Hypoxia Shunts and Ventilation Perfusion Mismatch

Discussion of 6 possible causes of hypoxemia, including hypoventilation, diffusion impairments, anatomic shunts, and ventilation-perfusion mismatch.

Пікірлер: 50

  • @Martina260
    @Martina26011 жыл бұрын

    I am so glad to find this site. After I graduated from respiratory I am RRT now, I wish I used this tutorial instead of listening to my teachers and therapists in clinicals. I t is all about the approach... THANK YOU

  • @Museangel87
    @Museangel8711 жыл бұрын

    Thank you so much. This video helped me reinforce the hypoxia information I have learned in my pathophysiology course. As a nursing student, I am a visual learner and I am looking forward to watching your other videos. Thank you!

  • @jasonrolfe4009
    @jasonrolfe40099 жыл бұрын

    You said the FiO2 decreases at altitude, which is incorrect. Possibly what you meant was the partial pressure of oxygen decrease with a decrease in atmospheric pressure. Such as the barometric pressure at sea level is 760mmHg with an FiO2 of 21%, however at the top of Mt. Everest the barometric pressure is about 253mmHg with an FiO2 of 21%. Therefore, you PaO2 would go down because the inspired oxygen pressure goes down not the inspired fraction. That being said, I do like the videos, keep up the good work.

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks for your feedback. We will ask Dr. Wolf and see what he says!

  • @lithops7370
    @lithops73709 жыл бұрын

    I love all the videos I have watched thus far! You are amazing at being and educator. Your nurse practitioners are very lucky to have you. Thank you for making your videos accessible to everybody!

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks so much for the support!

  • @cooldesi30
    @cooldesi3011 жыл бұрын

    Andrew, I am a M2 at a med school in NY. Your video was very helpful and really made things simple. Thanks and please keep up the great work.

  • @Ldemmers
    @Ldemmers11 жыл бұрын

    Amazing!! My Critical Care instructor should use your videos!!

  • @marcoramos2377
    @marcoramos23778 жыл бұрын

    only had to draw it up once with your lecture and its completely brain downloaded! thanks dude!

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks Marco!

  • @madmacabre
    @madmacabre11 жыл бұрын

    going to replay these videos while Im sleeping in hopes the information will soak into my brain! RT student

  • @hylgh
    @hylgh10 жыл бұрын

    These are great! Thanks Andrew!

  • @Spartanchic313
    @Spartanchic31311 жыл бұрын

    AWESOME! please keep them coming...on m way to check out your other videos. love the different color notes by the way...helps to organize info!

  • @annmariemorgan8518
    @annmariemorgan8518 Жыл бұрын

    This is a very good video, regarding Hypoxia. Unfortunately, in my case I think all the above reasons that he explained that cause Hypoxia, I have experienced symptoms of them all

  • @JohnMaicoPiezasSimm
    @JohnMaicoPiezasSimm10 жыл бұрын

    this is so informative. I LOVE IT

  • @hylgh
    @hylgh10 жыл бұрын

    I wish more people did that in comments instead of just commenting silly stuff with nothing to back it up though!

  • @raineywed6896
    @raineywed689611 жыл бұрын

    This was very helpful in explaining V/Q mismatch. Thanks

  • @Natsac21
    @Natsac2111 жыл бұрын

    Keep up the good work!

  • @cynthiahickson9594
    @cynthiahickson95948 жыл бұрын

    Excellent..loved the simplicity.

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks Cynthia for the kind words! Glad you enjoyed it!

  • @SABERKhann
    @SABERKhann12 жыл бұрын

    You chose a good topic that often cause confusion especially in board but i found it bit bookish worded rather then made it Easy for Students.Stil thumbs up & make'em short as attention span in dry topics is limited. under 10 min is fair

  • @yasmeenkayy6242
    @yasmeenkayy62429 жыл бұрын

    Thank you this was sooo much easier to understand :)

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks Yasmeen! Glad it was helpful!

  • @aselanissanka3355
    @aselanissanka335512 жыл бұрын

    thanks a lot.

  • @jatheon4316
    @jatheon431610 жыл бұрын

    The phrase he used was "the amount of oxygen in the air is much lower", which is true. The percentage of O2 in a given breath remains the same, but the amount is reduced - because of decreased air density. Side note: This decreased molecular density at altitude also reduces lift in airplanes - making it harder for them to stay airborne. Happy studying!

  • @xavisas2041
    @xavisas204111 жыл бұрын

    amazing

  • @hamzaatassi1185
    @hamzaatassi118510 жыл бұрын

    Mr Andrew, How can asthma cause V/Q mismatch ? According to what I know, asthma causes low ventilation. but the O2 that gets into the alveoli is perfused. Is that correct ?

  • @jihadmsr
    @jihadmsr11 жыл бұрын

    A 70s man Dx with lung fibrosis is exercising at 1.500ft altitude from sea level. He suffers from hypoxia. What is the most likely cause of his hypoxia? A) Decreased pulmonary diffusion B) V/Q mismatch C) Left-to-right shunt D) Right-to-left shunt I chose A ... is this right?

  • @stefanosdedalos
    @stefanosdedalos10 жыл бұрын

    Dear Mr. Wolf, I'm a sport science student from Italy. I found your video very useful for preparing my physiology exam and very clear. I have a question: you said that in altitude FiO2 decreases from the 21% at the sea level (point 1). I've studied that in altitude the pressure of the entire air decreases, but the fraction of each gas remains the same. Am I wrong? Thank you.

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thank you for the feedback! Glad you found it helpful!

  • @krmarine
    @krmarine10 жыл бұрын

    You said that another name for physiologic shunt is VQ mismatch. I though these were different because with a shunt, 100% O2 does not improve the SaO2, but with a VQ mismatch the SaO2 does improve with 100% O2. This is really confusing me. Please help me.

  • @paulhill6233
    @paulhill623311 жыл бұрын

    What about arteriosclerosis, smoking (CO binds heamoglobin irreversibly), noradrenalin in high concentrations constricts both arteries AND veins, beta blockers lower blood pressure to reduce risk of stroke but reduce oxygen perfusion. CO2 detectors on blood vessels signal the heart to increase output in response to arteriosclerosis thus restoring normal perfusion.

  • @Weeefh13
    @Weeefh1311 жыл бұрын

    ASD and VSD cause the blood to move from left side of the heart to right side of the heart due to high pressure on left side.they can cause the blood to move from right to left but it takes time.(eisenmegner syndrome)

  • @arthurjoseph5666
    @arthurjoseph566610 жыл бұрын

    According to a different video I watched, and I'm not sure which is correct, the FiO2 is relatively constant when going up into high altitude but the total air pressure is lower giving you a decreased amount of O2. Is that correct or no?

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks for the question. We will ask Dr. Wolf and see what he says!

  • @carledin9097
    @carledin90979 жыл бұрын

    Thanks for the explanation! One thought popped into my head, though. Should the V/Q-mismatch really be considered to be a cause of hypoxia, in itself? Isn't it just a combination of other causes, such as thickening of the membrane or decreased blood flow?

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks for the question. We will ask Dr. Wolf and see what he says!

  • @fatboy117
    @fatboy1178 жыл бұрын

    Hi Dr. Wolf. I really like this videos, it's well explained. But just wondering which of the examples is a more of a Shunt vs Dead Space? Is V/Q mismatches a Dead space ? why? I know the ASD example is a obvious Shunt. but can an Embolism be a shunt as well? Since there is no perfusion .. My boards is coming up this month really need to know the difference.. They all look like shunts to me. =). thanks

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks for the question. We've passed it along to the Health Ed Solutions medical review board.

  • @melissaresendes2101
    @melissaresendes21014 жыл бұрын

    Where would a Pulmonary Embolism fit into this?

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks for the question Melissa. We will ask Dr. Wolf and see what he says!

  • @megangeorge2590
    @megangeorge25909 жыл бұрын

    Andrew, What happends in a hemopneumothorax?

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks for the question. We will ask Dr. Wolf and see what he says!

  • @silvaanimelover8924
    @silvaanimelover8924 Жыл бұрын

    can i have someone who can answer my questions?

  • @paulhill6233
    @paulhill623311 жыл бұрын

    Didn't mention the most common cause of localized hypoxia, vasocontriction of blood vessels to GI tack, and associated organs, plus kidneys with persistent 'fight or flight' stress. Adrenalin>PGF2>vasoconstriction>hypoxia>activation of HIF's>CANCER.

  • @jojochannel2557
    @jojochannel25576 жыл бұрын

    By which mechanism does pneumonia cause hypoxia ?

  • @HealthEdSolutions

    @HealthEdSolutions

    3 жыл бұрын

    Thanks for the question Jojo. We will ask Dr. Wolf and see what he says!

  • @raquelborn
    @raquelborn11 жыл бұрын

    2:09 is wrong. % of Oxygen doesn't decrease at higher altitudes, the barometric pressure does. "the percentage of oxygen in inspired air is constant at different altitudes, the fall in atmospheric pressure at higher altitude decreases the partial pressure of inspired oxygen and hence the driving pressure for gas exchange in the lungs." (Peacock, 1998, BMJ, "Oxygen at high altitude").

  • @SrmthfgRockLee
    @SrmthfgRockLee11 жыл бұрын

    stargate atlantis mckay hypoxia... rofled my ass off there

  • @jasszymiin
    @jasszymiin11 жыл бұрын

    Aren't you speaking of HYPOXEMIA**