against PEEP which may lead to co2 retention. Hope that explains it.
@@shyamsuryavanshi7115 i can NEVER thank you enough for this explanation! That makes everything CRYSTAL CLEAR Sir! Do keep up your good work . God bless 🙏🙏🙏🙏
NORAD 2ml=4mg single dose 48ml NS with 2ml NORAD Double dose 4ml=8mg 46ml ns with 4ml NORAD Dobutamin each 1ml= 5mg 5ml = 25mg 20ml ns with 5ml After diluted Each 1ml =1mg Dopamine same as dobutamin calculation
@@mallikarjunjalageri5228 sir nor adr in ampoule it says : *1 ml = 2mg of nor adrenaline bitartate= 1mg of noradrenaline* .. So when taking into calculation do we take it as, 1 ml = 2 mg of nor adr or 1 mg of nor adr?
Sir, to decrease the work pf breathing, which mode is preferred? CPAP or BIPAP? We had a patient who very tachpyneic ( RR > 40 ), ABG showed Type 1 RF. We put him on CPAP. Is tht correct or do we have to put him on BIPAP to control the rate?
The clearest lecture I ever watch for this topic.. ❤❤❤❤
Glad it helped
best explanation I found. I couldn't learn this from any book. I wish our teachers are as good as you sir. keep going and spreading your knowledge. thank you for your hard work
Never before has this been explained in such simple language. Kudos to you sir.
Glad to hear that. thank you.
Your way of explanation is so simple and comprehensive, very helpful, thanks for your commendable job.
Perhaps the best and most simplified explanation
Thank you very much sir
That's really great explanation
I am a final year medical student but these explanations are really great and more importantly comprehensible at my level too
Thank you very much for your work 🙌
Thanks alot sir!! Your explanation was really easy to understand and in simple words compared to other videos I watched. Everything was crisp and easy to understand. Really helped!
Glad it helped , thank u
A Gem prsn ur..... Hrd se hrd topic ek dam khol k opnly explain krte ho... Jo practice me abhi aaye b nhi unko b easily smjh jayega.... Thnk u so much sir... I appreciate ur efforts.
Such simple yet on point explanation! 👏
Sir No words ,, ...absolutely simple and amazing explanation, no one can do better than this....👍👍🙏
Thank you so much sir...This is the first time i learned above the definition and understood fully..The way you explain sir Is Great...Thanks you once again
Thanks dear
There is no better free platform for learning than this
Thanks a lot
Thanks a lot Sir, my concept jas cleared about CPAP n BIPAP. Keep induce excellent knowledge in us. 😊
glad to hear that.
Thanks, please keep making these videos sir. It is very helpful for residents and post MD doctors.
Thanks a lot for your words and contribution. This will go in long way to help the vision of ESBICM
Sir you really explained it in a awesome way
Thanks prity , glad it’s useful
Best ICU channel on the entire web.
Thanks and welcome
I have a question based on this video. What is the maximum difference that should be there in epap and ipap? Usually 10/5 is what I have seen so difference of 5. But is there a specific difference value that we should not cross?
@@TheICUChannel
Simply fantastic,practical,easy to understand ,Must watch for all professionals including nurses and RMO,S using NIV
thanks a lot
Dr Uday Mahorkar Nagpur
Thanks and welcome to ESBICM
Many times previously I read in books but concept has been clear now.Thank You Sir.
Nice to hear that .
Sir, i am a nursing professional. Today i clrared my doubt about cpap and bipap. To know about this i went through different videos and lecture but it doesn't help me, but you cleared my doubts. Thank you so much sir and Please continue to upload more videos, it will really helpful for us. 👏👏
Thank you so much sir🙏🏻.... your classes are really really helping us....
glad to hear that. thanks
Thanks sir! JAI HO GURUDEV!
Excellent video! very clearly explained. Thank you!
Glad it was helpful!
Beautiful explanation! Thank you :)
Thanks, a lot sir, b'coz of u I now have a firm grasp over the topic
So nice of you, thanks and most welcome
Beautifully explained ❤❤
This is best lecture on this topic , please make more videos in general medicine too
you are our real hero Sir 👍🙏🙏
Thanks , glad it’s helpful
Great sir ji
Respected sir-You are my hero
Thanks Rizwan
Best explanation sir....🙏
thank you respected sir :) from a budding anaesthesiologist and CCU specialist...
Thanks u and welcome
The best video to understand the concept. Thank you sir.
Thank u
Thank you so much SIR for clearly explanation
Beautifully explained
Glad it was helpful
Thnxs gurujii... Doing marvelous job..... To make us understand.. In simple language
thank you
This is an amazing lecture.thank you thank you very much sir
Very nice explanation
Excellent explanation doc!! Great job making these infromative videos
Thanks and welcome
Very informative n explained beautifully
Thanks a lot 😊
Thank you so much Doctor... Best explaination... Was struggling to differentiate them
Happy to help, glad to hear that.
Thanku sir continues it further
Thank you for a short great lecture.
Very well explained in understandable concept sir .
Very much thank u
Thanks and welcome
Thank you sir..
Sir waiting for HFNC class
good experience sir
Excellent explanation 👍
Nicely explained sir.... Really helpful to understand my condition.... Doctor suggested to me using bipap.....my inhale and exhale difference is high.... Inhale well but there is difficulty to exhale long.... Please suggest some tips for me how can I maintain(decrease) this difference within my daily routine....currently and first time facing these all new things....
Amazing explanation!! Sir can u explain Indirect calorimetry and its practical application!
Sir thank you for your detailed explanation, please do a video on NIV
noted
thank u so much sir ❤️❤️❤️❤️
thanks prince
I get it now. Thanks a million
Understood sir
Thank you sir, well explained in very simple way
Thanks Ananya
Thanks much! very helpful
Excellent and well explained.
Thanks ganesh
Very well explained ❤
Thank you so much sir….wonderfully explained
Thanks richa
Thank you so much sir 🎉
Very well explained
Thank u and welcome
thank you sir😊
Sir..whether a ppt of cpap and bipap is available...if you could provide.. it would be very helpful..
Hi sir, you're the best for making sense of exhaustively. I've as of late bought cpap and added O2 concentrator rather Bipap…will it truly works like a Bipap because in the cpap machine there’s a mode of Apap so will it works?…or do I have to buy the Bipap machine sir?
Thanku sir 😊
Thank u,😊 sir!
Thank u
To the point, i like that.
Thank u sir for explaining cpap bipap
Sir one quary for me
Can be attached Bipap/niv mode in intubated patients ?
Fantastic
Thanks, perfect explanation
Thanks Sir
Sir,.is the effects of CPAP and HFNO are same ??? Assume we put HFNO in place of CPAP then it's outcome on a patient would be same or not ???
Plz clarify this problem in shorts video Sir.
❤❤❤
thank you!
Sir kindly make a video regarding ettube&tracheotomy care
ok noted
Sir, plz provide notes also in pdf format if possible.
Very helpful, Sir!
Glad it was helpful!
Thank you sir 🙏🙏🙏
Thank u
This is gold.
glad it helped
Sir please explain how to set norad dose according to BP
Sir then how we can treat respiratory alkalosis on bipap setting can you explain plz
An eighty year old lady with an AHI 18, what is preferable... CPAP or BIPAP...?
What about the rate and other setting .? How I can adjust them ?
Respected sir
One doubt
Bipap and PSV are same sir?
Pls explain about hhfnc
If the abg shows pco2 high then increase the ipap to wash out the high co2 levels
Epap cpap peep are same
Ipap pressure support on invasive ventilator are same
Thank you Dr. Ankur gupta sir.
What are your views on ti max and ti min in a bipap machine
Hello sir wonderful explanation. Could you please tell me what we should do when it shows minute ventilation too high?
U can’t adjust too much on NIV as it’s patient respiratory rate dependent… if tachypnea persists adjust the settings to decrease work of breathing and still not settle , invasive ventilation .
Sir kindly make lecture on interpretation of CSF cyto,bio,ADA investigations or others
Yes nice topic
Sir in many invasive ventilator ( not bipap machines) the settings do not have terminology of bipap or CPAP , instead under pressure support spontaneous mode, there are settings similar to bipap ( pressure support inspiration, pressure support expiration, peep inspiration, peep expiration settings)
So here pressure support means IPAP and peep means EPAP , is it so?
Exactly , you got my point 👍🏼
@@TheICUChannel thank you so much sir
Can you name few resources namely books to read more into it?
🙏
hi sir
now days in ventilator there is no Bipap mode. when you select Non invasive ventilation, there will be option of P-SIMV and CPAP. so P-SIMV is Bipap?
regards
Good morning sir Please share soda bi correction and sodium carrection
How do we test our blood pH and CO2 levels at home?
You are great👌👍🙏🌹
In High co2 level which ventilator must be used bipap or CPAP ??????
always bipap is better but all depends on the clinical scenario
Sir, high epap helps to keep the alveoli open during EXPIRATION so that the Patient can EXHALE fully, right? But that should help the patient to REDUCE CO2 and NOT INCREASE THE O2 level. So, to increase O2 levels, Ipap should be increased, and to DECREASE CO2, ePap should be INCREASED.
I know this is NOT true, but this sounds logical, doesn't it?
So please explain this paradox.
Thank you,
Dr. Basu
epap helps to prevent the closing of alveoli so it helps in oxygenation ; IPAP will increase the ventilation. for o2 , epap should be increased and for co2 , ipap should be increased.
@@TheICUChannel Thanks! I am aware that increase in iPAP reduces CO2 and increase in ePAP increases O2. BUT the very concept of PEEP states that alveoli tend to collapse at the end of EXPIRATION and hence a constant positive pressure would PREVENT that, and help in COMPLETE EXHALATION.
If that is so, isn't it paradoxical? I had requested you to explain THIS apparent paradox.
@@StockMarketsMadeEasy PEEP would keep alveoli open during expiration so that next breath can fully oxygenate patient but at expense, now patient has to exhale against PEEP which may lead to co2 retention. Hope that explains it.
@@shyamsuryavanshi7115 i can NEVER thank you enough for this explanation! That makes everything CRYSTAL CLEAR Sir! Do keep up your good work . God bless 🙏🙏🙏🙏
Pressure support = 14, PEEP = 6 in the ventilator on PSV/CPAP mode ..Then What is the I-PAP here???
14
IPAP is the inspiration pressure
IPAP is the inspiration pressure
Sir wat is ps above peep in many ventilators
Is it same as ipap?or differnce between ps minus epap
Plz explain
#icushort 109: Difference between PS above PEEP, EPAP, IPAP, CPAP #esbicm
Sir,please tell dosage and rate of administration of noradrenaline,dopamine and dobutamine
Video in the making for this .
NORAD 2ml=4mg single dose 48ml NS with 2ml NORAD
Double dose 4ml=8mg 46ml ns with 4ml NORAD
Dobutamin each 1ml= 5mg
5ml = 25mg
20ml ns with 5ml
After diluted Each 1ml =1mg
Dopamine same as dobutamin calculation
@@mallikarjunjalageri5228 sir i had red we can dilute Norad with D5 only ?
@@mallikarjunjalageri5228 sir nor adr in ampoule it says : *1 ml = 2mg of nor adrenaline bitartate= 1mg of noradrenaline* .. So when taking into calculation do we take it as, 1 ml = 2 mg of nor adr or 1 mg of nor adr?
👏@@mallikarjunjalageri5228
So CPAP basically, maintains PEEP?
Yes
Sir, to decrease the work pf breathing, which mode is preferred? CPAP or BIPAP?
We had a patient who very tachpyneic ( RR > 40 ), ABG showed Type 1 RF. We put him on CPAP. Is tht correct or do we have to put him on BIPAP to control the rate?
First identify the cause .