A good way to remember what shows that the patient is ready for extubation, that I learned in RT school: SHARC = Spontaneously breathing; Hemodynamic stability; Awake, alert; Reason for intubation is reversed or being reversed and Cuff Leak :) Love these videos!
Thankyou. This helped. But may I know how is the criteria for weaning and extubation different ? Weaning implies , taking off the ventilator but no the ET tube for observation. But extubation implies removal of the ET tube altogether. I am failing to understand the difference in criteria's for both ? We have SHARC for extubation but Spontaneous breathing trial , haemodynamic monitoring etc is also a criteria for weaning. What are the extras for extubation ?
Here as an electrical engineer thinking about ventilator design, given the coronavirus. This was a very high quality set of lectures. Thank you Dr. Seheult.
Im a long time Medsurg nurse that just got promoted to the ICU and needed a vent refresher, awesome series great refresher and now I understand what to look for when doctors write the orders for the vent.
I was sick of the ICU because of my limitation in knowledge of mechanical ventilation, now i can confidently say am enjoying my ICU rotation.Thank you so much Dr Seheult.
watched all 5 videos. Thank you so much. It's been a 2 years since i was in ICU and I've started CRNA school. Getting up to speed and reviewing/learning new things has been awesome. Thank you!!!
I'm in school to be an anesthetist as well and it's extremely hard to say the least! Let me know if you find any other videos that are good for explaining the different modes of ventilation! His focused mostly on AC/CMV and didn't touch on SIMV etc.
@@jackf3619 th-cam.com/video/bOOdeaQ0zy0/w-d-xo.html I have not watched this, i am only going by the title in passing it along. I hope this helps. I plan on watching it later ... got some reading to do.
You have no idea just how much this videos has helped me. I am a student in the paramedical stream , in the critical care unit where we are mostly instructed to concentrate on the practicals and we are not taught enough regarding the theoretical background. I have my exams within the next few weeks and this is going to help me with the notes plus the knowledge. Thankyou for explaining it in the simplest way possible. You earned a subscriber. Will be watching more of your videos to understand the theoretical part of all that we have to do practically in ICU. Thankyou 🙏
i have been trying to get a book to understand ventilators, even the dummy book couldn't explain it any better and simpler as you do! thank you so much! looking forward for more of your medical learning videos!
You are awesome. Thank you so much for doing this. You just summarized a whole day of studying into minutes. You, sir, are a scholar, a gentleman, and a superhero.
I'm trying to get my head around Critical Care for my upcoming MICU rotation.. your videos have helped me a lot in understanding the mechanics of ventilation. Thanks for this!
Wonderful video , God sent at the time of this crisis. Very well explained. Depth of your involvement is clearly reflected. God bless you and your family doctor.
Excellent series of lectures (tutorials: 1-5); pitched at a level that promotes (and rewards) numeracy, and enhances our (bio-)physics knowledge. Thankyou Dr Seheult from a nurse in UK
You are simply God-sent. Cant thank you enough for breaking this down in simple language. I Have been beating up my brain trying to get this down before my ICU rotation, now I can inhale for you have equipped me with the basics. God bless you
Med students on their ICU rotation, such as myself, truly struggle with this topic. I found this extremely helpful. Thank you very much for presenting the material clearly.
Just finished this series and I must say, the BEST refresher course I ever had! I don't think there could be any easier of teaching than what I just watched! I'm sure you hear this all the time, but I really REALLY wished you were at my school teaching vents!! 😊
MedCram - Medical Lectures Explained CLEARLY You're very welcome! I rarely ever leave comments, but your vent series really has not only helped me understand better, it has also inspired me to learn even more. trust assured, I WILL be investing in your MedCram lectures, specifically cardiopulmonary, because if they are even half the quality of your vent series lectures, then I know I will be just fine in the respiratory care field! Again thank you for putting these series together!
Loved the videos, great job. A couple things I would add to prepare to extubate a patient: -make sure they are normothermic. Hypothermia increases shivering and therefore metabolic demand for O2 goes up which is not what you want when preparing to extubate. -If your patient was brought to the ICU directly from the OR or has been on any type of muscle relaxant/paralysis infusion you need to make sure the patient is fully reversed and there is no residual paralysis. TOF should be >0.9 to extubate safety. -Lastly check the intubation note and make sure the patient was not a difficult airway when they initially were intubated. If they were then have the appropriate personnel at the bedside for extubation. Don't be a cowboy and think your pt will probably be ok and pull the tube only to find out they are not ok and you can't put the tube back in.
Great. I am a retired ITU nurse. It was good to refresh my memory. Just in case there is a need for help in a major crisis. Anecdotally My introduction to ventilators was on BIRD ventilators if you are old enough to remember them. Most measurements were taken manually by the nurse and recorded on a massive chart. Thank heavens for technology.
Outstanding! Very clear to understand and able gain base knowledge, specially in this time of COVID 19. I am a Neurologist, not working directly with ventilators, but very useful for me to know what is going on at the ICU. Thank you!!
excellent explanations and series. It would be very useful to have another video on vent scenarios specifically for covid-19 patients, likely ARDS clinical examples?
as a family doc, this is a great review.....with the new covid19 concerns....I might have to help in an ICU again and vent management and this really helped bring back things from years ago
Thank you Dr. Seheult. I have just started my intern year. Ventilators drive me crazy but your videos have helped me a lot. I am understanding them gradually. This is definitely a great way to start! Wish you taught at our hospital !
+MEDCRAMvideos Yes I do ! :). Hopefully I am able to apply mechanical ventilation concepts the way you do! Keep up the good work Dr. Seheult. It is indeed a very complex topic to teach!
I am respiratory student with an online program and it is by far the worst decision. It has been the biggest struggle to visualize anything with no hands on..especially understanding vents.. Your videos are awesome they really truly have helped me. Thank you
Thank you Sir Roger Sheult, MD i really enjoyed the classes youve provided, i really learned a lot especially with the illustrations, it helped a lot. i honestly think this kind of detailed explanations would help so many people who are eager to learn. thank you ! anton indonesia
Love the videos Dr. Seheult. Many thanks from a new ICU nurse & your colleagues I work with! I've even surprised a few with the knowledge I've gained! Any chance for a video on Rhabdomylosis?
Thanks for these clearly explanations. I have increase my knowlege but because I work withe neonates I would like to see more explanations for the use of ventilators for neonate.
I have a question , may I know how is the criteria for weaning and extubation different ? From what I know , Weaning implies , taking off the ventilator but not the ET tube for observation. But extubation implies removal of the ET tube altogether. I am failing to understand the difference in criteria's for both ? We have SHARC for extubation but Spontaneous breathing trial , haemodynamic monitoring etc is also a criteria for weaning. What are the extras for extubation ?
hope fully we haven't extubated without an airleak. But, lack of an airleak doesn't always mean tracheal stenosis. It could just mean airway swelling and edema.
Seriously? We are moving away from the term weaning because it is also used to describe babies switching from nourishment from mother to solids? Well I guess I shouldn't be called a nurse anymore then because....nursing only = breastfeeding. 🙄
MedCram - Medical Lectures Explained CLEARLY but that's my point. Nursing DOESN'T only mean breastfeeding just as weaning doesn't only mean switching forms of nourishment. But anyway, I love the videos. They help SO much. Keep it up!
iCU nurse here. New in the station. Learned so much from you. Thank you! Will watch it again and again until i master it.
A good way to remember what shows that the patient is ready for extubation, that I learned in RT school: SHARC = Spontaneously breathing; Hemodynamic stability; Awake, alert; Reason for intubation is reversed or being reversed and Cuff Leak :) Love these videos!
Goood
Thankyou. This helped.
But may I know how is the criteria for weaning and extubation different ?
Weaning implies , taking off the ventilator but no the ET tube for observation.
But extubation implies removal of the ET tube altogether.
I am failing to understand the difference in criteria's for both ?
We have SHARC for extubation but Spontaneous breathing trial , haemodynamic monitoring etc is also a criteria for weaning. What are the extras for extubation ?
This whole series was amazing, well explained, you are a true teache. Thanks.
medicine resident who has been away from the ICU for a year. this was a fantastic refresher. thanks so much.
right
Here as an electrical engineer thinking about ventilator design, given the coronavirus. This was a very high quality set of lectures. Thank you Dr. Seheult.
Im a long time Medsurg nurse that just got promoted to the ICU and needed a vent refresher, awesome series great refresher and now I understand what to look for when doctors write the orders for the vent.
+Meghan Brunette Excellent to hear- thank you for the comment
I was sick of the ICU because of my limitation in knowledge of mechanical ventilation, now i can confidently say am enjoying my ICU rotation.Thank you so much Dr Seheult.
you truly understand the physiology of the respiratory system. thanks for sharing your knowledge with the next generation
watched all 5 videos. Thank you so much. It's been a 2 years since i was in ICU and I've started CRNA school. Getting up to speed and reviewing/learning new things has been awesome. Thank you!!!
I'm in school to be an anesthetist as well and it's extremely hard to say the least! Let me know if you find any other videos that are good for explaining the different modes of ventilation! His focused mostly on AC/CMV and didn't touch on SIMV etc.
@@jackf3619 yeah SIMV would have been nice
@@jackf3619 th-cam.com/video/bOOdeaQ0zy0/w-d-xo.html
I have not watched this, i am only going by the title in passing it along.
I hope this helps. I plan on watching it later ... got some reading to do.
You have no idea just how much this videos has helped me. I am a student in the paramedical stream , in the critical care unit where we are mostly instructed to concentrate on the practicals and we are not taught enough regarding the theoretical background. I have my exams within the next few weeks and this is going to help me with the notes plus the knowledge. Thankyou for explaining it in the simplest way possible. You earned a subscriber. Will be watching more of your videos to understand the theoretical part of all that we have to do practically in ICU. Thankyou 🙏
i have been trying to get a book to understand ventilators, even the dummy book couldn't explain it any better and simpler as you do! thank you so much! looking forward for more of your medical learning videos!
You are awesome. Thank you so much for doing this. You just summarized a whole day of studying into minutes. You, sir, are a scholar, a gentleman, and a superhero.
I'm trying to get my head around Critical Care for my upcoming MICU rotation.. your videos have helped me a lot in understanding the mechanics of ventilation.
Thanks for this!
Wonderful video , God sent at the time of this crisis. Very well explained. Depth of your involvement is clearly reflected. God bless you and your family doctor.
Excellent series of lectures (tutorials: 1-5); pitched at a level that promotes (and rewards) numeracy, and enhances our (bio-)physics knowledge. Thankyou Dr Seheult from a nurse in UK
You are simply God-sent. Cant thank you enough for breaking this down in simple language. I Have been beating up my brain trying to get this down before my ICU rotation, now I can inhale for you have equipped me with the basics. God bless you
+corely91 Good to hear, thanks for the feedback! Best wishes on your rotation
Watched all 5 lectures in this series. Very lucid and exceptional way of teaching.
Med students on their ICU rotation, such as myself, truly struggle with this topic. I found this extremely helpful. Thank you very much for presenting the material clearly.
+Ameer Sharifzadeh Great to hear- thanks so much for the feedback
Just finished this series and I must say, the BEST refresher course I ever had! I don't think there could be any easier of teaching than what I just watched! I'm sure you hear this all the time, but I really REALLY wished you were at my school teaching vents!! 😊
+Corey G thanks Cory I really appreciate comments like this.
MedCram - Medical Lectures Explained CLEARLY
You're very welcome! I rarely ever leave comments, but your vent series really has not only helped me understand better, it has also inspired me to learn even more. trust assured, I WILL be investing in your MedCram lectures, specifically cardiopulmonary, because if they are even half the quality of your vent series lectures, then I know I will be just fine in the respiratory care field! Again thank you for putting these series together!
Loved the videos, great job. A couple things I would add to prepare to extubate a patient:
-make sure they are normothermic. Hypothermia increases shivering and therefore metabolic demand for O2 goes up which is not what you want when preparing to extubate.
-If your patient was brought to the ICU directly from the OR or has been on any type of muscle relaxant/paralysis infusion you need to make sure the patient is fully reversed and there is no residual paralysis. TOF should be >0.9 to extubate safety.
-Lastly check the intubation note and make sure the patient was not a difficult airway when they initially were intubated. If they were then have the appropriate personnel at the bedside for extubation. Don't be a cowboy and think your pt will probably be ok and pull the tube only to find out they are not ok and you can't put the tube back in.
Thanks so much! My textbook was so confusing but this video series cleared it all up so quickly!
Great. I am a retired ITU nurse. It was good to refresh my memory. Just in case there is a need for help in a major crisis. Anecdotally My introduction to ventilators was on BIRD ventilators if you are old enough to remember them. Most measurements were taken manually by the nurse and recorded on a massive chart. Thank heavens for technology.
Outstanding! Very clear to understand and able gain base knowledge, specially in this time of COVID 19. I am a Neurologist, not working directly with ventilators, but very useful for me to know what is going on at the ICU. Thank you!!
Extremely helpful towards my understanding of mechanical ventilation. Thank you!
excellent explanations and series. It would be very useful to have another video on vent scenarios specifically for covid-19 patients, likely ARDS clinical examples?
A mechanical engineer trying to learn the functions of a ventilator here. Thank you for helping us learn.
your 5 videos about mech vent are great!!! it made it easier for us to understand this topic! THUMBS UP!!!!
Great series of videos on ventilator settings. Thank you very much.
as a family doc, this is a great review.....with the new covid19 concerns....I might have to help in an ICU again and vent management and this really helped bring back things from years ago
I am too ,a doc.this article is ok
Thank you Dr. Seheult. I have just started my intern year. Ventilators drive me crazy but your videos have helped me a lot. I am understanding them gradually. This is definitely a great way to start! Wish you taught at our hospital !
+RS Cool - you've got my initials! "RS"
+MEDCRAMvideos Yes I do ! :). Hopefully I am able to apply mechanical ventilation concepts the way you do! Keep up the good work Dr. Seheult. It is indeed a very complex topic to teach!
What a GREAT LECTURE! thank you for sharing your knowledge with us.
Thanks for the comment
medcram for president
I always had problems with criteria for weaning from Ventilator . Thank you .
Well explained and easily digestible. Thank you for your excellent teaching with class and clarity!
I am respiratory student with an online program and it is by far the worst decision. It has been the biggest struggle to visualize anything with no hands on..especially understanding vents.. Your videos are awesome they really truly have helped me. Thank you
Annette Garmman Good to hear the videos have helped and best of luck in your program. Thanks for the comment
Thank you so much for your amazing teaching. It is truly clearly explained all ventilation basic concept. Thank you! from down under.
Thank you Sir Roger Sheult, MD i really enjoyed the classes youve provided, i really learned a lot especially with the illustrations, it helped a lot. i honestly think this kind of detailed explanations would help so many people who are eager to learn. thank you !
anton
indonesia
i am thankful.Real precise series.I would be very glad to see if you have more advanced lectures on MV. Gratitude!!
dan mas Thank you. Did you see our "Ventilator Pearls Explained Clearly" lecture at th-cam.com/video/NUN32O054G0/w-d-xo.html
MEDCRAMvideos no Dr i missed that one.I will.
Medcram are medical super heros
Thanks very much for this; just watched your mechanical ventilations series and it helped clear up a lot of confusion on my end. Very well done.
Matt Steringa Glad the series helped- thanks for the comment
Love the videos Dr. Seheult. Many thanks from a new ICU nurse & your colleagues I work with! I've even surprised a few with the knowledge I've gained!
Any chance for a video on Rhabdomylosis?
Sir you are a great teacher 👍
Thanks for making subject more understandable
Excellent lecture, you spoon feed the approach to venti.settingd
Thank you very much
really wish you taught at my school!
So helpful and simple. Thank you sir!
Wao, Thanks for the shared knowledge. Am studying to design ventilator also. You really open my understand.
Thanks for these clearly explanations. I have increase my knowlege but because I work withe neonates I would like to see more explanations for the use of ventilators for neonate.
Thank you for making it easier to understand
You are amazing! Thank you so much for helping me understand vents. 😀
mindblowing, jajakallahualkhaer for ur wonderful briefing
Very helpful indeed! I liked the simple language of explanation and the nice drawings. Thanks a lot.
+Mahmudur Rahman Good to hear- thank you for the feedback
Very well explained Sir.Highly recommended.
thank you for the great lecture. Helped me a lot
Thank you for these lectures. Very helpful!
Awesome lecture very clear and precise
excellent, thank's for your very good presentation.
Thank you. A lot of basics, important things and new things learned from it.
tubeysr good to hear- thank you
Thank you so much. Very simple and well broken down
Thank you Dr. Seheult!
You're welcome!
Thanks . good way of refreshing previous knowledge ( simple and shirt ) ,
Fantastic! Now it is as simple as ABC 👍😷
Excellent presentation. Thanks
Excellent series... Thank you
James Amalraj thanks for the feedback
Amazing lectures, thanks a lot
Very great detail
Thank you for sharing your knowledge!
Excellent series.
I was a critical care nurse when we used the term, weaning. "Liberation" sounds kind of hoaky. We also used to wean off drips.
I have a question , may I know how is the criteria for weaning and extubation different ?
From what I know , Weaning implies , taking off the ventilator but not the ET tube for observation.
But extubation implies removal of the ET tube altogether.
I am failing to understand the difference in criteria's for both ?
We have SHARC for extubation but Spontaneous breathing trial , haemodynamic monitoring etc is also a criteria for weaning. What are the extras for extubation ?
Very understandable video. Thanks
Thank you so much for the excellent videos. Do you also lecture on neonatal topics?
Thank you for the great videos. What would your suggestion be for the next level of ventilator learning material?
Great lecture ❤
Very simple and excellent
great series.
Great vid Fam
Amazing series !!
Eloquently put. Eloquently explained.
none better. Thank you Dr
Nobody uses the term 'liberation' where I worked. It was always called weaning (2015)
So, basically how many Mode we should add in vent. only AC mode?
Awsome !! Thanks much for sharing.. Really appreciate..
+Jignesh Patel Thank you for the comment
thank you for your effort it is valuable
I was totally blank about ventilators before this
It was great thanks for sharing
Can you have discussion on PRVC mode in detail please
munaf siyamwala Thanks for the topic suggestion- we will add this to the list of future topics to cover
Thank you sir
greeting from egypt
you are more than wonderful......thx alt
+mohammad khattap Thank you for the feedback
wonderful
NYC one sir
great, thanks...
if no air leak? we re intubate then with an stenotic traquea?
hope fully we haven't extubated without an airleak. But, lack of an airleak doesn't always mean tracheal stenosis. It could just mean airway swelling and edema.
Super 💖
thank you ✌🏾
liked it very much
nice good stuff
Thank you!
justmeeightythree you're welcome- thanks for the comment
Seriously? We are moving away from the term weaning because it is also used to describe babies switching from nourishment from mother to solids? Well I guess I shouldn't be called a nurse anymore then because....nursing only = breastfeeding. 🙄
+Kim K ah no. There are also nurse bees which definitely have nothing to do with milk. They do take care of queens and such.
MedCram - Medical Lectures Explained CLEARLY but that's my point. Nursing DOESN'T only mean breastfeeding just as weaning doesn't only mean switching forms of nourishment.
But anyway, I love the videos. They help SO much. Keep it up!