@@MrsNallelymoreno2 Whatever it takes! And you are the reason I make these videos. Enjoy the journey to RRT!
@maximuz605019 сағат бұрын
Awesome video! Would love a video on nebulizer delivery when a patient is on HFNC and Bipap. Thanks for all you do in the RRT world!
@inspiredx3866Күн бұрын
Great informative video. Fyi to some out there, be mindful of the PIP and VTe that is read from a flow sensor after thebexhale valve when delivering nebs. Certain nebs ceeate powder and will plug off the filter resulting in high PIP, high read PEEP, and VT not read accurately. Great trouble shooting can be the filter being plugged.
@94bheaКүн бұрын
perfect
@jessicarobertson4768Күн бұрын
Hello great video as always.. Can you do a video on conscious sedations and what role the RT plays as well as what equipment is needed and what to do if saturation starts to drop
@geovannic.736Күн бұрын
I’m currently in my clinical rotations and studying for my classes.. Thank you RT Coach!
@RespiratoryCoachКүн бұрын
@@geovannic.736 Enjoy the journey to RRT!
@AbdellahMusaКүн бұрын
Interesting!
@Jaycee_735Күн бұрын
❤❤❤excellent thank you!
@bangaloresatish6600Күн бұрын
Excellent session. You have made it clear and easy. It was intuitive to the extent of guessing what you were about to say next!! Thanks.
@mlakmansi99922 күн бұрын
thank you coach, though I'm on my vacation but still watching, so simple and interesting
@hibisttefera84462 күн бұрын
Can a preterm born born at 27 weeks currently age 7 months on MV survive with a normal ph and compensated respiratory acidosis with PaCO2 of 144 , HCO3 of 66 and ph of 7.39 po2 of 67 and how would you treat him
@hibisttefera84462 күн бұрын
While his spo2 is 98% on 100% fio2 , his set RR is 40 and I:E is 1:3
@crystalmprincess152 күн бұрын
I've been an RT for just under 20 years, but still love watching these videos. Teaches me and refreshes me on other things. Thanks dude!
@esmith29506Күн бұрын
24 years in and I still watch
@muhammadtaimurkhan71593 күн бұрын
Sir, how to resolve tachypnea on a ventilator. Also make a video on weaning criteria
@TheKosssss3 күн бұрын
ily
@Respiratory_Excellence3 күн бұрын
Great video! Can you please cover nebulization placement for NIPPV single limb, with and without humidification?
@niladrihalder63943 күн бұрын
Hey ..great video.. really helpful.. i have a question though.. what if The Co2, O2 and Bicarbonate are way below normal with a Normal Ph. What do we do then?
@kiranshahmohammad-ht7hs3 күн бұрын
HFOV PLXZZX INITIAL SETTING N MANAGEMENT
@aimenKhan-fj1km4 күн бұрын
Hello..plz make a video on APRV and doupap ❤
@aimenKhan-fj1km4 күн бұрын
Plz explain APRV, doupap
@littlejoy44 күн бұрын
Love from Pakistan ❤
@jamizimmerman77754 күн бұрын
This information really helps. I’m about to enter the ventilator semester and this really helps. Thank you. And if you still have T-shirts I’d love one. 😊
@dr.teng135 күн бұрын
How do we start patients on BiPAP with the initial ABG readings ? Initial settings that we can use ?case basis
@dr.teng135 күн бұрын
Thank you for sharing such valuable lessons
@alexsheremett30975 күн бұрын
may be some people would be interested in what is not covered in this lecture .....THE MAIN THING once the ballon was inflated (I suppose -- after the pulmonary bifurcation using a Swan-Ganz catheter, but it really doesn't matter ) AND we obtained the so called pulmonary wedge pressure roulghly corresponding to 8mm.Hg AND THE PULMONARY PRESSURE inside the truncus pulmonalis or in one of its branches 25 mm.Hg.....well the reason is quite simple 8 corresponds to the diastolic pressure AND 25 to the systolic / when we inflated the balloon we artificially created a diastolic pressure inside the pulmonary artery or in one of its branches (think about aorta and aortal valve when it's closed and we have 120/80 mm.Hg) How all this stuff is related to the Left atrium It's apparently beyond the scope of my understanding of this process/ what 's more interesting once the balloon is inflated , the blood flow is stopped and there are all kind of pressures here and there : before the balloon after the balloon and APPARENTLY they're not the same, for the blood flow drastically drops beyond the ballon when it's inflated
@RespiratoryCoach5 күн бұрын
Thank you for watching and adding to the subject matter. I appreciate you.
@MrsNallelymoreno26 күн бұрын
Do you have a package for sale for mechanical ventilation
@RespiratoryCoach5 күн бұрын
www.advancedventilatorlifesupport.com I teach the advanced course that takes you from the indications for to liberation from mechanical ventilation, and all the things you need to know between the two.
@MrsNallelymoreno25 күн бұрын
@@RespiratoryCoach okay, thank you! I’m going to look into it. I’m struggling in my first semester with Mechanical Vent 😫
@kaze123ckr7 күн бұрын
I read Marion’s ICU book and had a paragraph discussing PEEP on hemodynamics. It claimed in normal heart ( on the steep side of starling curve ) PEEP will cause hemodynamic compromise due to preload dependent. However in Heart in flat side of starling curve, PEEP could actually decreased LV afterload and showed benefits. To your experience, is that true that PEEP maybe helpful in hemodynamics in heart failure patient. (Besides PEEP is good for pulmonary edema )
@RespiratoryCoach5 күн бұрын
To a degree yes, specifically left heart failure, but it still all comes back to preload from my understanding. I'll look into the afterload. Check out this recent video. kzread.info/dash/bejne/pqF-lLyofcqomtI.html
@Schewpiiid8 күн бұрын
There’s a reason why we need people like you, who teach well. Textbooks are too complicated. We need someone who understands the material and can explain it in their own words, making it simple and understandable. Thank you so much; I am grateful to have you. I am sharing your videos with my co-workers, and some are watching them. Others might want to be average, though. I will check those links soon. I will have my credentials evaluated first.
@ellafeng60878 күн бұрын
You are completely made me understand now! Best teacher ❤️
@gihansaleh37218 күн бұрын
Really thank you for your clear explanation I get benif from it.
@candicebalan9 күн бұрын
wowww.. i fully understand now.. thank u.. i wish my college teachers explained the way u did...
@mohamedalshikh61869 күн бұрын
im not a doctor and even my english not that good i want to tell you this video helps me to much as my father has copd and its very simple to understand, Keep going god bless you.
@LizWhite.10 күн бұрын
I come from a family of nurses and they explain how taking care of people is a blessing bc once you’re old/disabled you would want quality care. And do NOT want that karma for negligence. It’s not about the money it’s about being a humanitarian and doing everything in your power to make sure your patients are good. I’ll be the first respiratory therapist in my family ❤️ I’m excited for this journey.
@RespiratoryCoach10 күн бұрын
I love your story and am so proud of you grasping this concept early! GO BE GREAT! #KARMA
@LizWhite.10 күн бұрын
@@RespiratoryCoach thank you so much 😊
@brianburton758210 күн бұрын
Could your example also mean the patient has a PE?
@RespiratoryCoach5 күн бұрын
Pulmonary embolism. A blood clot that obsructs pulmonary capillary blood flow impairing gas exchange at the alveolar level.
@Esg3411 күн бұрын
I love your videos and content you provide. Just sometimes slow down with the speed that you talk with. keep dropping those videos
@magedali408111 күн бұрын
❤
@ivankim7811 күн бұрын
Thank you so much for explanation coach!!
@hammad898611 күн бұрын
It has been a question for a long time.. Thank you for explaining.
@NicholasTXTV12 күн бұрын
Thank you
@alishiamosley12 күн бұрын
So normal PAP isn’t 25/8? Which normal should I use?
@RespiratoryCoach5 күн бұрын
I use mean PA pressure (10-20 mmHg), which is consistent with your normal 25/8. Its the same as saying normal blood pressure is 120/80 or a mean of approximately 90 mmHg.
@alexsheremett309713 күн бұрын
😊 Well if the balloon... That's what you literally said... Is inflated within the pulmonary artery I guess fitting tightly to its (pulmonary artery) wall.. If it's fixed tightly to its wall .. Because inflated.. How can you displace the catheter to its distal branches... I mean beyond the pulmonary artery bifurcation... And then the crucial question.. How can you explain the difference between the wedge pressure and the pulmonary artery pressure
@RespiratoryCoach5 күн бұрын
When inflated, the balloon floats into a distal branch of the pulmonary artery, it's not large enough occlude the PA proximal to the distal branches. This action provides a pressure reflective of left ventricular end diastolic pressure. This allows you to use differences between the PA pressure and PCWP to assess PVR.
@alexsheremett30975 күн бұрын
@@RespiratoryCoach this a great explanation thanks a lot
@Nonamua142213 күн бұрын
I love you maaaaaan ♥️
@NicholasTXTV13 күн бұрын
Thank you coach
@NicholasTXTV13 күн бұрын
Thank you coach just commenting for the algorithm
@jaepleasure0813 күн бұрын
Hello I’ve been watching a lot of your videos and wanted to thank you for your work. I am a past graduate but haven’t been able to pass my boards and wanted to see if I could request some help please
@AwaisasadullahAsadullah13 күн бұрын
i had very difficulty in that topics but very very thanks to you sir. May you have many more Ameen. May Allah bless you with great favors.
@G5667214 күн бұрын
Erm actually it’s 9,205,100 breaths a year so of the average human life span is 70.8 years then it’s 674,338,684 breaths🤓
@Hothits90s15 күн бұрын
Base excess will also fall when its fully compensated?
@nawafnawaf253815 күн бұрын
❤
@RuthAddis15 күн бұрын
Thank you so much! God bless you more
@skalenskij15 күн бұрын
Щиро дякую, Ви є перша людина, яка пояснила зрозуміло.
Пікірлер
You are the reason I’m passing my labs! 😅
@@MrsNallelymoreno2 Whatever it takes! And you are the reason I make these videos. Enjoy the journey to RRT!
Awesome video! Would love a video on nebulizer delivery when a patient is on HFNC and Bipap. Thanks for all you do in the RRT world!
Great informative video. Fyi to some out there, be mindful of the PIP and VTe that is read from a flow sensor after thebexhale valve when delivering nebs. Certain nebs ceeate powder and will plug off the filter resulting in high PIP, high read PEEP, and VT not read accurately. Great trouble shooting can be the filter being plugged.
perfect
Hello great video as always.. Can you do a video on conscious sedations and what role the RT plays as well as what equipment is needed and what to do if saturation starts to drop
I’m currently in my clinical rotations and studying for my classes.. Thank you RT Coach!
@@geovannic.736 Enjoy the journey to RRT!
Interesting!
❤❤❤excellent thank you!
Excellent session. You have made it clear and easy. It was intuitive to the extent of guessing what you were about to say next!! Thanks.
thank you coach, though I'm on my vacation but still watching, so simple and interesting
Can a preterm born born at 27 weeks currently age 7 months on MV survive with a normal ph and compensated respiratory acidosis with PaCO2 of 144 , HCO3 of 66 and ph of 7.39 po2 of 67 and how would you treat him
While his spo2 is 98% on 100% fio2 , his set RR is 40 and I:E is 1:3
I've been an RT for just under 20 years, but still love watching these videos. Teaches me and refreshes me on other things. Thanks dude!
24 years in and I still watch
Sir, how to resolve tachypnea on a ventilator. Also make a video on weaning criteria
ily
Great video! Can you please cover nebulization placement for NIPPV single limb, with and without humidification?
Hey ..great video.. really helpful.. i have a question though.. what if The Co2, O2 and Bicarbonate are way below normal with a Normal Ph. What do we do then?
HFOV PLXZZX INITIAL SETTING N MANAGEMENT
Hello..plz make a video on APRV and doupap ❤
Plz explain APRV, doupap
Love from Pakistan ❤
This information really helps. I’m about to enter the ventilator semester and this really helps. Thank you. And if you still have T-shirts I’d love one. 😊
How do we start patients on BiPAP with the initial ABG readings ? Initial settings that we can use ?case basis
Thank you for sharing such valuable lessons
may be some people would be interested in what is not covered in this lecture .....THE MAIN THING once the ballon was inflated (I suppose -- after the pulmonary bifurcation using a Swan-Ganz catheter, but it really doesn't matter ) AND we obtained the so called pulmonary wedge pressure roulghly corresponding to 8mm.Hg AND THE PULMONARY PRESSURE inside the truncus pulmonalis or in one of its branches 25 mm.Hg.....well the reason is quite simple 8 corresponds to the diastolic pressure AND 25 to the systolic / when we inflated the balloon we artificially created a diastolic pressure inside the pulmonary artery or in one of its branches (think about aorta and aortal valve when it's closed and we have 120/80 mm.Hg) How all this stuff is related to the Left atrium It's apparently beyond the scope of my understanding of this process/ what 's more interesting once the balloon is inflated , the blood flow is stopped and there are all kind of pressures here and there : before the balloon after the balloon and APPARENTLY they're not the same, for the blood flow drastically drops beyond the ballon when it's inflated
Thank you for watching and adding to the subject matter. I appreciate you.
Do you have a package for sale for mechanical ventilation
www.advancedventilatorlifesupport.com I teach the advanced course that takes you from the indications for to liberation from mechanical ventilation, and all the things you need to know between the two.
@@RespiratoryCoach okay, thank you! I’m going to look into it. I’m struggling in my first semester with Mechanical Vent 😫
I read Marion’s ICU book and had a paragraph discussing PEEP on hemodynamics. It claimed in normal heart ( on the steep side of starling curve ) PEEP will cause hemodynamic compromise due to preload dependent. However in Heart in flat side of starling curve, PEEP could actually decreased LV afterload and showed benefits. To your experience, is that true that PEEP maybe helpful in hemodynamics in heart failure patient. (Besides PEEP is good for pulmonary edema )
To a degree yes, specifically left heart failure, but it still all comes back to preload from my understanding. I'll look into the afterload. Check out this recent video. kzread.info/dash/bejne/pqF-lLyofcqomtI.html
There’s a reason why we need people like you, who teach well. Textbooks are too complicated. We need someone who understands the material and can explain it in their own words, making it simple and understandable. Thank you so much; I am grateful to have you. I am sharing your videos with my co-workers, and some are watching them. Others might want to be average, though. I will check those links soon. I will have my credentials evaluated first.
You are completely made me understand now! Best teacher ❤️
Really thank you for your clear explanation I get benif from it.
wowww.. i fully understand now.. thank u.. i wish my college teachers explained the way u did...
im not a doctor and even my english not that good i want to tell you this video helps me to much as my father has copd and its very simple to understand, Keep going god bless you.
I come from a family of nurses and they explain how taking care of people is a blessing bc once you’re old/disabled you would want quality care. And do NOT want that karma for negligence. It’s not about the money it’s about being a humanitarian and doing everything in your power to make sure your patients are good. I’ll be the first respiratory therapist in my family ❤️ I’m excited for this journey.
I love your story and am so proud of you grasping this concept early! GO BE GREAT! #KARMA
@@RespiratoryCoach thank you so much 😊
Could your example also mean the patient has a PE?
Pulmonary embolism. A blood clot that obsructs pulmonary capillary blood flow impairing gas exchange at the alveolar level.
I love your videos and content you provide. Just sometimes slow down with the speed that you talk with. keep dropping those videos
❤
Thank you so much for explanation coach!!
It has been a question for a long time.. Thank you for explaining.
Thank you
So normal PAP isn’t 25/8? Which normal should I use?
I use mean PA pressure (10-20 mmHg), which is consistent with your normal 25/8. Its the same as saying normal blood pressure is 120/80 or a mean of approximately 90 mmHg.
😊 Well if the balloon... That's what you literally said... Is inflated within the pulmonary artery I guess fitting tightly to its (pulmonary artery) wall.. If it's fixed tightly to its wall .. Because inflated.. How can you displace the catheter to its distal branches... I mean beyond the pulmonary artery bifurcation... And then the crucial question.. How can you explain the difference between the wedge pressure and the pulmonary artery pressure
When inflated, the balloon floats into a distal branch of the pulmonary artery, it's not large enough occlude the PA proximal to the distal branches. This action provides a pressure reflective of left ventricular end diastolic pressure. This allows you to use differences between the PA pressure and PCWP to assess PVR.
@@RespiratoryCoach this a great explanation thanks a lot
I love you maaaaaan ♥️
Thank you coach
Thank you coach just commenting for the algorithm
Hello I’ve been watching a lot of your videos and wanted to thank you for your work. I am a past graduate but haven’t been able to pass my boards and wanted to see if I could request some help please
i had very difficulty in that topics but very very thanks to you sir. May you have many more Ameen. May Allah bless you with great favors.
Erm actually it’s 9,205,100 breaths a year so of the average human life span is 70.8 years then it’s 674,338,684 breaths🤓
Base excess will also fall when its fully compensated?
❤
Thank you so much! God bless you more
Щиро дякую, Ви є перша людина, яка пояснила зрозуміло.