The Asia Ventilation Forum (AVF) is a not-for-profit organisation comprising members from different Asian countries. We share our knowledge and experience in respiratory care and critical care with intensive care unit (ICU) workers across the continent with the aim of improving care and outcomes for the critically ill.
These Podcasts are hosted by Dr Jason Phua, respiratory physician and intensivist at Alexandra Hospital, National University Health System, Singapore, and Dr Jose Emmanuel Palo, intensivist at The Medical City, the Philippines.
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Excelent talk, so much knowledge! Thanks for the effort
Jason, really great video!
A great interview! Would you have a similar experienced researchers in Business Management Studies?
a fantastic advise on 23:07 -I do not like to be told :-)
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Excellent review
I suffer from Ovarian Cancer and seeking the best help please I would love to chat with you to help me please!!
Make simple to understand .
Awesome content!!
WHAT A GREAT LESSON FORM PROF MANU! THANK YOU SO MUCH. THIS CHANEL IS A GEM FOR FREE!!!
I’m glad that there is a video and discussion about end of life care in Asian countries since I only have America’s healthcare system as a point of reference. I was inspired after watching The Farewell, where a Chinese-American character navigates how her family hides the grandmother’s terminal diagnosis from the grandmother herself, to compare and contrast how different societies handle these issues from an ethical standpoint. I see that Korea has a similar attitude to America when it comes to patient autonomy and the implementation of advanced directives. And while the patient’s decision still takes priority, the typical Korean patient tends to hold the opinion of family members in high regard, even considering factors such as medical expenses. Where I see a cultural difference is when patients defer decisions to the family, but then the tendency to be indirect and reluctant to discuss subjects such as death obfuscates what the patient truly desires for themselves. However, across different cultures it’s never that simple to talk about grim subjects such as death with family members. Perhaps the real differences are written in medical law with the nuances that allow or disallow certain practices between countries. Understandably, it must have been difficult to handle the surges in COVID-19 patients and balance not only physical ICU beds, but the quality of care that can be given to each individual patient. In an emergency situation with strained manpower and limited resources, snap decisions have to be made which can forgo typical procedure. Some patients have to be turned away if their symptoms are too mild, while some families do not even know about the status of their loved one as beds are prepared and cleared for patients in acute respiratory distress. In these types of situations, I can see how each of the medical ethics principles are upheld, but abbreviated. Even if some patients are turned away from a medical facility, beneficence and non-maleficence are still in consideration, but with a higher priority for acutely ill patients. For autonomy, consent is often implied. Justice is the principle that is emphasized in emergencies, which can create disagreements between caregivers and family members. While a physician can declare a patient dead based on certain criteria, the family may disagree and fight to keep that patient on the ventilator. Then comes the discussion about the futility of treatment, the need to create more space for other incoming patients, and navigating the family’s reactions, emotions, and need for cooperation. I agree with Dr. Younsuck Koh that one should cautiously bring up the topic of end of life care in the first meeting with the family to set the tone, manage expectations, and plan for the future. It is arguably easier to discuss the withholding and withdrawal of medical intervention since there tends to be a discrete cutoff for what we consider alive and deceased than to discuss euthanasia and physician assisted suicide. I am curious about how other countries regard these two topics, especially in Asia.
The video is mute or its just me?
Excellent discussion, thank you!
If constant transpulmonary pressure doesnt cause damage, aprv should be less damaging to the alveoli?
APRV should be eliminated from use. Conventional ventilation is much better. Why use a mode shown to be less effective?
SOMEONE PLEASE HELP ME PLEASE
Stupid natural path gave me studio by carpet now I'm gonna die
I have Fungus in my blood
I wish I had known
【p】【r】【o】【m】【o】【s】【m】 😒
Good healthy
Thank you for this video. I appreciate the efforts to make this important talk happening.
Could you write down a link about RM a setting peep?
I see it ....:))
Thank you, good points. We generally use crrt in our patients with hemodynamic unstabil
Thank you for this Video and the Interview of Sir Dr.... to get the first hand experience and opinion... I am a nurse by profession... but because of surging patient.... it is difficult to always rely on doctor's order.. but rather to act fast independently. Thank you and I hope you do more informative videos like these. 👏👏👏 😊
We're excited for the what's next in critical care. So many questions left unanswered in the guidelines and we're thrilled to see what the future holds in our practice. Great discussion, Sir Jep and Professor Levy!
Thanks from AVF
loved it.
Very confusing!
Wonderful talk
great conversation - very knowledgeable from both! Loved it!
Very interesting 👌
Nice
Thank you Sir for sharing it
Very informative maam
And thank you, Jason, for this intiative
Thanks Yaseen. Looking forward to more episodes soon!
Thank you Prof Divitia for this insigtful video
Glad it was helpful!
Quite moving, Jigi. Thanks Jason and Jigi to provide us this valuble talk.
Thanks Younsuck. Really grateful to Jigi for sharing his thoughts with us.