The pao2 in the picture is opposite with pvo2 . When the lungs transport nonoxigenated o2 it will move from arterial artery and will leave capillaries after oxigenation cycle by pulmonary veins going to left ventricular stroke volume then will leave the heart while moving this oxigenated blood via systemic arteries.🇵🇸🇵🇸 show your channel every day from palestine❤❤
Can someone answer this question for me, What do you think about peep during a code with a crappy spo2. Should we turn up peep all the way on an intubated patient when bagging while coding and low spo2?
I love this video. I would take this a step further and say that you are actually increasing Mean Airway Pressure (MAP) by increasing PEEP. I was working in the field for a few years before I was at a conference and heard this again. I remember hearing about increasing MAP but it did not click until that day. It really helped me to understand why PEEP works by increasing MAP and how other modes (APRV/Bi Level) can help to improve refractory hypoxemia.
Have a question, doctors normally would tell us to go with the saturation despite low PO2 in the gas, should we follow the sats? Why is that saturation is high but pO2 is low or low borderline despite repeating the ABG? Thanks over and over...
Hi, Liz. It all has to do with this formula right here. Total Oxygen Content or Carrying Capacity = (Hemoglobin X 1.34 X SaO2) + (PaO2 X .003). This formula demonstrates the importance of hemoglobin and saturation over the value of PaO2. Multiply any PaO2 by .003 and you get a very small number, essentially meaningless in the world of oxygen delivery to the tissues. That's why, Liz. Hope that makes sense and helps.
more RTs need to see this stuff!! so peep because 1) increased surface area 2) decreased ACM thickness, but also, wouldn't you 3) actually ventilate atelectatic/consolidated alveoli that were not getting air into them?
100%....... peep = increased map = increased alveolar recruitment = increase FRC = increase oxygenation. Yes, 3 would be accurate as well. Thanks again for the comment.
WOW! Thank you so much for explaining. I have no Idea why people dislike your videos!! Hope you will make more videos like this. You are very clear and to the point. Thank you again!
Thank you . Indeed a great help for anesthesiology residents .
Thanks for making such helpful videos, myself and the rest of the RT community appreciate your channel!
Thanks, Cody. I appreciate the fact that you watch the channel. Glad to help. Let me know how I can.
Again thanks dear sir
Rt from Pakistan
I enjoy your lessons...you make the subject matter easy to follow and understand. 👏👏
Thank you! 😃 Glad you like them. And thank you for watching!
Thank you Coach !
Would you be able to make a video going over choosing PEEP based on the SPV loop? With the LIPi, UIPi, & UIPd?
Got it on the list, Breanna. It's a long list, but you're on it. lol
@@RespiratoryCoach Thank you! We just went over this in class but now that everything is online some things are just harder to learn haha
@@breanna9804 You're welcome, Breanna. Hope it helped to bridge the distant learning gap.
As usual an awesome explanation. Just another tool to get that point across our students. Thank you so much
Thanks, Jay.
The pao2 in the picture is opposite with pvo2 .
When the lungs transport nonoxigenated o2 it will move from arterial artery and will leave capillaries after oxigenation cycle by pulmonary veins going to left ventricular stroke volume then will leave the heart while moving this oxigenated blood via systemic arteries.🇵🇸🇵🇸 show your channel every day from palestine❤❤
Can someone answer this question for me, What do you think about peep during a code with a crappy spo2. Should we turn up peep all the way on an intubated patient when bagging while coding and low spo2?
I love this video. I would take this a step further and say that you are actually increasing Mean Airway Pressure (MAP) by increasing PEEP. I was working in the field for a few years before I was at a conference and heard this again. I remember hearing about increasing MAP but it did not click until that day. It really helped me to understand why PEEP works by increasing MAP and how other modes (APRV/Bi Level) can help to improve refractory hypoxemia.
Iam an ICU physician, I have learn alot from you ,Your are extremely talented 👏👌
Awesome - thank you Joe!
You're very welcome!
This really helped me. Thank you so much
Have a question, doctors normally would tell us to go with the saturation despite low PO2 in the gas, should we follow the sats? Why is that saturation is high but pO2 is low or low borderline despite repeating the ABG? Thanks over and over...
Hi, Liz. It all has to do with this formula right here. Total Oxygen Content or Carrying Capacity = (Hemoglobin X 1.34 X SaO2) + (PaO2 X .003). This formula demonstrates the importance of hemoglobin and saturation over the value of PaO2. Multiply any PaO2 by .003 and you get a very small number, essentially meaningless in the world of oxygen delivery to the tissues. That's why, Liz. Hope that makes sense and helps.
@@RespiratoryCoach 😁the best!
Thanks
You're welcome, Kamal.
Thank you
more RTs need to see this stuff!!
so peep because
1) increased surface area
2) decreased ACM thickness,
but also, wouldn't you 3) actually ventilate atelectatic/consolidated alveoli that were not getting air into them?
100%....... peep = increased map = increased alveolar recruitment = increase FRC = increase oxygenation. Yes, 3 would be accurate as well. Thanks again for the comment.
WOW! Thank you so much for explaining. I have no Idea why people dislike your videos!! Hope you will make more videos like this. You are very clear and to the point. Thank you again!
Thanks, Stephen. I appreciate you watching and kindly commenting.
Thank you very much Coach... waiting for part 3. Stay safe and healthy coach.
Hey, Adz. Coming soon, and you do the same.
As usual awesome explanation
Thanks, Mohamed. Always appreciate your kind comments.
Thank you!
You're welcome!