Remembering the difference between shunt and deadspace used to drive me crazy!!

@RespiratoryCoach

4 жыл бұрын

SAME! So hard to keep straight as a student and new grad.

Much appreciated...you've been so helpful the past year by making complicated lectures much easier to understand.

@RespiratoryCoach

10 ай бұрын

Awesome! Love to hear that you find the channel helpful! Thank you so much for watching and kindly commenting.

Bud, you are an absolute genius! I watched 4 other videos before finding yours, 1 of those videos I watched three time and didn’t get it. Your explanation is superb. Best videos on KZread 👌

@RespiratoryCoach

2 жыл бұрын

Awesome! Glad it made sense! Thanks for watching and kindly commenting.

You are my go-to person for all these confusing topics! My mind is blown away!

I haven't even watched this yet and I know it'll be good! You're a gem and deserve way more views. I'm an aspiring CRNA who has always struggled with ventilatory settings and the respiratory system. You have helped me greatly with understanding these concepts! Thank you!

You make me understand everything so much better especially now through covid .. thanks man you’re making a difference

I just shared this video with two of my favorite critical care RN's (Abbey and Robert). They are studying for the CCRN exam. This information is part of the study material and practice exam. Thanks again, Joe! ❤ your videos.

@RespiratoryCoach

2 жыл бұрын

Thanks for sharing, Becky! I appreciate you!

I have NEVER understood this concept until now....bless you!!!! :)

Thank you for making this and your other videos. I have 25 yrs invested in Nursing. Almost all in the ER, including travel contracts @ Level 1 & 2 trauma centers. I have to be honest , I was always taught "Bag and call RT" & "Let RT handle the vent, you handle the rest". Well that all changed when I took a travel contract in a small town in Northern NY. "What do you mean 'I' have to work the ventilator?" Well the luxury of having RT at my beckon call is over. Having RT in the building overnight it's not a thing here so I'm having to learn after these yrs. This video ROCKS!!!!!! Thanks for putting what I already know into an even better format. I'm definitely going to use your breakdown when I teach new Nurses.

My daily dose of growing! Thankyou Coach 🌻

Theeeeee best video out thereeeeee ….. cnt stress enuf .was sitting with ma material for an hr and he explained it soooooooooo beautifully. Thanks tou u for ur time. And effort

Thank YOU so much for this!! This was extremely helpful in understanding this topic. I was able to answer all the questions correctly!

When i am lost in respiratory knowledge i just dive into your channel to get some ventilation Thanks a lot

This is so incredibly helpful, thank you!!

Thank you SO much for clearing this up for me!!!!!!!!!!!

Man! You simplified it to the simplest form! No longer a mismatch in my understanding of V/Q mismatch😁. Taken care of. Thank you genius🙏

@RespiratoryCoach

3 жыл бұрын

Awesome, Bereket! Glad it made sense and thank you for watching!!!

Ur lecture is awesome! Hit the key points and easy to understand! Love them! Thank u very much!

Excellent again coach! Thank you!

Very simplified and amazing explanation thank you so much for your effort

This was invaluable! Thank you for simplifying what can appear to be an over complicated topic. 👍🏻

@RespiratoryCoach

3 жыл бұрын

Glad you found it helpful! Thank you for watching and commenting!!!

OMG...thank u for simplifying it!!!

Your channel is RESPIRATORY THERAPIST UNIVERSITY. I am watching your videos every single day.

@RespiratoryCoach

2 жыл бұрын

Great comment! Thank you very much for watching and perhaps naming my next project!

What an excellent way to explain it. Thanks. I'll use this way to explain it to students.

Excellent presentation! Thank you.

Explanation was informative but funny at the same time, just the way you explain it. But, I got it now. Thanks! It may just be my sense of humor.

Where were you when I was a respiratory student? You're amazing!!!!

Thanks! Your presentation was amazing and simple. It made sense in an awesomely easy way to understand and remember.

@RespiratoryCoach

3 жыл бұрын

Cool! Thank you for watching!

He makes every topic so easy

Thank you so much, very helpful.

Very very helpful!! Thank you

Crystal clear explanations😊

This was brilliantly explained. Thank you!

@RespiratoryCoach

4 жыл бұрын

Thanks, Angel! Appreciate the feedback and you watching!

Wow....you just helped me tremendously!

Thank you so much!!! You literally made my day!

@RespiratoryCoach

3 жыл бұрын

Awe...you made my day with this comment! Thanks for watching!

I always had problems with these two. Thanks for making it easy.

@RespiratoryCoach

11 ай бұрын

Thank you for watching and commenting!

Thank you so much sir,, learned a lot from Respiratory coach❤

Thank you so much for the great explanations!

@RespiratoryCoach

3 жыл бұрын

You're very welcome!

I must be at that point in school when I'm about to be tested on this, so without missing a beat, here I am! I'm totally getting some merch also once I get my tax refund! Thank you again!! -Shay

Thanks a lot ! Awesome explanation as always :)

@RespiratoryCoach

3 жыл бұрын

Glad you liked it!

Please do class on ventilations dyssynchrony....it would be so helpful....

As always you Rock!!!

@RespiratoryCoach

4 жыл бұрын

Thanks again, Vicky!!!

I'm telling everyone in my class to watch your videos!

@RespiratoryCoach

2 жыл бұрын

Thank you! I appreciate the support! Thanks a ton for watching and kindly commenting!

Again, solid video. Makes so much sense from a practical standpoint. Can you make a video about how chest wall compliance/elastance can affect V/Q?

@RespiratoryCoach

3 жыл бұрын

On the list! Stay tuned! Thank you for watching!

You are literally the only thing getting me through the next 9 days before my exit exam 😅 THANK YOU!

@RespiratoryCoach

4 жыл бұрын

9 days! Go be great, Morgan! THANK YOU for watching and commenting.

@RespiratoryCoach

4 жыл бұрын

And you are very welcome!

@morganice7816

4 жыл бұрын

Respiratory Coach doing my best! This COVID crisis in Bergen County NJ is making exams harder and harder but literally these videos are saving me and most of my respiratory therapy class. No joke. You are awesome 😂

Thank you so much for all your knowledge and informative info on this channel! Such a tremendous great help! Can you please make a video on aerosols , humidifiers, vibrating mesh, ultrasonic neb, wick, HME. Questions would ask which one to use and it’s a bit confusing. THANKS!

@RespiratoryCoach

4 жыл бұрын

You're very welcome, and I sure can!! Coming soon!

Excellent

Subscribed!

thank you u are amazing .

@RespiratoryCoach

4 жыл бұрын

Hey, Daniel. You are very, very welcome. Thank you for watching and leaving the kind comment. ❤️

Two videos I watched said that normal ventilation to perfusion ratio is 0.8 is that incorrect? Very great video by the way!

Thank you

Thank you sir.

@RespiratoryCoach

4 жыл бұрын

You welcome, sir. Thank you for watching and commenting!!!!

Hi respiratory coach thanks a lot for this very helpful video I wanted to ask you what happens to co2 in the shunt , do we have hypercapnia along with hypoxemia?

Thank uuuuuuuu.... can you explain to me control of ventilation.. I failed that test and I’m prepping for the midterm..I would love to understand so I can study it.. thank u again.

Wow super cool bro

@RespiratoryCoach

3 жыл бұрын

Glad you liked it, Llance!!!

Can we calculate V/Q ratio w/o a V/Q scan? For example, using pt's actual ventilator minute ventilation for the "V" and if hooked up to hemodynamics monitoring, using the Qt value for the "Q?"

Thanks

I think in COPD you have decreased V/Q ratio as there is mucus build up inside the alveoli which would hinder adequate ventilation.

Thank you for the videos!

Totally make sense now for me. Will it make a difference if we knew it is shunting or dead space in managing patients particularly ventilated ones❓

@RespiratoryCoach

4 жыл бұрын

Absolutely! Shunting will require more PEEP to promote better oxygenation, while an increase in deadspace will require a larger minute ventilation to adequately remove CO2. Hope that helps. Thanks for watching and commenting, Liz.

Hey coach! Can you PLEASE make a lecture about SWAN GANZ CATHETER and Hemodynamic Monitoring (CVP, PCWP, PAP)? Thanks in advance coach 😊

@RespiratoryCoach

3 жыл бұрын

kzread.info/dash/bejne/f2llxK2ag5STc8Y.html

I'm really not understanding how COPD can be a condition typically characterised by high V/Q ratio. I've looked up sources that seem to label it with decreased V/Q ratios.

@RespiratoryCoach

3 жыл бұрын

Hey, Daniel. Thanks for watching and for sharing your thoughts. If you consider the alveolar destruction, which leads to airtrapping and hyperinflated alveoli, in conjunction with pulmonary vasoconstriction caused by the chronic hypoxemia, then the idea of ventilation being in excess of perfusion makes sense. This article might help. www.ncbi.nlm.nih.gov/books/NBK442016/

Hi I work in ED in Western Australia and have only just found your KZread videos.I am obsessed, they are so informative.I am so gonna be an expert or at least have a much better understanding of respiratory therapy. Thank you Joe

A low V/Q will cause low PaO2 and normal PaCO2, what about high V/Q?

@RespiratoryCoach

2 жыл бұрын

High CO2 , low O2, but a normal A-a gradient. Interesting stuff! Thanks for asking and watching!

What will be V/Q ratio in pneumothorax and pleural effusion

@RespiratoryCoach

4 жыл бұрын

Both of those diseases create shunts, so your v/q ratio will decrease

@awaisshafi6541

4 жыл бұрын

Thanku 👌

@awaisshafi6541

4 жыл бұрын

And in pulmonary hypertension?

@RespiratoryCoach

4 жыл бұрын

@@awaisshafi6541 Decreased pulmonary blood flow = ventilation greater than perfusion = deadspace = increased V/Q ratio.

@awaisshafi6541

4 жыл бұрын

Thanku and last question if question says just hypertension? Not mentioning either pulmonary or systemic then general HTN effect will be same as Inc V/Q?

Small discrepancy at 17:11.... two is greater than one.... your greater than less than sign is backwards. REGARDLESS I AM GRATEFUL FOR YOU. Do you sell any TMC practice exams? Or should I just venmo you some cash???

@RespiratoryCoach

2 жыл бұрын

LOL...my venmo is always open! Send me an email to respiratorycoach@gmail.com. I'll see what I can put together for you.

Why we count numbers in 5 what is the logic

@RespiratoryCoach

3 жыл бұрын

Hi Tanveer. In this video I used multiples of 5 to simplify the math for the sake of simplifying the concept. It's not always, actually rarely is it multiples of 5 with actual patient data, but the concept remains the same. Thanks for watching and asking this good question!

Great explanation. I'm so distracted by your mannerisms....Are you under the influence of a drug or alcohol in this video? No judgment. Just curious. Lmao

@RespiratoryCoach

3 жыл бұрын

🤣 🤣 🤣 NEVER! Just very animated!