This vital sign needs to be taught in nursing school. Wasn't even briefly mentioned in my program.

Awesome breakdown! I like the start of the series and to begin things off with some physiology to get everyone talking the same language to build up for future lessons. Can't wait to hear the rest. ETCo2 is a great tool and important for people to understand.

@RespiratoryCoach

4 жыл бұрын

Thanks, Eddie. Always appreciate your input.

Paramedic here. This was Excellent

@RespiratoryCoach

4 жыл бұрын

Hey, Christopher. All disciplines are welcome here, so welcome to the channel. Thanks for watching and commenting, my fellow provider!

You are such a blessing. Thank you!!! I Love your passion. I was never instructed in this much depth and detail in school. I have been a therapist for 10 yrs and because of you, I can now be the therapist I always wanted to be. We need more of you!!!! Blessings

@RespiratoryCoach

3 жыл бұрын

Wow, thank you! I appreciate your kind words, Tonya. I think it's awesome that after 10 years, you are still perfecting your craft. A true testament to never stop learning!!

We are using it at the hospital where I work.

Before I found this ETCO2 videos I was about to ask you to make a video this subject. I watched all the videos and you covered all the areas that I needed. Thank you 🙏

@RespiratoryCoach

4 жыл бұрын

Awesome! Glad you found the series helpful. Thank you so much for watching and commenting 😊

Thank you sir! I really appreciate you and the lectures you post. Helps me a lot. I just started my ICU orientation and these videos help.

Former RT here... Let's just say "physician agrees". Great job!

Thank you sir, you’re a beast. I’m a new RRT and needed to brush up on some things. Much appreciated!

Don’t forget about us in paramedic school! This is a great tool for our mobile hospital

Thank you for these! Such a nice simple breakdown. I’m an ER nurse and these are so helpful for understand basic biological functions and why pts present to the ER the way they do!

Love the way you breakdown the concept 👌

@RespiratoryCoach

4 жыл бұрын

Thanks, Khalid. Always enjoy your comments and interaction with the channel.

Thanks for breaking everything down brother man ✊🏾, Therapist from the East coast

@RespiratoryCoach

4 жыл бұрын

Hey CAnderson! What part of the East Coast? And you're very welcome. Thank you for watching and commenting!

Love the video! Thank you for always sharing your knowledge

@RespiratoryCoach

4 жыл бұрын

Thanks, Jerrick! When do you graduate my man? I've really appreciated you watching and commenting!!!

Five months ago, You answered a question I had about ETCO@. And it meant a lot. We use Sidestream, and had problems with condensation. Believe me! Condensation getting into the module is not fun to get out. Now we're getting Mainstream ETCO2 for our Trilogy EVO ventilator. It's going to be a Capnostat Mainstream ETCO2 system, and from what I've been told, condensation effects these mainstream modules even worse than Sidestream, so I'm not sure what to expect. The Capnostat will plug into the USB port on the Trilogy EVO, via a USB adapter and It'll connect to the patient's trach tube. I'm not sure what to expect about condensation, or any of that. We're use to the sampling going from the airway, to the module, where there's a vacuum pump, and you feel a tiny bit of vibration from the pump. Now, we're going to have to learn what to expect with mainstream.

@RespiratoryCoach

2 жыл бұрын

Yes, Peter! You'll have to keep me updated on the move to mainstream monitoring. I'm curious to hear about the switch. Pros and cons to both!

All the love from Romania, coach

this video is GOLD

This is so helpful... THank you so much

@RespiratoryCoach

3 жыл бұрын

You're so welcome! Thank you for watching!!

may this great person live long , sir i have learned lot of things from your videos , thank you very much , iam from srilanka

@RespiratoryCoach

2 жыл бұрын

So nice of you! Thank you for the kind comment and for watching from Srilanka!

beautiful content

thank you sir..im from hyd...

Thank you

Good video.

Thank you so much it is clear and beautiful explanation

@RespiratoryCoach

4 жыл бұрын

You're very welcome, Mohamed. Thank you for watching and kindly commenting.

Excellent coach..:)

@RespiratoryCoach

3 жыл бұрын

Glad you liked it, Donna!!!

GOLD!

@RespiratoryCoach

2 жыл бұрын

Thanks for watching and kindly commenting!

amazing thank you sir 👍🏻

@RespiratoryCoach

3 жыл бұрын

Most welcome! Thank you for watching and commenting!

Great video, on your next video I think you should mention the normal value for End title CO2 which is 35 to 45, thank you Joe

@RespiratoryCoach

4 жыл бұрын

Thanks and yes, most definitely will. You're one step ahead of me!!!

Thank you. Test tomorrow includes ETCO2

@RespiratoryCoach

4 жыл бұрын

Perfect! Go kill it! Thanks for watching, Andrew.

Great video! Could you explain why hypoventilation increases ETco2? Or it increases ETco2/Vt ratio ?

Excellent Video. I'm not sure I understand why cardiac output decreasing decreases etco2. Wouldn't co2 build up in the blood and get higher?

Thank you for these videos. I don't understand why hyperventilation is a problem. Essentially, my understanding is the cells produce the CO2 as waste, then it goes through the process you draw above and the lungs exchange the CO2 for O2. You want to get rid off all (within reason) the CO2 in your body, why would your body care if the lungs are getting rid of the CO2 very quickly?

@RespiratoryCoach

10 ай бұрын

Because it creates an imbalance of pH causing an alkalosis, which causes vasoconstriction and a left shift of the oxyhemoglobin dissociation curve.

Can you discuss the hfov please?

Solid stuff! Do you think measuring etCO2 in aerobic athletes can be of value?

@RespiratoryCoach

3 жыл бұрын

Thanks, Rondel. Perhaps, but I have no first hand knowledge to speak of in that arena. Thanks for watching and following on my various platforms.

I have a question. We use a CO2 module, for a CMS 8000 patient monitor, but we're having issues with the patient's on humidity through the ventilator. What can we do to stop the humidification from getting in the sense line of the etco2 adapter, and then getting into that module? So that we can monitor CO2 continuously through the Endotracheal/Tracheostomy patient? We really need some assistance!

@RespiratoryCoach

2 жыл бұрын

Hey Peter. Can you send me a picture of the sampling line you are using? Respiratorycoach@gmail.com

RT for 7 months here. Just reviewing.

Would you mind please explain to me the effect of C02 on blood pressure? You mention that C02 causes vasodilation, which decreases your BP as well as your CO, but I thought that Hypercapnic patients with excessive C02 causes systemic vasodilation and not vasoconstriction, and it’s the opposite in the pulmonary circulation

@RespiratoryCoach

3 жыл бұрын

You said it correct. " but I thought that Hypercapnic patients with excessive C02 causes systemic vasodilation " That's true! And vice versa in pulmonary circulation.

I believe you got CO cardiac output confused with CO2

I have one doubt. When etCO2 increaes/decreases, how will you diagnose whether problem is in ventilation or metabolic or circulation ?

@RespiratoryCoach

4 жыл бұрын

Hello, Mohan. That's when your critical thinking RT mind goes to work. You have to figure it out. Use blood pressure to assess circulation. Use temperature to assess possible metabolic causes. Of course minute ventilation, or lung improvement or worsening to assess ventilation. If your minute ventilation is fixed and not changing, yet etco2 is, then it must be cardiac, metabolic, or a change in lung function. If that same patient is afebrile, yet hypotensive, then it's probably perfusion related. If that same patient is normotensive, yet spikes a fever, then it's probably metabolic. If that same patient is normotensive and afebrile, then it's most likely a change in lung function. Does that make sense? I hope so. Thank you for watching and commenting with your doubt.

@mohanraj2573

4 жыл бұрын

@@RespiratoryCoach very well explained. I am an engineer. I had to learn capnography for my next project. You have explained it clearly. Thank you for your videos and keep coaching ✌️

I love your videos as usual. I feel like now you are giving way too long of an intro. Thanks for the video.

@RespiratoryCoach

4 жыл бұрын

Thanks for the feedback, Farhan. And as usual, thanks for watching!!!

@eduardonava1291

4 жыл бұрын

I cordially disagree with you Farhan. Coach does a great job in teaching but also providing perspective and context to what we are learning. I have seen other great youtube videos on end-tidal but only he has elaborated on why its important to respiratory therapists.

I've personally found it to have limited utility due to dead space. So often it gets misused/ misinterpreted and just confuses a situation. I think the real future is Volumetric Capnography to monitor pulmonary dead space.

@RespiratoryCoach

3 жыл бұрын

I agree, Nicholas. The fact that it gets misused/misinterpreted though is not the fault of the technology, rather the lack of understanding of the practitioners. You can't have one RT that knows how to use it effectively, and 6 others that don't. That will definitely, as you stated, confuse situations. And yes, volumetric capnography!!!!

P

Thank you