sir i am really stuck on the point of increasing the TV through decreasing the time of the T high, I don't get it. the only interpretation i have in mind on how decreasing the T high will affect minute ventilation is the increasing of RR, like if i decrease the T high, i automatically decrease the whole respiratory cycle thus increasing the RR and vice versa and allowing for more numbers of T low, like instead of the release phase happening 20 times in RR of 20, the release phase will be happpening 30 times in RR of 30, thus increased minute ventilation. correct me if i am wrong
@13levelsКүн бұрын
such a complex topic 😮
@HospitalistaКүн бұрын
Actually it isn’t! Get the basics right and things will be pretty straight forward.
@ChhhottaaadonnКүн бұрын
Can it kill gonorrhea My doc gave me 2g iv for 3 days dialy 2g iv Is there any chance of ceftriaxone resistance my gono was on thorat it was 3 months old
@alexkumi69543 күн бұрын
Great job
@zahrahammad81004 күн бұрын
That's Amazing! Thank you so much doctor for the helpful tips
@GR913124 күн бұрын
This is phenomenal.
@samsaon71534 күн бұрын
Thankyou, absolutely nailed it.
@USMLE_sss6 күн бұрын
Thank you
@kkaugare7 күн бұрын
It gave me hemolytic anemia make sure your doctor is closely watching your red cell values.
@lucyalvarez12887 күн бұрын
Awesome explanation 🙏🏼
@user-zx4iw5ey7w8 күн бұрын
Thanks for your detailed explanation! I knew why using steroid before extubation but only vaguely. However now, I became totally different human being. Thank you
@13levels8 күн бұрын
thank you sir 🙏🙏
@zahrahammad81008 күн бұрын
wow, that was made very easy and clear after watching the previous 2 videos on acid-base disorders, Otherwise, this was always a difficult subject for me. Thank you!
@zahrahammad81009 күн бұрын
That is the best explanation for IV fluids, great efforts
@zahrahammad81009 күн бұрын
very useful, you organized it amazingly doctor. Thank you
@Hospitalista9 күн бұрын
Thanks Zahrah
@zahrahammad810010 күн бұрын
Thank you Dr.Maher for the helpful content
@Hospitalista10 күн бұрын
You’re most welcome!
@kawaiipotatolewis950710 күн бұрын
Helpful to hear a doctor’s perspective!
@13levels10 күн бұрын
need some help here. the target pressure here is 20 cmh2o meaning the total proximal airway pressure shouldn't be exceeding 20 cmh2o ( inspiratory pressure 10 cmh2o + peep 10 cmh2o)? where did the 30 cmh2o come from?
@Hospitalista10 күн бұрын
This depends on the ventilator software! This kind of ventilator when you set a target pressure, it will add up to the PEEP (20 + 10). Other types will understand that target pressure (inspiratory pressure) = peak pressure! That’s would go with your initial thought. I hope this clarifies this point for you. Let me know if any further questions.
@davidgarrity143012 күн бұрын
Excellent. Thank you!!
@lucyalvarez128814 күн бұрын
Thank you
@adil.abrahim815416 күн бұрын
I got an appendectomy, can the MRI affect the staples, thank you Dr.
@Hospitalista15 күн бұрын
It depends on how long these staples have been in? I highly recommend to check with your surgeon as he would the best one to guide you on this.
@ahmedalajlony261021 күн бұрын
brilliant work in summarizing this topic
@moradzayed23 күн бұрын
thank you so much
@wemox124 күн бұрын
Great video specially when playing it at 1.25% speed ❤❤
@ashishranjan882825 күн бұрын
What about Domperidone?
@Hospitalista25 күн бұрын
It’s restricted to investigational use in the USA!
@randomguy2344825 күн бұрын
If qtc >500, should promethazine be given?
@Hospitalista25 күн бұрын
Or metoclopramide
@user-xc2pk9jp6k25 күн бұрын
Sir, i hav3 a low urine output even drinkin plenty of water still my urine is low. But when i drink 600-700 ml ofwater in the morning after waking up and lying in my bed side ways after 45 minutes to 1 hour im starting to urinate more and after urinating i drink a half cup of water and still 30 minutes im urinating more with pale color. Sir, What is my problem?
@grachemo566326 күн бұрын
Hi Dr. Al!!!
@Hospitalista26 күн бұрын
Hi Gracie
@grachemo566326 күн бұрын
I'm loving your videos! I miss all the hospitalists at the old hospital. You were all a great group of docs to work with ❤
@K-XYA07__26 күн бұрын
Can someone answer my question. I am a 14 year old kid and my nipples are leaking out yellow liquid (Endocrine glands) my pro lactin is over 1000 and I am getting an mri soon, am I gonna have a contrast or not?
@Hospitalista25 күн бұрын
I am sorry that I can’t give any specific individualized clinical advice to a patient on this platform! I advise you to ask your doctor about this. In general, a contrast MRI of the brain is preferred when looking for prolactin-producing adenoma.
@nadirabbas811427 күн бұрын
Wonderful doc
@yousifjameel618Ай бұрын
Thank you... Very informative
@tylerjames4242Ай бұрын
Hello, my order is CT ABDOMEN & PELVIS WITH AND WITHOUT CONTRAST. I first refused the iodine contrast when I went the other day and had them reorder a new CT scan without the iodine. I can do the barium sulfate all day long, just afraid of the IV and contrast. Is that new order still with the IV contrast and is it necessary for suspected gallbladder issues or diverticulitis?
@moradzayedАй бұрын
very usefull
@Sveccha93Ай бұрын
Fantastic!
@unknown1859Ай бұрын
If you gonna give NPO order. Please also consider adding IV fluids.
@HospitalistaАй бұрын
It’s not always necessary!
@samuelpepys1199Ай бұрын
You make a lot of good points, but I have one comment. A multitude of attempts to validate the albumin-corrected calcium method have shown it to be a poor way to estimate a patient's ionized Ca status. Newer, successfully validated methods do exist: see medscape calculator 704 and also review in April 2022 issue of JLPM.
@hafizyusaryahya9556Ай бұрын
why the video is empty from 3:51 to end?
@HospitalistaАй бұрын
Not sure what happened! I’ll work on it!
@DRAIMRANАй бұрын
ur presentations are excellent..
@moradzayedАй бұрын
thank you great effort as usual
@alexkumi6954Ай бұрын
Thank YOU
@husseinalramini4506Ай бұрын
The 2nd case there is also a mild respiratory alkalosis using winter's formula, no?
Пікірлер
sir i am really stuck on the point of increasing the TV through decreasing the time of the T high, I don't get it. the only interpretation i have in mind on how decreasing the T high will affect minute ventilation is the increasing of RR, like if i decrease the T high, i automatically decrease the whole respiratory cycle thus increasing the RR and vice versa and allowing for more numbers of T low, like instead of the release phase happening 20 times in RR of 20, the release phase will be happpening 30 times in RR of 30, thus increased minute ventilation. correct me if i am wrong
such a complex topic 😮
Actually it isn’t! Get the basics right and things will be pretty straight forward.
Can it kill gonorrhea My doc gave me 2g iv for 3 days dialy 2g iv Is there any chance of ceftriaxone resistance my gono was on thorat it was 3 months old
Great job
That's Amazing! Thank you so much doctor for the helpful tips
This is phenomenal.
Thankyou, absolutely nailed it.
Thank you
It gave me hemolytic anemia make sure your doctor is closely watching your red cell values.
Awesome explanation 🙏🏼
Thanks for your detailed explanation! I knew why using steroid before extubation but only vaguely. However now, I became totally different human being. Thank you
thank you sir 🙏🙏
wow, that was made very easy and clear after watching the previous 2 videos on acid-base disorders, Otherwise, this was always a difficult subject for me. Thank you!
That is the best explanation for IV fluids, great efforts
very useful, you organized it amazingly doctor. Thank you
Thanks Zahrah
Thank you Dr.Maher for the helpful content
You’re most welcome!
Helpful to hear a doctor’s perspective!
need some help here. the target pressure here is 20 cmh2o meaning the total proximal airway pressure shouldn't be exceeding 20 cmh2o ( inspiratory pressure 10 cmh2o + peep 10 cmh2o)? where did the 30 cmh2o come from?
This depends on the ventilator software! This kind of ventilator when you set a target pressure, it will add up to the PEEP (20 + 10). Other types will understand that target pressure (inspiratory pressure) = peak pressure! That’s would go with your initial thought. I hope this clarifies this point for you. Let me know if any further questions.
Excellent. Thank you!!
Thank you
I got an appendectomy, can the MRI affect the staples, thank you Dr.
It depends on how long these staples have been in? I highly recommend to check with your surgeon as he would the best one to guide you on this.
brilliant work in summarizing this topic
thank you so much
Great video specially when playing it at 1.25% speed ❤❤
What about Domperidone?
It’s restricted to investigational use in the USA!
If qtc >500, should promethazine be given?
Or metoclopramide
Sir, i hav3 a low urine output even drinkin plenty of water still my urine is low. But when i drink 600-700 ml ofwater in the morning after waking up and lying in my bed side ways after 45 minutes to 1 hour im starting to urinate more and after urinating i drink a half cup of water and still 30 minutes im urinating more with pale color. Sir, What is my problem?
Hi Dr. Al!!!
Hi Gracie
I'm loving your videos! I miss all the hospitalists at the old hospital. You were all a great group of docs to work with ❤
Can someone answer my question. I am a 14 year old kid and my nipples are leaking out yellow liquid (Endocrine glands) my pro lactin is over 1000 and I am getting an mri soon, am I gonna have a contrast or not?
I am sorry that I can’t give any specific individualized clinical advice to a patient on this platform! I advise you to ask your doctor about this. In general, a contrast MRI of the brain is preferred when looking for prolactin-producing adenoma.
Wonderful doc
Thank you... Very informative
Hello, my order is CT ABDOMEN & PELVIS WITH AND WITHOUT CONTRAST. I first refused the iodine contrast when I went the other day and had them reorder a new CT scan without the iodine. I can do the barium sulfate all day long, just afraid of the IV and contrast. Is that new order still with the IV contrast and is it necessary for suspected gallbladder issues or diverticulitis?
very usefull
Fantastic!
If you gonna give NPO order. Please also consider adding IV fluids.
It’s not always necessary!
You make a lot of good points, but I have one comment. A multitude of attempts to validate the albumin-corrected calcium method have shown it to be a poor way to estimate a patient's ionized Ca status. Newer, successfully validated methods do exist: see medscape calculator 704 and also review in April 2022 issue of JLPM.
why the video is empty from 3:51 to end?
Not sure what happened! I’ll work on it!
ur presentations are excellent..
thank you great effort as usual
Thank YOU
The 2nd case there is also a mild respiratory alkalosis using winter's formula, no?
Thank you
Very nice