I am an ER RN taking a respiratory course. I refer to a patient I cared for on OptiFlow for a Module Discussion Question, and found your video an excellent resource. I have referred my classmates to it, and will refer colleagues to it in the future. Great job - thanks!!
Beautiful video! Great Job and Thank You!! One thing you mentioned about heating up air to 37C. On optiflow you don't want to heat up to 37C because it gets too hot, creates large amount of condensation and patients cannot stand such high temperature when given through HFNC. Therefore, around 32C should be used, on that heater there's two modes, make sure you use non-invasive mode which heats up to around 32-33C, slightly lower than invasive.
Ig A the manufacturer recommendation is actually to initially use the “invasive” setting on the heater to heat the air to 37c. If the patient complains it is too hot you may have sized the cannula incorrectly which causes excessive condensation in the tubing, or their Inspiratory flow is not being met as currently set. If you troubleshoot the setup and find all is correct then you can change the temp setting to “noninvasive”. I’ve never had a patient complain of the air being too hot unless the setup was incorrect in some way.
I liked your video very much and found it very informative. Just one small note:; for infection control purposes, I wouldn't recommend emptying condensate found in the tubing back into the water chamber. If it absolutely had to be emptied, I should open the circuit and dump it out.
Not sure I agree with your recommendation... Heat in the chamber will kill any potential microbial colonisation in condensate. Furthermore, water vapour produced from the chamber cannot carry bacteria or viruses to the patient. Water vapour is a gas, and therefore cannot carry microbes, unlike water droplets that would be propagated from a nebuliser for instance.
The only thing that I didn't agree with is the emptying of any condensate into the chamber. This is NEVER a good idea. It should be emptied out from the circuit completely.
WOAHHHHHH! WOAHHHHH!! Don't EVER, DO NOT EVER DUMP WATER BACK INTO THE CHAMBER FROM THE HOSE!!!! That is asking for an infection!!!! Don't EVERDUMP WATER INTO THE CHAMBER!!
Thank you for your work! Great video for nurses.
Great teaching for nursing
As a new RT I found this video very informative. I may be utilizing this more in the ICU settings.
Great video. In the UK during this pandemic we are treating it as an AGP so we use full PPE. thank you for this!
Future RT here, have an assessment on this tomorrow. Great explanation!
Does the trach collar attachment fit different trach size? Thank you
I am an ER RN taking a respiratory course. I refer to a patient I cared for on OptiFlow for a Module Discussion Question, and found your video an excellent resource. I have referred my classmates to it, and will refer colleagues to it in the future. Great job - thanks!!
Excellent video. Thank you.
Great video! Our hospital don't have RT's so i find your video very very helpful! Keep it up!:)
This is truly a wonderful wonderful video!!
Is this a more comfortable option for the Bipap?
Outstanding information
Thank you
thanks for creating and sharing this video! very useful for newbie nurses like me!
What about masterpieces on the ventilator
Simple talk and the best way to explain without jargon. Thank you
It can’t get better thank you
what is the relation between FiO2 and aire Flow? What is the minimum effective flow? thanks
Beautiful video! Great Job and Thank You!! One thing you mentioned about heating up air to 37C. On optiflow you don't want to heat up to 37C because it gets too hot, creates large amount of condensation and patients cannot stand such high temperature when given through HFNC. Therefore, around 32C should be used, on that heater there's two modes, make sure you use non-invasive mode which heats up to around 32-33C, slightly lower than invasive.
Ig A the manufacturer recommendation is actually to initially use the “invasive” setting on the heater to heat the air to 37c. If the patient complains it is too hot you may have sized the cannula incorrectly which causes excessive condensation in the tubing, or their Inspiratory flow is not being met as currently set. If you troubleshoot the setup and find all is correct then you can change the temp setting to “noninvasive”. I’ve never had a patient complain of the air being too hot unless the setup was incorrect in some way.
We were instructed to use the NIV mode, but can increase temp if tolerated. About 90% don't tolerate the higher temps.
Well done, sir!
awesome video
I liked your video very much and found it very informative. Just one small note:; for infection control purposes, I wouldn't recommend emptying condensate found in the tubing back into the water chamber. If it absolutely had to be emptied, I should open the circuit and dump it out.
Not sure I agree with your recommendation... Heat in the chamber will kill any potential microbial colonisation in condensate. Furthermore, water vapour produced from the chamber cannot carry bacteria or viruses to the patient. Water vapour is a gas, and therefore cannot carry microbes, unlike water droplets that would be propagated from a nebuliser for instance.
Great explanation!!!
The roller blind..
The only thing that I didn't agree with is the emptying of any condensate into the chamber. This is NEVER a good idea. It should be emptied out from the circuit completely.
WOAHHHHHH! WOAHHHHH!! Don't EVER, DO NOT EVER DUMP WATER BACK INTO THE CHAMBER FROM THE HOSE!!!! That is asking for an infection!!!! Don't EVERDUMP WATER INTO THE CHAMBER!!