Modes of Mechanical Ventilation - Respiratory Therapy
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- เผยแพร่เมื่อ 1 ต.ค. 2024
- A break down of the 11 most common ventilator modes. Please comment for further clarification or future request.
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I agree with one of the comments. You should write a textbook. The way you explain the concepts using dead simple language is fantastic and helps to have a solid base before going into details. I would be the first one to buy your book !!! I truly believe the book would stand out from other ones filled with med jargon. I love when you give examples - this helps so much. WRITE A BOOK!!!please.
dude! You’re a LEGEND!! I’ve never thought I would understand these modes this way.. thank you 👍🏼
Lol, I don't know about legend! Just trying help a few RTs. Thanks for watching and leaving the epic comment. 🙏🙏
@@RespiratoryCoach yes you are
Good stuff! Less than 5 minutes in and I had a solid grasp of what I could never get out of class. You absolutely broke this down into the simplest of terms! New subscriber here! Thanks!
Thanks for watching and for the kind comments. Glad it made sense to you. Best wishes!
& dont forget! in SIMV mode, when the pt interrupts and takes a spontaneous breath, the expiratory valve opens to bleed off the extra pressure preventing stack breaths and increased intrathoracic pressure
Absolutely, Armin!! Thank you for that contribution!
Respiratory therapy school online is so difficult due to COVID. Being hands on & in front of a vent or even clinical will help make this stuff makes sense. Thanks for your videos
You should write a textbook! So much easier to understand. Thank you!!!
Maybe I'll consider that. Thank you for the kind comment and for watching!
@@RespiratoryCoach You are still the best to this day, and I agree, you should have your own books!!!!
THANK YOU! i have an exam tomorrow and after watching this, i feel a lot better. You broke everything down in terms that us newbies need and for that, ill forever be grateful :')
Old RN, but new PICU RN here. Thank you, thank you, THANK YOU for these videos. I have only watched 2 so far, but my understanding of mechanical ventilation has already grown by leaps and bounds!
❤
Could you please talk more about PRVC mode by any chance please? Thank you!
I LOVE your videos!!! Hey. I have a question. You know, we're all familiar with the SVNs, as we use them all the time. I'm very familiar with the Aerogen also, and I think YOU would be great at doing a video explaining Vibrating Mesh nebulization, and why It's in ways more effective in ventilator patients vs just adding a SVN in line to the ventilator. The Aerogen I believe is a WONDERFUL method of administration of nebulization to your patient. Not only can it be used for medications such as Albuterol, or Muccomyst, but It can also be used for continuous nebulization of medications such as FLOLAN!!! I think you should do a video on this! I've ALWAYS loved your videos, and support your work 1000%!!!
Good stuff and please suggest some books to read on mechanical ventilation
Thanks for watching Jagadeeswara! "The Ventilator Book" by William Owens, MD. Very straightforward and easy to read. Highly recommend it!
THANK YOU SO MUCH FOR HELPING! I want a shirt! Lol also, can you do another video on PRVC
Here ya go...hope it helps!
th-cam.com/video/zmOHQ-SXuxU/w-d-xo.html
Thank you!!! Very helpful
I just got my license, and this is a good review before I start my job. THANKS.
Awesome! Best wishes at your new job!
Thank you so much our Respiratory Coach. I am a first year student in Respiratory Care and worry much about for mechanical ventilation, specially this Ventilator mode. After I watched your video, my confusion about mode solved. I always watch your video when I don't understand any topic. Your video is more clear than any books and even more clear than my professor in my experience. I appreciate your great work.Thanks again.
2
So in CMV Vt and PIP will vary depending on PC or VC settings?
I have a patient on apvcmv. 16bpm 490ml. He's breathing 33bpm. The breaths triggered outside of the set 16, is the vent giving the patient the 490 Vt on those patient triggered breaths?
Yes, apv-cmv - indicates that the vent is in control of all triggered breaths. Now if the patient is actually receiving 490mL, is dependent on compliance and resistance, but the vent is controlling those breaths.
I am a senior RT student and have watched many of your videos and you have helped me to understand the different modes of mechanical ventilation
I would love one of those shirts. My name is Robert Gibson and I live in Oregon. I'm in R.T. school here in Portland, currently doing Clinical time at Providence St. Vincent's Medical Center. I can give you my address and send some $.
Hey Robert! Send me an email to respiratorycoach@gmail.com. I'll get you hooked up.
From a former educator to now Respiratory Therapist. Let me tell you that you are doing a great job teaching. By the way I want one of those shirts
Thank you Sir for putting yourself in the mind of a student and explaining your lessons in a simple manner. Due to COVID'S social distancing policy, the testing sites in California have been shut down, and they cancelled my test date 3 times already. I graduated months ago, in March. I worry my understanding of these concepts are slipping away. I'm watching your videos to get ready for a proctored exam. If you have any tips on studying for the CRT exam, please let me know.
Hello! Just stay active in the learning process. Review key concepts daily to ensure they don't slip away. Stay in it and you'll be good to go. Thank you for watching and best wishes!!!
I would like some help , I have respiratory tests done every 5months , I have trouble getting a good blow out breath, how can I improve this, I realise this what shows my result which is getting worse., so I need help. Thanks Lois Lind
Hi Lois. I wish I could help you with this. I don't know your reason for being tested every 5 months, but I assume it is due to the presence of a pulmonary disease. In that case, the anatomical alterations are the reason for not being able to "get a good blow out breath." Unfortunately, in most cases those anatomical alterations are chronic and not reversible. If anything, ask your physician about pulmonary rehabilitation. Best wishes!!
You made this so much easier to understand then my instructor that did it In 3hours and I was still confused. Thank you for breaking it down so students can understand it better.
You are so welcome!!! Glad it made sense this time!
Grt ..thank u
Plz make video about volume assured pressure support ventilation
Thank you, Sabah. VAPS is on the list! Thank you for watching and requesting a topic!
Sorry to get off topic Joe...but where are you from? You sound country and hood at the same time!!! haha lol
LMAO...that's because I am country and hood. Grew up in Central Texas. In the country AND in the hood. LOL Thanks for the laugh, and for watching!!!
Thank you SO much for this! I was having a hard time understanding this in class. You are a life saver!
Can you explain AC/VC+ please?
I would love one of those shirts please! Amazing job too in the video. I understand the modes a lot better now.
Send me an email. respiratorycoach@gmail.com Thanks for watching and kindly commenting!!
So tell me sir, if the patient starts trigger and initiates his own Breath, so its will count extra and in the patient bpm or not? If set bpm is 16 and patient takes 5 breaths by his own, so the patient bpm will be 21 or 16?I'm talking about both AC and SIMV mode
Hi sir! It's not that simple. It depends on the timing of the patient triggered breaths. 5 patient triggered breaths in addition to 16 time triggered breaths would total 21 bpm, but if some of those patient triggered breaths are synchronized then you may could have a total rate somewhere between 16 and 21 bpm. Does that make sense?
Got it, thank you Sir
thank you joe so help full. break it down and make it easier to understand. i would love a shirt let me know how i can get one thank you again..
Check out the merch shelf at the bottom of the videos or you can email me @ respiratorycoach@gmail.com. Thank you for watching and commenting!!
Thank you so much for that break down! You have made it much clearer than my instructor and my textbook. I so appreciate all your videos. Keep up the great work!
Awesome. My instructor is going to talk about modes on Monday and I think this will help me understand his lesson better with the videos. I am still a bit fuzzy on bilevel and APRV and the differences of them from this video. Can you do videos with patient scenarios or case study type material along with diseases and tests that should be done to help treat a patient or maybe you have done videos and I just need to find them? Thank you for your help with all this great information! You are appreciated and I like the t-shirt and your analogy of being a child asking why to be a better RT!
Thank you for making these video's.. They are make more sense to me..
Thank you for watching. Glad they are helping.
Joe we understood. no worries
Love this! Every student should watch it as it provides a streamlined overview of the various modes. I appreciate that it makes them much less daunting to learn by establishing relationships. (ie SIMV is always SIMV whether in VC or PC)!
So true, Mary!! Thank you for watching and commenting!!!
Thank you, you were made to teach, it takes skills to be able to pass such complicated concepts.... it would be an honor to have one of your shirts
Thank you very much. Getting more printed soon and will see about getting you one. Thank you for watching and kindly commenting!
@@RespiratoryCoach I would love to get one too! Thank you!
Your lectures are really makes complex issues very simplistic. Superb,
Can you give talk on how to set up trigger during mechanical ventilation.
Secondly how to wean nei ates and infants weaning stratagies from mechanical ventilation.
Thank you! Will discuss triggers soon. You may have noticed that I shy away from neo/pedi topics. That's only because I have limited experience in those areas. I am trying to arrange a session with my neo/pedi expert, where we will discuss all things neo/pedi! Thank you doctor for watching and commenting!
That's really helpful, thank you so much for your effort! God bless you
Q I just confused between a/c and simv from your explanation I feel like there's no difference? The pt take spontaneous breath with the set vc or PC in both so what's the difference??? Thanks if you can help.
Thank you Coach! I'm new to mechanical ventilation and I will be ready when semester begins about the subject. you made the reading come to life. Much love for giving your time in making ventilation not as scary as the professors make it out to be.
Hey Joe congrats on the baby and totally wish you the best bro. Met you at the CHOA student center this past august and we took a picture together. You were so kind to all of the students and staff wanting pics from you. Great presentation btw. I’m learning mech ventilation and the modes and wanted to say thx for simplifying this for me. You are gifted no doubt.
I truely thank you for this, you really broke them down, especially CMV vs A/C، it was my struggle, I realy thank you again!!! Keep these videos up.
Hello again, Yazan. Thanks again for watching and commenting. Glad it made sense.
Thanks, Joe. Hearing it explained makes it so much easier to understand than just reading about it. I appreciate what you do!
Hey Joe, I’d love it if you could do real vent graphics video. I think a lot of students are visual people
I'll see if I can make that happen soon.
Very well explained videos for a topic I have found overwhelming ….. Thankyou !!!
Having watched several videos the breakdowns and the repetitions between each video has been very useful …..
Great video. I'm trying to figure out a way to explain the difference between Bipap and PC outside of Non-invasive vent vs invasive. Any help? And why you should differentiate between the two.
Thanks, Adam. This is a great question. I tend to teach Bipap more along the concepts of pressure support, rather than PC. 2 points of emphasis. 1) The cycle difference between the two.
I time cycle in PC vs the patient's insp flow decay in bipap. Of course, we know that any time triggered bipap breaths become time cycled, as well. 2) The delta P in PC vs bipap, and how the settings reflect this. PC with delta P of 20 and peep 5 is not the same as bipap 20/5. Not teaching you anything, just illustrating my approach. Definitely a challenge to get students to understand this concept. Hope this helps a little. Thanks for watching Adam! Are you an instructor?
Thank you! I’m reviewing for mechanical vent final and this helped tremendously !
In SIMV-PRVC, the breaths that the patient initiates, are those taken into account for the next machine-given breath. For instance, if the set TV is 500, Respiratory breath is given every 6 seconds, and the first machine breath gives a TV of let us say 600. However, the patient breathes twice between that 6 seconds with a TV of 400 and 420. Will the ventilator given breath then increase the pressure based on those breaths, or will it decrease the pressure based on the previous machine breath that had a TV of 600mls? Love your videos, thank you - current nurse anesthesia student.
Thank you so much , I have small question ….. what mean of PSV mode that are directly with CPAP??
Thank you so much , I have small question ….. what mean of PSV mode that are directly with CPAP??
Would love a T-Shirt!! You have helped me more on these videos than my own instructors!!! I jusr recently discovered these videos! Thank you for making these videos & breaking it down!!!
thanks for amazing video. Does the volume auto flow expected as PRVC in Dräger primus respirator ? because the respirator gives a tidal volume with considiration to airways pressure .
Thanks Joe, wonderful ,my question is in SIMV mode as patient is truly breathing spontaneously so that is pure patient effort and vent is not augmenting it i.e. vent is totally silent even if patient is weak and not generating enough tidal volume, Am i right???
You’re a legend
Hi Respiratory Coach! I’ve been studying to get back into respiratory and although a lot of info has been easier to grasp now (after 7 yrs of graduating) MV wasn’t fully sinking in...until NOW! Thx for the break down. Can you do a video explaining when the most common modes would be used in the real world setting. Just for reference and more in depth understanding of when to apply each mode....thanks again 🙏🏽 for all your knowledge! 🤗
No problem and thanks for watching. I can definitely do that. Got it on the list. 👍
I recommend your videos all the time.
THANK YOU SO MUCH!
Our pulmonologist has a ICU patient on APRV mode, the low tidal volume has a set point at 50. All night long the Hamilton vent alarms, so I briefly turned that off . She went as low as 17, since we are not allowed to touch his settings I turned it back on. So, what needs to be done?
Sonic the pt tigger a breath before the 6 secs they will get the vent breathe 6 secs later from what the patient triggered?
@@keokaleggett8016 That's correct! Thanks for watching and commenting! GO BE GREAT!
@@RespiratoryCoach❤thanks so much!
This information really helps. I’m about to enter the ventilator semester and this really helps. Thank you. And if you still have T-shirts I’d love one. 😊
Would you please talk more about APRV mode and the graph sir?
Beautifully explained.
Could you explain the difference between pressure support ventilation and CPAP.
I would love to buy one t shirt.
Thank you! I'll for sure get a video out explaining the difference in those modes. Thanks for watching. Out of shirts for now, but more to come once the quarantine is lifted.
If the patient is desynchronised with the mechanical ventilator having too large VT, what can be the best mode when he is still critically ill with sedation?
Hi Liz. What mode are we starting in when the patient is out of sync and the tidal volumes are too large?
What if the patient is breath stacking in SIMV/AC? Would we increase the VT?
Great video, If you don't mind explaining PRVC just a little bit more in depth?
Turn urself into toddler😂😂 man physicians
Thank you very much ,this is a very informative session
You are welcome!
Thank u coach
on A/C if the patient triggers breaths frequently their minute volume will increase correct? because their Rate will be increased by the number of patient initiated breaths...is this correct?
You're awesome man! Can you have a separate video differentiating b/w APRV and Bi-Level?
Scratch that.. I just saw that you made a separate video for that.. EPIC muh dude!
Glad you found it my man!!! Thanks again for watching.
Only reason I can think of for PS on a paralyzed patient is the off chance that the paralytic dose isn’t high enough and the patient takes a spontaneous breath. There’s also pauses in the infusion while other meds are given or a new dose is hung. Should that really matter? No. Paralytics take a while to wear off. It’s just a CYA by the doc
Excellent professor. Excellent !!!
Thank you, Omar, for watching and kindly commenting!
Your my hero
Just have an "Enlightenment" moment. Thank you! 🤩🤩🤩
Wonderful explanation ❤
Thank you so much for watching and kindly commenting!
I couldnt get any better than this !!!
You clear the air !!!
Simple but in detail obviously
Thanks Abdul! I appreciate the kind comment, and glad it helped to clarify.
I'll be a toddler here.
Did you ask the trauma doctor what case he was talking about for PS to be present in a paralyzed pt? Was it in case they didn't paralyze the pt enough?
Hello I want to ask
First CPAP alone can use alone or CPAP and ps is better
Second simv mode can be used without endotracheal tube for example by nasal circuit connected to mechanical ventilation
In 2024.
Hey just wanted to say great videos! I'm a resident physician, and was having a hard time understanding APRV/Bi-level which is what my institution primarily uses for Covid-19/ARDS patients instead of more traditional modes. You explain things really well and make complicated concepts easy to understand. Thank you, keep it up, you are helping lots of people!
Hey, Ryan! Thank you for sharing these thoughts. Best wishes to you as you care for people during this time. Thanks for watching and commenting!!
Sir it's definitely making sense 👍
Fantastic!!!
perfect as always - greetings from austria, that one without kangaroos :-)
Thank you! Cheers mate! Oh wait, that's the one with kangaroos. ;-) Thanks for watching, Johann!!!
OMG thank you so much, from a first Year RT student!!!!
thank you so so much Coach joe!!!!! this simplified my review in the basics of mechanical ventilation....God bless and i hope you continue making videos to help us aspiring Respiratory therapists!!! thumbs up coach and more power
Thank you so much for your knowledge.Im getting ready to take my tmc exam, hopefully I’ll get it the first time 😊😊
Can you please make a video on Ventilation Alarms
Like Low VTe / high VTe/Low Minute Ventilation and how to change settings in those cases
This help a lot , you should write TMC exam questions and answers… thank you .
Hey respiratory coach! Your videos are awesome. I know this video was posted 4 years ago but can I still get a shirt!
Excellent lecture!! It finally cleared up for me. Thank you.
Can you please cover the different respiratory diseases. And assements that relate to the diseases. Thank you 🙏
Hi Judith. I'm sorry I overlooked this comment. Will work on this shortly. Thank you for commenting and for your patience.
Yo! How cam I get one of your shirts?!
This video helped so much! Thanks for the good stuff
Love ur videos 😍here new subscriber
Awesome, Sandy! THANK YOU!!!
New RRT here and proud!! Yaay!
Love and appreciate your videos. My hospital has PRVC almost standard..sonthank you for the break down! Of course I love the shirt and ill wear it with pride! Thank you
GO BE GREAT!!!!
25:33
What the hell was that background noise. 😂😂😂
Thank you for sharing this video. It helps a lot!!! I would love a shirt :)
Hey! I watch and like your videos all of the time, can I get a shirt please 🙏🏽
Clear and concise! Thanks Respiratory coach 😘
You're very welcome and thanks for the feedback! Thanks for watching and commenting.
Hi my Respiratory coach I listen 👂 to your videos everyday. You really help me understand a lot of topics that was not really clear understood. I will be taken my boards pretty soon and excited because you make the subjects appear much easier when teach it. Thank you for your videos. Please send me a medium size T shirt 👚.
Thanks for the kindness and good luck on your boards! Email me your address... respiratorycoach@gmail.com
How does simv PC differ with bi-level/ aprv?
Its better u do through practical showing here as wwll otherwse so complicated .
So your basically saying that in ac mode on a 6 seconds machine breath if the patient ask a breathe in 5 seconds it will give a machine breath yet so dumb that after that it will give a breath that is suppose to give which is time trigger every 6 seconds without the vent understanding that the breath that the patient triggered is machine breath? Am i right man?
Thanks for putting this video together. It made the concepts easier to comprehend. I'm interested in getting one of those Why greater than how shirts. What must I do to get one?
For Pressure control and Volume control the patient cannot take any spontaneous breathe?