Just got a new job at a trauma hospital, I’ve been 9 years in a community hospital, at this hospital they’re using AVAPS, so This video is on repeat, thank you!
@@RespiratoryCoach on the new single limb vent circuits for machines with AVAPS, if u connect to trach, doesn’t the machine cycle the exhalation almost completely out? Do u need to have a exhalation leak on the new machines is what I’m asking
Yay, thank you!! I saw this mode being used at my clinical site and I asked my preceptors about it but the way they explained it wasn’t clicking, but you explained it really well. thanks again 😊
As a patient of an AVAP machine thanks for this! I struggled for almost 10 years to get used to using one of these machines but in the last year since I've gotten my AVAP I've never had better sleep. As someone with very little lung capacity this machine has become my lifeline.
You left out that you also set a "Rate". I love the AVAPS mode and use it a lot in my daily practice. It's my go to mode for post-op surgery patients on pain meds and overdose patients. I defiantly recommend it over Bipap any day.
In the Resvent Ibreeze 30STA models, AVAPS is built in to the machine if a breathing rate is specified. These machines are for treating sleep apnea only.
Excellent Joe. Unless I’ve missed one, can you please make a video showing similarities and differences between iVAPS (ResMed) and AVAPS (Phillips), in the context of obstrtive and restrictive disorders.
Thank you so much for your sharing! this really helps me a lot! After watch few videos about NIV from your channel, It helped me to understand much better in concepts of NIV. There is two questions I would like to ask about. May I know is there a leakage alarm or cutoff (e.g. no more than 20L/min Tot. Leak or Pt. Leak so as to keep the effectiveness of set pressure) in the Philips V60? Is mobilization of patient on BiPAP possible? (will that cause leakage and ineffectiveness?) Thank you so much and would much appreciate if you could answer my questions. 🙏🏻
There is a leak compensation factor, but I'm not sure of the details of that. Yes, you can mobilize a patient on NIV, so long you are using a mobile vent. Hope that helps!
Great video! We just received our V60s and I'm creating a training workshop for the RT staff. This was very helpful! Question: is there a consensus on where to start the MAX P and MIN P?
Trouble shooting question. If the alarm says targeted tidal volume exceeded decrease min pressure does this mean the patient is air hungry ? Would you increase tidal volume and then decrease the min and max ?
Hi Jenna! It certainly could indicate air hunger. We see this in PRVC too. I would assess my patient to discern if it's related to distress/air hunger or if they just don't need that much support. If it's air hunger, then your solution is appropriate.
Thank you vary much , I have questions regarding AVAPS on new model v680 , there’s new setting (delta p max) and there is range from 1-5 , I try to find it on the manual and nothing about it . Can u explain it ?
Hi Abdullah! I'll have an answer for you by the end of the week. Going to a conference and I'm sure the V680 will be there for me to play with. Stay tuned!
Hey there! Just discovering your channel based on a random suggestion by TH-cam and I'm amazed. Would you please help me with the setting of target TV for a neuromuscular/SCI patient on chronic phase? How many ml/kg IBW should I program for those patients? are they the same 6-8 ml/Kg IBW?? I'm asking this based on those cases of patients who end up using non-invasive ventilators connected to their tracheostomy with AVAPS or BiPAP mode. In relation with that question, how much can I increase the IPAP, and reached or targeted TV on BiPAP/AVAPS in order to rise the PP without risking lung trauma? Thank you so much for your help! Cheers from Chile!!!
Hello JM! Glad you found the channel. In regards to tidal volume and SCIs, this gets interesting. You can find many interesting research articles on the web that support the use of larger tidal volumes in this population of patients. One in particular, although very small, used tidal volumes as large as 20ml/kg. I'm not suggesting or encouraging that, rather just illustrating the vast variance in management of this patient population. The following link supports the use of 10-12 ml/kg. www.ncbi.nlm.nih.gov/pmc/articles/PMC3781830/#:~:text=Our%20standard%20practice%20in%20acute,30%20cm%20H2O. All studies supported plateau pressures to be maintained less than 30. In regards to max IPAP, 20-25 is generally the recommended max IPAP. If you can't get it done with that, a different mode of mechanical ventilation is most likely needed. Hope this helps. Reach out anytime and thank you for watching and commenting! Cheers from America!!!
Respiratory Coach thank you so much for your answer! Clear as water just like your videos! Just realize I’ve made a typing mistake at the end... it was PS instead of PP. Keep it up my friend! You’re doing an amazing job!!!
@@RespiratoryCoach Thanks, one example is the newer Dreamstation bi-pap with what they call Auto Bi-level mode (it also has Fixed Bi-level mode too if you want), with the following settings: EPAP 4-IPAP IPAP 4-25 cm maxIPAP=(minEPAP+3)-25 minEPAP=4-(maxIPAP-3) PSmin 0-8 cm PSmax PSmin-8cm
Just got a new job at a trauma hospital, I’ve been 9 years in a community hospital, at this hospital they’re using AVAPS, so This video is on repeat, thank you!
Awesome, Karol! Congrats and learn all you can! I enjoy trauma work!
@@RespiratoryCoach on the new single limb vent circuits for machines with AVAPS, if u connect to trach, doesn’t the machine cycle the exhalation almost completely out? Do u need to have a exhalation leak on the new machines is what I’m asking
Yay, thank you!! I saw this mode being used at my clinical site and I asked my preceptors about it but the way they explained it wasn’t clicking, but you explained it really well. thanks again 😊
Cool! Thanks for watching and for the kind feedback! Best wishes!
Elegantly explained. Extraordinary teaching skill. Thank you for making this video. 🙏
A very good presentation I've used this twice today so far
As a patient of an AVAP machine thanks for this! I struggled for almost 10 years to get used to using one of these machines but in the last year since I've gotten my AVAP I've never had better sleep. As someone with very little lung capacity this machine has become my lifeline.
Thank you, Jeremy, for sharing this perspective. I appreciate you watching and sharing.
You left out that you also set a "Rate". I love the AVAPS mode and use it a lot in my daily practice. It's my go to mode for post-op surgery patients on pain meds and overdose patients. I defiantly recommend it over Bipap any day.
The Karate Kid became one helluva RT! Awesome vid!
Thank you coach for the review
In the Resvent Ibreeze 30STA models, AVAPS is built in to the machine if a breathing rate is specified. These machines are for treating sleep apnea only.
Excellent Joe. Unless I’ve missed one, can you please make a video showing similarities and differences between iVAPS (ResMed) and AVAPS (Phillips), in the context of obstrtive and restrictive disorders.
Got it on the list! Thank you for your kind words and for watching!
Thank you so much for your sharing! this really helps me a lot! After watch few videos about NIV from your channel, It helped me to understand much better in concepts of NIV.
There is two questions I would like to ask about. May I know is there a leakage alarm or cutoff (e.g. no more than 20L/min Tot. Leak or Pt. Leak so as to keep the effectiveness of set pressure) in the Philips V60? Is mobilization of patient on BiPAP possible? (will that cause leakage and ineffectiveness?) Thank you so much and would much appreciate if you could answer my questions. 🙏🏻
There is a leak compensation factor, but I'm not sure of the details of that. Yes, you can mobilize a patient on NIV, so long you are using a mobile vent. Hope that helps!
@@RespiratoryCoach Really thank you so much for answering my question! 🙏🏻 That helps me a lot! Grateful to have discovered ur channel!
Hi can you explain the difference between Avaps and Avaps AE?
Great video! We just received our V60s and I'm creating a training workshop for the RT staff. This was very helpful! Question: is there a consensus on where to start the MAX P and MIN P?
Trouble shooting question. If the alarm says targeted tidal volume exceeded decrease min pressure does this mean the patient is air hungry ? Would you increase tidal volume and then decrease the min and max ?
Hi Jenna! It certainly could indicate air hunger. We see this in PRVC too. I would assess my patient to discern if it's related to distress/air hunger or if they just don't need that much support. If it's air hunger, then your solution is appropriate.
Thank you always,RRT
Can you link the other video. Unable to find
Hey, I don't see the link to view the avaps on the left upper corner..
Nice Video, thank you.
Thanks, William! I appreciate you watching and taking the time to comment.
How does it differ with Hi flow like optiflow or the NIV mode in the ventilator?
Hi, so AVAPS mode is the same with ASV mode? Is it right? Thank you so much!
I have the same question as you, but I saw ASV in both NIV and IV ventilator machine
Very, very similar, in how they adjust PS to achieve volume, but not exactly the same.
@@RespiratoryCoach so, what is the different?
@ AVAPS targets a desired tidal volume, while ASV targets a desired minute volume. ASV will also provide mandatory PC breaths if indicated.
@@RespiratoryCoach Thank you so much, I have learned a lot from you!
What exactly are you saying is the Pressure support? The difference between the max and min?
PS as in the difference between EPAP and IPAP (the actual IPAP, not min or max since these are just setting boundaries)
Thank you vary much , I have questions regarding AVAPS on new model v680 , there’s new setting (delta p max) and there is range from 1-5 , I try to find it on the manual and nothing about it . Can u explain it ?
Hi Abdullah! I'll have an answer for you by the end of the week. Going to a conference and I'm sure the V680 will be there for me to play with. Stay tuned!
@@RespiratoryCoach thank you very much I am waiting 🌹
Excellent
Thanks for watching and kindly commenting!
You are the best
You are too kind! Thank you for watching and kindly commenting!!
Thank you 😊
You're welcome 😊
Thank you so much ❤️
Hey there! Just discovering your channel based on a random suggestion by TH-cam and I'm amazed. Would you please help me with the setting of target TV for a neuromuscular/SCI patient on chronic phase? How many ml/kg IBW should I program for those patients? are they the same 6-8 ml/Kg IBW?? I'm asking this based on those cases of patients who end up using non-invasive ventilators connected to their tracheostomy with AVAPS or BiPAP mode.
In relation with that question, how much can I increase the IPAP, and reached or targeted TV on BiPAP/AVAPS in order to rise the PP without risking lung trauma?
Thank you so much for your help!
Cheers from Chile!!!
Hello JM! Glad you found the channel. In regards to tidal volume and SCIs, this gets interesting. You can find many interesting research articles on the web that support the use of larger tidal volumes in this population of patients. One in particular, although very small, used tidal volumes as large as 20ml/kg. I'm not suggesting or encouraging that, rather just illustrating the vast variance in management of this patient population. The following link supports the use of 10-12 ml/kg. www.ncbi.nlm.nih.gov/pmc/articles/PMC3781830/#:~:text=Our%20standard%20practice%20in%20acute,30%20cm%20H2O. All studies supported plateau pressures to be maintained less than 30. In regards to max IPAP, 20-25 is generally the recommended max IPAP. If you can't get it done with that, a different mode of mechanical ventilation is most likely needed.
Hope this helps. Reach out anytime and thank you for watching and commenting! Cheers from America!!!
Respiratory Coach thank you so much for your answer! Clear as water just like your videos! Just realize I’ve made a typing mistake at the end... it was PS instead of PP.
Keep it up my friend! You’re doing an amazing job!!!
I have trouble shooting question, what the mean Inspiratory pressure low?
Thanks! How is this different to a Bipap machine on so-called auto-bipap mode?
Not sure. I'm not familiar with auto-bipap mode, but I will most definitely look into this.
@@RespiratoryCoach Thanks, one example is the newer Dreamstation bi-pap with what they call Auto Bi-level mode (it also has Fixed Bi-level mode too if you want), with the following settings:
EPAP 4-IPAP
IPAP 4-25 cm
maxIPAP=(minEPAP+3)-25
minEPAP=4-(maxIPAP-3)
PSmin 0-8 cm
PSmax PSmin-8cm
Aye! Is that a Tacoma Community College shirt???
What is the Rental code for AVAPS & ASV?
I'm not sure of Rental codes, sorry. thanks for watching!!!
Thank you so much !!!
Thank you!