Im an ansesthesiologist and critical care physician..the examples/scenarios you provided at the end are extremely helpful and cleared some of the confusions i have since years.. thanks a lot
I'm a medical resident rotating through the ICU. I want to tell you I'm eternally grateful for your videos. They have really made a difference in being able to take care of my patients and communicating with RT staff
After graduating and getting a job, I still watch Respiratory Coach! Please keep doing what you are doing. You've helped/continue helping our RCP community. THANK YOU SO MUCH! I always recommend for any future RCP :)
We can also aid oxygenation by increasing the FiO2, right? Instead of increasing EPAP? What conditions do you think we need to choose increasing FiO2 instead EPAP for oxygenation and vice versa(increasing EPAP instead of FiO2)? Thank you for your brilliant videos. As a junior resident in the Covid wards in India, your videos have helped me cater and serve numerous patients during this pandemic and I owe a debt of gratitude to you.
In my opinion, adjusting the Fio2 depends on the patient's case. Say the patient's Case is COPD, would you give high 02? Given that copd patients are hypoxic drive breathers. Another example is, what if you have already maximumly increased the fio2 and still there is a problem in the patient's oxygenation, i think this where epap comes into place. I hope this helps. Thank you.🙂
If you increase peep/cpap first and you see improvement maybe the increasing fio2 dont affect. If you cannot improve by applying cpap you can start increasing fio2 as we know the when raising fio2 , partial Alveolar of o2 will increase leading to increase with partial pressure of arterial oxegin o2
I passed my board exams 8 months ago and I still come back to watch your videos as a nice refresher. You honestly explain things much more efficiently than most of my old RT instructors. Thank you for uploading these videos for us and I appreciate everything you do!
This has nothing to do with your video. But I just passed my tmc and sims and I want to thank you! I know you’re not aware of how much you help us as students but so many of your videos over the past two years helped me make sense of the ever evolving career and complexities of the field. So thank you for all that you do!
God bless you!!!! I learnt more from this video than from other ones on line ( respectfully speaking). I'm so happy you made me understand those concepts !!! Now I watch other your videos!!!!! Thaaaaaaaanks!!!!! God bless you and your loved ones!!!!! Happy Xmas and a Happy New Year from Italy!!!! 👋👋👋👋👏👏👏👏👏👍👍👍👍👌👌👌👌👌Very well done !!! Excellent!!!! Go on like that!!!! And THANK YOU !!!!
I want know about most suitable type of NIV mode and settings for this patient.. ABG - PH -7.47 CO2 - 72 O2 - 31 HCO3 - 53 BiPAP - 12/6 is enough or not
As a Registered Nurse, this video was extremely helpful in explaining NIV and caring for my patients in the CCU. It will also help me understand and collaborate better with RTs and Providers. Thank you for great explanation in settings and mechanisms of action of both.
Hey Joe thanks for the video. I appreciate all your videos. They are so good I learn so much from your videos. Can you do a video on Avaps mode and how to set the minimum and maximum pressures along with epap settings.
How do you test for PH and CO2? My neurologist says CPAP is causing vertigo but my sleep doctor says nothing is wrong. My TcCO2 raised from 30-45 in the first 4 hours of the sleep study and then i woke up dizzy. The more i use it, the dizzier i am.
4 years in nursing school (Respiratory is my most hated topic) & almost 7 years working as one. Only every needed to understand NIV & Other types of ventilation since Covid because I work in the ED. Your explanation really blew my mind. Didn't know it was this easy, & now I understand I didn't need to hate the topic, I just needed it to be explained properly. I love your videos!
Awesome, Anna. I'm glad it helped you as a nurse. Stay tuned...I'll hopefully change your hate towards respiratory concepts! Appreciate the watch and comment!
It helps a lot. Just subscribed. I’m a PCU RN trying to understand those machines. Thanks a lot. Very helpful and easy to digest videos. U r awesome!!!!
Referring to the last two examples, when would it be appropriate to adjust the FiO2 to increase the oxygenation? I understand the adjustments made to improve ventilation/CO2 removal but just curious.
I still love watching these videos as a licensed RT, I return back to them often to solidify my respiratory foundation! Happy Friday all! Thank you for all the content as always Coach!
Started my vent class today and felt so discouraged as did the rest of my class I came home read my book and cried cause I felt like the last 9 months of studying didn’t play into this term and this video just brought my excitement back thank you for all you do coach !!
I did not find this video helpful.... I found it to be EXCEPTIONALLY HELPFUL !!! I literally saw 5 different videos about the difference between CPAP and BiPAP and I still could not understand it. YOU EXPLAINED IT PERFECTLY!!! I literally sent your video to all of my nursing school cohort. AMAZING! Thank you!
I know it might be too much to ask, but do you think it would be possible to make a video about invasive mechanical ventilation for us Non-RT- mortals? 🙂🙂🙂🙂 that would be amazing ans super helpful.
Hi Joe I had a interview today and one of the questions asked for bipap was what rate I would set for the given blood gas Ph was 7.28 PaCO2 68 Initial bipap was 14/5 I answered I would go up on pressure support I was told to go up on rate also from 12 to 16 Is that true ?
Had a different question, when you putting a patient on bipap or cpap and you increasing say the IPAP to 20 or cpap support to say 15 or 20, would you be putting and NG tube with the patient? To prevent the stomach from insufflating?
what is approach from some of worst possible setting in NIV to reaching to lowest dependency on NIV...essentially how would the weaning off numbers look like.
This will vary with each patient. Weaning of NIV settings are based on patient presentation, work of breathing, tidal volume, respiratory rate, and ABG values. Assessing each of these in conjunction with each other will indicate the need to either reduce or augment NIV support.
Dear sir.! I am very thankful to you. I am working in a covid-19 unit, through your videos i done a lot for my patient to give them comfort. Again thanx a lot.
I’m an RN that’s new to PACU. We are going to be using BiPAP and CPAP. This video was sooooo helpful in learning. You explain things so well, and in a way that makes it easy to understand. Thank you!
Very well could be. High flow is definitely replacing traditional CPAP for oxygenation needs in various situations. Thanks for adding that to the conversation.
I’m a nurse and i was just scrolling for the difference between bipap and cpap. Then i stumbled on your videos and it gives me an understanding of how these NIV works. Thank you for all you do sir. Kudos 🙌🏻
I love this video. I was stressing over this and u say all u do is bring a little bit of content but you’ve also brought me peace of mind & some joy too!!!! Thanks a trillion!! Please keep this up for us bec you’re helping more of us student than u even know 🙌🏼🤛🏼😀
I am learning so much from every single video you post 👍🏻👍🏻thank you 🙏 I wanted to ask you if it is possible to do a video about Pressure support/ Extubation : when to know by only looking at the ventilator with PS that the patient is able to breath adequately and kann be extubated without going to spontaneous mode. Thanks a lot 🙏
I revisited this video when I was preparing a presentation to our ICU nursing staff. One of my students had a question. While the patient is receiving BiPAP and the pressure support has corrected their ventilation issue. And then the patient develops an oxygenation problem, could you just raise their FiO2 first (from 50% to 60%) to see if that helps before raising the IPAP to 20 cmH2O. "That seems nearing a high pressure that you may cause damage to their lungs".
So you adjusted EPAP for Oxygenation but what about FiO2 adjustments for Oxygenation? When do we choose between FiO2 adjustments and EPAP adjustments for Oxygenation problem?
When would you address the fi02 over pressure support? Had a nurse just bump fi02 when our hypercapenic patient was 86 percent. Told her she was wrong to do that but this facility doesnt have rt on site and i only had very basic understanding of bipap so could not tell her fully how harmful that could be in hypercapnia
@@RespiratoryCoach so in my specific case do we adjust the settings with 02 if increased demand? He was 10/5 30%fi02 and she bumped him up to 40%. If he desating do we just get a stat abg to see? Cant remever what his 02 was on his abg but i think wnl. Its very rural hospital we have a rt on an ipad that we can consult. Its just a sketchy deal all around
thank you so much for you video. but how do we adjust the oxygen concentration accordingly? as now we know how to adjust IPAP and EPAP based on ABG results. would be really appreciated if you can explain about how to adjust oxygen concentration mixed with IPAP and EPAP. thank you so much
Your explanation is very clear and best of all. You remind me of one my professors in school. He used to say the same thing. Don't be an average RT, be the greatest RT. You are truly helping all RTs as well as all health providers. I really appreciate your amazing coaching 🙏.
What if the patient on Face Mask @6LPM is still conscious and coherent but a little bit aggitated.. upon ABG: Ph 7.39 Co2 55 PO2 110 What would be the approach? Should be placed on Non Imvasive CPAP? BiPaP? HighFlow or Venturi Mask?
I loved this video. It was clear, concise and applied the concepts taught in likely scenarios! These videos should be compulsory for medical professionals!!! Thank you so much!
I have a question. I have a patient in our ICU whose ABG shows pH of 7.518, pCO2 5 (normal 4.3-6.30) , pO2 7.84 ( n: 11-14.4), HCO3 high (30), and high lactate (4.4). I'm confused. Can you help please ?
Thank you so much, I have been a hard time understanding how IPAP and EPAP work, you don't have any idea how money RT receptors go over this topic with me, and you make it super easy and very informative. THANK YOU SO SO MUCH!
I have been on Bi Level for over six years, I appreciate your classroom on this. One thing I will note however is that using a Pressure of 20 on I PAP is almost impossible because (at least in my case) that pressure is so great that my full mask will not keep a seal, and the headgear wears prematurely. That is my actual real life experience. We are now working with much lower pressures to achieve the same results. Not fine tunes yet currently 15 IPAP/10EPAP. Pressure support is 5. My mask now seals better and the machine does not overheat trying to overcome the mask leaks
Good video, but I have a couple of small quibbles with it. Bipap is a juggling act (as you said) between Ipap and Epap---but also Oxygen and I time. I can't tell you how many times I've seen RT's put a COPD pt on an I time of 1.0, when they need an I Time of 0.8 and then they add to the problem with an Fi02 of 100%. They wind up out of sync with the machine, with an increasing V/Q mismatch from the Fi02 and it makes their breathing harder. So, your patients underlying condition is what really drives the settings. I time is important as well because the shorter the I time, the smaller the VT is going to be and I time wasn't mentioned. And it might surprise you, but I rarely draw ABG's on Bipap/Cpap pts. I just go by the 02 Sat monitor, respiratory rate and tidal volume.
Hi Joe, I have a question about FIO2 in BiPAP. So if patient has O2 problem, besides adjusting the IPAP and EPAP, do I need to increase the FiO2 too? Thanks.
Excellent and very clear explanation so that even a common man like me can understand much easier on Ipap, Epap, CPAP, PS and their relationships. Thanks
A question. Is pressure support still measured from EPAP to IPAP if the machine delivers a brief drop to EPAP then a slow rise to an EEPAP before then triggering from there to IPAP?
I am studying for my TMC and your videos have helped me tremendously! So easy the way you break everything down. I've never felt more prepared! Thank you for taking time out of your day to make these videos
My school should pay u 50% of our tuition because u doing there job, thank u so much
Lol....you're so welcome. Thank you for watching, and kindly commenting!
Im an ansesthesiologist and critical care physician..the examples/scenarios you provided at the end are extremely helpful and cleared some of the confusions i have since years.. thanks a lot
I'm a medical resident rotating through the ICU. I want to tell you I'm eternally grateful for your videos. They have really made a difference in being able to take care of my patients and communicating with RT staff
How to adjust fio2 ,RR and taperoff bipap please make a lecture on it .Thanks ,it's very helpful Sir.
After graduating and getting a job, I still watch Respiratory Coach! Please keep doing what you are doing. You've helped/continue helping our RCP community. THANK YOU SO MUCH! I always recommend for any future RCP :)
We can also aid oxygenation by increasing the FiO2, right? Instead of increasing EPAP? What conditions do you think we need to choose increasing FiO2 instead EPAP for oxygenation and vice versa(increasing EPAP instead of FiO2)?
Thank you for your brilliant videos. As a junior resident in the Covid wards in India, your videos have helped me cater and serve numerous patients during this pandemic and I owe a debt of gratitude to you.
That is something I've been wondering also. By far been adjusting FiO2 randomly..
yes waiting on the answer to this also
Waiting for answer
In my opinion, adjusting the Fio2 depends on the patient's case. Say the patient's Case is COPD, would you give high 02? Given that copd patients are hypoxic drive breathers. Another example is, what if you have already maximumly increased the fio2 and still there is a problem in the patient's oxygenation, i think this where epap comes into place. I hope this helps. Thank you.🙂
If you increase peep/cpap first and you see improvement maybe the increasing fio2 dont affect.
If you cannot improve by applying cpap you can start increasing fio2 as we know the when raising fio2 , partial Alveolar of o2 will increase leading to increase with partial pressure of arterial oxegin o2
I passed my board exams 8 months ago and I still come back to watch your videos as a nice refresher. You honestly explain things much more efficiently than most of my old RT instructors. Thank you for uploading these videos for us and I appreciate everything you do!
This has nothing to do with your video. But I just passed my tmc and sims and I want to thank you! I know you’re not aware of how much you help us as students but so many of your videos over the past two years helped me make sense of the ever evolving career and complexities of the field. So thank you for all that you do!
Can you please do a part 2 video of bipap/Cpap changes based on abgs? The more scenarios you do the better! They help so much. Thanks for all you do.
Great, your video is insightful and ur lecture has impacted on my view to answering questions on cpap and bipap. Thank u
I don’t know you but congratulations!!! Am sure those were hard. Be proud of yourself !
Ppppppppppppppppppppppppppppppppp
Ppppppppppppppppppppppppppppp
Sir,How if patient on bipap with respiratory alkalosis and hypoxaemia?
God bless you!!!! I learnt more from this video than from other ones on line ( respectfully speaking). I'm so happy you made me understand those concepts !!! Now I watch other your videos!!!!! Thaaaaaaaanks!!!!! God bless you and your loved ones!!!!! Happy Xmas and a Happy New Year from Italy!!!! 👋👋👋👋👏👏👏👏👏👍👍👍👍👌👌👌👌👌Very well done !!! Excellent!!!! Go on like that!!!! And THANK YOU !!!!
I want know about most suitable type of NIV mode and settings for this patient..
ABG - PH -7.47
CO2 - 72
O2 - 31
HCO3 - 53
BiPAP - 12/6 is enough or not
As a Registered Nurse, this video was extremely helpful in explaining NIV and caring for my patients in the CCU.
It will also help me understand and collaborate better with RTs and Providers. Thank you for great explanation in settings and mechanisms of action of both.
What can be the maximum difference between iPap and epap which is safe ?
As a respiratory patient I find this fascinating
YOUR EXPLAINATION IS SUPERB.THNAK YOU SO MUCH.
Hey Joe thanks for the video. I appreciate all your videos. They are so good I learn so much from your videos. Can you do a video on Avaps mode and how to set the minimum and maximum pressures along with epap settings.
I have a question
Now why we need CPAP when we have BIPAP? I mean BIPAP is for oxygenation and ventilation so we don’t need CPAP
How do you test for PH and CO2? My neurologist says CPAP is causing vertigo but my sleep doctor says nothing is wrong. My TcCO2 raised from 30-45 in the first 4 hours of the sleep study and then i woke up dizzy. The more i use it, the dizzier i am.
It was very useful. Thank you so much 🙏🏻🙏🏻🙏🏻🌺🌺
4 years in nursing school (Respiratory is my most hated topic) & almost 7 years working as one. Only every needed to understand NIV & Other types of ventilation since Covid because I work in the ED. Your explanation really blew my mind. Didn't know it was this easy, & now I understand I didn't need to hate the topic, I just needed it to be explained properly. I love your videos!
Awesome, Anna. I'm glad it helped you as a nurse. Stay tuned...I'll hopefully change your hate towards respiratory concepts! Appreciate the watch and comment!
I’m an RN in the ICU and you don’t know how much we need all this good info. Thank you for your videos!!!
You are so welcome! Thank you for watching and commenting!!
Really thank you for your clear explanation I get benif from it.
Thank you RT coach for everything you’ve done. I wish you were my teacher in college. You help me a lot . Many thanks to you ❤️❤️
It helps a lot. Just subscribed. I’m a PCU RN trying to understand those machines. Thanks a lot. Very helpful and easy to digest videos. U r awesome!!!!
Referring to the last two examples, when would it be appropriate to adjust the FiO2 to increase the oxygenation? I understand the adjustments made to improve ventilation/CO2 removal but just curious.
Same question
I still love watching these videos as a licensed RT, I return back to them often to solidify my respiratory foundation! Happy Friday all! Thank you for all the content as always Coach!
This video helped a lot for the better understanding of NIV settings
So good! I've always struggled with ipap/epap. Thank you!!!
Started my vent class today and felt so discouraged as did the rest of my class I came home read my book and cried cause I felt like the last 9 months of studying didn’t play into this term and this video just brought my excitement back thank you for all you do coach !!
👋🏾 I’m here! Ready for class😁
I have you marked present! Thanks for being here!
@@RespiratoryCoach 🙌🏾😁
I did not find this video helpful.... I found it to be EXCEPTIONALLY HELPFUL !!! I literally saw 5 different videos about the difference between CPAP and BiPAP and I still could not understand it. YOU EXPLAINED IT PERFECTLY!!! I literally sent your video to all of my nursing school cohort. AMAZING! Thank you!
Thanks for the kind feedback and for watching!
I know it might be too much to ask, but do you think it would be possible to make a video about invasive mechanical ventilation for us Non-RT- mortals? 🙂🙂🙂🙂 that would be amazing ans super helpful.
Thankyou for clearing concepts 🎉🎉
I learn from your channel a lot. Thank you. Can you pls make a video to share experience in ventilator for covid 19 patients. Thank you.
Hi Joe I had a interview today and one of the questions asked for bipap was what rate I would set for the given blood gas
Ph was 7.28
PaCO2 68
Initial bipap was 14/5
I answered I would go up on pressure support
I was told to go up on rate also from 12 to 16
Is that true ?
It depends on what the total rate is. The set rate during S/T NIV is only a backup rate.
excellent explanation.thanku for a lovely lecture.
Thank uh Soo much for this vedio uh helpes us a lot to solve problems regarding CPAP nd bipap.
Thank you so much for watching and kindly commenting! I appreciate you.
Had a different question, when you putting a patient on bipap or cpap and you increasing say the IPAP to 20 or cpap support to say 15 or 20, would you be putting and NG tube with the patient? To prevent the stomach from insufflating?
Yes, I have seen this especially with the higher pressures that you mentioned.
@@RespiratoryCoach thanks alot
unfortunately this also increases mask leak but it can be done
what is approach from some of worst possible setting in NIV to reaching to lowest dependency on NIV...essentially how would the weaning off numbers look like.
This will vary with each patient. Weaning of NIV settings are based on patient presentation, work of breathing, tidal volume, respiratory rate, and ABG values. Assessing each of these in conjunction with each other will indicate the need to either reduce or augment NIV support.
Great explanation !! as always. Write a book with your way of thinking !
Very nicely done! Thank you so much!!!!
Dear sir.! I am very thankful to you. I am working in a covid-19 unit, through your videos i done a lot for my patient to give them comfort. Again thanx a lot.
Great.
As a nurse, thanks for explaining that very simply.
@@yacque717 Thanks for watching! Love seeing my nursing friends in the comments.
Explained by a way much like a magic ❤
As a retired medical lab scientist who has been on cpap and bipap for 15 years that is the best explanation I've ever heard.
I got it. Thanks for the explanation
Aamzing way of expression...
I’m an RN that’s new to PACU. We are going to be using BiPAP and CPAP. This video was sooooo helpful in learning. You explain things so well, and in a way that makes it easy to understand. Thank you!
Damn. That was a best explanation. Good job
Question please, where does the carbon dioxide go at respiration? There is only 1 tube, please advise .
Great question. There is an exhalation valve at or near the mask.
You are god sent! Thanks a bunch!
Thank you ,really appreciate 😊
Bro. You're a god. Thank you so much.
So when do you adjust FIO2 as opposed to EPAP if it's an oxygenation issue?
Wanted to ask the same thing.
Great job clearing that up!
Wouldn’t High flow be a better option than CPAP in this situation?
Very well could be. High flow is definitely replacing traditional CPAP for oxygenation needs in various situations. Thanks for adding that to the conversation.
Kudos man! You deserve a subscribe and a like! Thank you for your videos!
You're the best!! Thanks for the sub!
I’m a nurse and i was just scrolling for the difference between bipap and cpap. Then i stumbled on your videos and it gives me an understanding of how these NIV works. Thank you for all you do sir. Kudos 🙌🏻
RN here. Just found you and subscribed. There is a flicker now! Thank you !!!
How did you guys study I’m so nervous
Which mode of ventilation (in a controlled mode) in an NIV pts helpful for washing out co2?
I love this video. I was stressing over this and u say all u do is bring a little bit of content but you’ve also brought me peace of mind & some joy too!!!! Thanks a trillion!! Please keep this up for us bec you’re helping more of us student than u even know 🙌🏼🤛🏼😀
I am learning so much from every single video you post 👍🏻👍🏻thank you 🙏 I wanted to ask you if it is possible to do a video about Pressure support/ Extubation : when to know by only looking at the ventilator with PS that the patient is able to breath adequately and kann be extubated without going to spontaneous mode. Thanks a lot 🙏
He already has a video about weaning off O2 and it refers to extubating
I revisited this video when I was preparing a presentation to our ICU nursing staff. One of my students had a question. While the patient is receiving BiPAP and the pressure support has corrected their ventilation issue. And then the patient develops an oxygenation problem, could you just raise their FiO2 first (from 50% to 60%) to see if that helps before raising the IPAP to 20 cmH2O. "That seems nearing a high pressure that you may cause damage to their lungs".
So helpful! Thanks!
Sir..If we increase Fio2 instead of increasing EPAP to maintain oxygenation,then is that be correct?
Yes, but remember, in the presence of a shunt increasing fio2 is not as effective in correcting the hypoxemia than increasing peep or epap.
So you adjusted EPAP for Oxygenation but what about FiO2 adjustments for Oxygenation? When do we choose between FiO2 adjustments and EPAP adjustments for Oxygenation problem?
Always great videos! 👏🏼👏🏼👏🏼🔝🔝🔝
Thank you, Elisabete! I appreciate you watching and kindly commenting!
When would you address the fi02 over pressure support? Had a nurse just bump fi02 when our hypercapenic patient was 86 percent. Told her she was wrong to do that but this facility doesnt have rt on site and i only had very basic understanding of bipap so could not tell her fully how harmful that could be in hypercapnia
I'm only thinking FiO2 when I have a an oxygenation concern. Pressure support when I see ventilation or work of breathing concerns.
@@RespiratoryCoach so in my specific case do we adjust the settings with 02 if increased demand? He was 10/5 30%fi02 and she bumped him up to 40%. If he desating do we just get a stat abg to see? Cant remever what his 02 was on his abg but i think wnl. Its very rural hospital we have a rt on an ipad that we can consult. Its just a sketchy deal all around
Can you go over ETCO2 and PaCO2 correlations and are they the same measurement
I sure can! Actually already have a 3 part series over etco2. Here's the first part.
ua-cam.com/video/LreY-2HXPdY/v-deo.html
Thanks. Going to watch today
thank you so much for you video. but how do we adjust the oxygen concentration accordingly? as now we know how to adjust IPAP and EPAP based on ABG results. would be really appreciated if you can explain about how to adjust oxygen concentration mixed with IPAP and EPAP. thank you so much
If a patient is on BIPAP he is in better or worse situation than if he is on CPAP?
Your explanation is very clear and best of all.
You remind me of one my professors in school. He used to say the same thing. Don't be an average RT, be the greatest RT. You are truly helping all RTs as well as all health providers.
I really appreciate your amazing coaching 🙏.
I truly love your videos, please do a video about high flow.
Hi Brenda! Here ya go! ua-cam.com/video/_x0vQsM5eMk/v-deo.html
Grateful Boss, help to clear my confusion.
Nice! Glad it helped. Thanks for watching my friend!
So good explanation, reminds me of a professor level of knowledge I get in college. so we’ll explained. God bless🙏
Thanks a lot!
What if the patient on Face Mask @6LPM
is still conscious and coherent but a little bit aggitated..
upon ABG:
Ph 7.39
Co2 55
PO2 110
What would be the approach?
Should be placed on Non Imvasive CPAP? BiPaP?
HighFlow or Venturi Mask?
I loved this video. It was clear, concise and applied the concepts taught in likely scenarios! These videos should be compulsory for medical professionals!!! Thank you so much!
Thank you for watching and kindly commenting!!
I have a question. I have a patient in our ICU whose ABG shows pH of 7.518, pCO2 5 (normal 4.3-6.30) , pO2 7.84 ( n: 11-14.4), HCO3 high (30), and high lactate (4.4). I'm confused. Can you help please ?
Thank you so much, I have been a hard time understanding how IPAP and EPAP work, you don't have any idea how money RT receptors go over this topic with me, and you make it super easy and very informative. THANK YOU SO SO MUCH!
Hi Respiratory Coach, At what point do you increase your FiO2 to improve oxygenation rather than EPAP/CPAP? Thanks in advance!
What would happen if the iPad epap ratio is set such that you get a negative PRESSURE SUPPORT VALUELETS SAY IPAP =10 EPAP 20
I like your board from where you get it ..I want to buy one
Vibe.us
I have been on Bi Level for over six years, I appreciate your classroom on this. One thing I will note however is that using a Pressure of 20 on I PAP is almost impossible because (at least in my case) that pressure is so great that my full mask will not keep a seal, and the headgear wears prematurely. That is my actual real life experience. We are now working with much lower pressures to achieve the same results. Not fine tunes yet currently 15 IPAP/10EPAP. Pressure support is 5. My mask now seals better and the machine does not overheat trying to overcome the mask leaks
Good video, but I have a couple of small quibbles with it. Bipap is a juggling act (as you said) between Ipap and Epap---but also Oxygen and I time. I can't tell you how many times I've seen RT's put a COPD pt on an I time of 1.0, when they need an I Time of 0.8 and then they add to the problem with an Fi02 of 100%. They wind up out of sync with the machine, with an increasing V/Q mismatch from the Fi02 and it makes their breathing harder. So, your patients underlying condition is what really drives the settings. I time is important as well because the shorter the I time, the smaller the VT is going to be and I time wasn't mentioned. And it might surprise you, but I rarely draw ABG's on Bipap/Cpap pts. I just go by the 02 Sat monitor, respiratory rate and tidal volume.
Hi...what would your Niv seetings for last Scenario...if your Po2 normal.?
Hi Joe, I have a question about FIO2 in BiPAP. So if patient has O2 problem, besides adjusting the IPAP and EPAP, do I need to increase the FiO2 too? Thanks.
What should be the temperature of the inhaled humidified gas of a ventilated newborn - with CPAP and IMV? Thank you for your response.
Nice explanation
Great content mate
i had very difficulty in that topics but very very thanks to you sir. May you have many more Ameen.
May Allah bless you with great favors.
thank you!!!! thank you!!!! It makes sense! you have no idea how helpful this video (and many others) have helped me. thank you again
I’d like to see a review on the vent with covid pna. Seems these people are flow hungry when not set correctly.
Nice upgrade from the white board !!! Thank you for this video
Excellent and very clear explanation so that even a common man like me can understand much easier on Ipap, Epap, CPAP, PS and their relationships. Thanks
On Bipap 10/5 50% 7.29 58 52 24 example from last part of the video sir, what are the scenario that we gonna increase 50 fio2. thanks
A question. Is pressure support still measured from EPAP to IPAP if the machine delivers a brief drop to EPAP then a slow rise to an EEPAP before then triggering from there to IPAP?
I am studying for my TMC and your videos have helped me tremendously! So easy the way you break everything down. I've never felt more prepared! Thank you for taking time out of your day to make these videos
Go kill it, Jahia! Be sure to let me know how you do!
Thanks for breaking bipap & cpap down.
Thanks for watching and commenting!
Can you explain settings of NIV for metabolic problems. And NIV ST mode.