Shunting Explained Clearly (Pulmonary Shunt) - Remastered

Shunting (pulmonary shunt) explained clearly Dr. Seheult of www.medcram.com/?Y... This is video 4 of the 5 main causes of hypoxemia: the shunt.
Other causes of hypoxemia are covered in this series: high altitude, pulmonary diffusion, hypoventilation, and ventilation perfusion mismatch (VQ mismatch). See the rest of this course free at: www.medcram.com/courses/hypox...
Review pulmonary shunt diagnosis and pulmonary shunt treatment with illustrations in this "MedCram Remastered" series: A video we've re-edited & sped up to make learning even more efficient.
Get CLARITY from over 100 concise and high yield videos and over 40 hours of CME, MOC Points, and CE at www.medcram.com/?Y...
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Speaker: Roger Seheult, MD
Co-Founder of MedCram.com
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
MedCram = More understanding in less time
Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure, Urinalysis, and The Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve / Oxyhemoglobin Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), aortic stenosis, and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator-associated pneumonia lectures have been particularly popular with RTs. NPs and PAs have provided great feedback on Pneumonia Treatment and Liver Function Tests among many others. Mechanical ventilation for nursing and the emergency & critical care RN course is available at MedCram.com. Dr. Jacquet teaches our E-FAST exam tutorial, lung sonography & bedside ultrasound courses. Many nursing students have found the Asthma, hypoxia shunts, shunting, and shock lectures very helpful. We're starting a new course series on clinical ultrasound & ultrasound medical imaging in addition to other radiology lectures.
Recommended Audience - Medical professionals and medical students including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE (USMLE step 1, step 2 ck), MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations.
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Пікірлер: 38

  • @psychkub
    @psychkub4 жыл бұрын

    I’m an anesthesiology resident and sometimes I just need a quick refresher on concepts and these videos are perfect. Thank you!

  • @Medcram

    @Medcram

    4 жыл бұрын

    Good to hear! Thank you for the comment

  • @darcyswope9848
    @darcyswope98484 жыл бұрын

    Thank you - I lost my husband recently, and they suspected a shunt. This is the best explanation of how it works. It also explains why continuing to raise the Oxygen levels did not improve his saturation levels. In the end, they had him on 12 liters. They never did find the shunt, and in his case, it was NOT in the heart. They did find cancer and suspected that was the cause of the shunt.

  • @jasont5512

    @jasont5512

    3 жыл бұрын

    Sorry for your loss. Hope you're feeling better.

  • @nathangurr6366
    @nathangurr6366 Жыл бұрын

    Great video with really clear explanations of shunting and describing why they don't respond effectively to O2 therapy! The videos would be even better without the incredible amount of advertisements populating half of the page throughout the video. I counted 5 different advertisements in 10 minutes. Please take it easy on the ads! Your content speaks well enough for itself!

  • @96MasterOfPuppets96
    @96MasterOfPuppets964 ай бұрын

    First video ive watched on this subject that has actually explained it well enough to understand, thanks!

  • @mustaphacamara5753
    @mustaphacamara5753 Жыл бұрын

    Some people just wake up one day I start saving lives! You’re the best! Thank you for the amazing video!

  • @ArnakAM
    @ArnakAM4 жыл бұрын

    Great learning material, good job!

  • @kellyfrances9435
    @kellyfrances9435 Жыл бұрын

    That makes so much sense. Thank you!

  • @blaschito1
    @blaschito14 жыл бұрын

    Lovely explained!

  • @hollyhermann-sorensen5974
    @hollyhermann-sorensen59744 жыл бұрын

    This is a great video, thank you! Could pressure during a free dive cause a pulmonary shunt? And how is a pulmonary shunt different from or related to alveolar collapse?

  • @ibraheemalma
    @ibraheemalma3 жыл бұрын

    This was helpful. Thank you ao much.

  • @brianedwards5113
    @brianedwards51138 ай бұрын

    Fantastic lecture as always! Thank you, sir!

  • @manavchaudhary2384
    @manavchaudhary23843 жыл бұрын

    Thanks, very helpful

  • @sindhuoruganti8106
    @sindhuoruganti81063 жыл бұрын

    Excellent sir..thanq very much

  • @maryamrahmannia4812
    @maryamrahmannia48124 жыл бұрын

    Great Job

  • @bedjauidesu5053
    @bedjauidesu5053 Жыл бұрын

    Thank you sir you're a legend 🌼

  • @cheliezedavis4838
    @cheliezedavis48383 жыл бұрын

    gratitude

  • @maheenshahzad64
    @maheenshahzad649 ай бұрын

    that was a great brief lecture!! thanks

  • @noxusfumes3628
    @noxusfumes36283 жыл бұрын

    Helpful!

  • @oscarhernandez-qb9sk
    @oscarhernandez-qb9sk4 жыл бұрын

    Great lecture. Why is giving 100% O2 correlate to 760 mmgh? I know atmospheric pressure is 760 mmgh with an Fi02 of 20.9%. How is 100% of O2 create 760mmgh?

  • @sinclair657
    @sinclair657 Жыл бұрын

    Thank you

  • @basmaalqatari9953
    @basmaalqatari99532 жыл бұрын

    Thanks for the video! Examples mentioned of R to L shunting are ASD, VSD, PDA but those are L to R shunts??

  • @johnbrion4565
    @johnbrion4565 Жыл бұрын

    Is a shunt a type of VQ mismatch? Or does it cause VQ mismatch ?

  • @codyirwin5508
    @codyirwin55084 жыл бұрын

    Really nice explanation of HOW a shunt works, but you never explained how a shunt actually forms in the first place?

  • @AbigailNinja

    @AbigailNinja

    4 жыл бұрын

    i had been waiting he will explain why shunting happened. i guess his knowledge is limited only from the book he read. wasting my 10 minutes.

  • @91Edgarjan

    @91Edgarjan

    4 жыл бұрын

    Shunting occurs when alveoli are not ventilated, as with atelectasis, or when alveoli are filled with fluid, as with pneumonia or pulmonary edema.

  • @donoimdono2702

    @donoimdono2702

    4 жыл бұрын

    could be dependent on patient age. PDA is common in children, especially newborns and premies. left untreated, possible severe complications in adults.

  • @mohamedorayith4626

    @mohamedorayith4626

    3 жыл бұрын

    Shunting is rom partial or complete collapse of alveoli- which occurs because of one of two things (or both) 1- pulmonary edema or fluid in alveoli which prevents gas exchange 2- lack of pulmonary surfactant which reduces lung compliance, thus alveoli are floppy

  • @prabhjeetkaur2811
    @prabhjeetkaur28113 жыл бұрын

    As explained in 1:19 , that 50% shunting happens normally?

  • @jhfbkjfd
    @jhfbkjfd3 жыл бұрын

    Pulmonary artery is blood going back to the heart? Not to the lungs? (3:40)

  • @PepsiT98
    @PepsiT983 жыл бұрын

    THANK YOU SO MUCH

  • @marioalexander7332
    @marioalexander73323 жыл бұрын

    why is ARDS considered as shunting instead of pulmonary diffusion??

  • @elaineluther1799
    @elaineluther17993 жыл бұрын

    Is a "pulmonary shunt" the same thing as an "intrapulmonary shunt"? Is is possible to have a "right to left intrapulmonary shunt"? I keep reading this phrase "right to left intrapulmonary shunt" and I don't know what it is talking about. Does it really mean venous to arterial? Because "right to left" makes no sense in the intrapulmonary context.

  • @Medcram

    @Medcram

    3 жыл бұрын

    An intrapulmonary shunt is a right to left shunt.

  • @ninamoh7952
    @ninamoh79526 ай бұрын

    I got the idea of shutting Thank you sm ,,, but is it normal and where this happens

  • @douniacats
    @douniacats3 жыл бұрын

    But i can’t understand something isn’t the blood with 85% saturation working its way through all tissues will reach the right side of the heart with a saturation which is less that 70% let’s say 60 % and ...it’s like the saturation will go down after every cycle i don’t understand Thank you in advance

  • @dr.mashalmemon4439
    @dr.mashalmemon44394 жыл бұрын

    👍👍👍👍👍💯