Thanks for watching. Get CME for this video series, AND see Dr. Seheult's updated vent videos at our website: www.medcram.com/courses/mechanical-ventilation-explained-clearly
Thank you! I'm an ER nurse turned ICU nurse literally overnight. I know nothing about mechanical ventilation and tomorrow I get to work on the machines for the first time so this is a great series!! I couldn't find something like this in German (I work in Germany as well) but hearing it explained so clearly in my mother tongue helps me feel less nervous.
Where have you been all of my nursing life! I work in a pediatric vent facility with amazing RT's who try their best to explain settings/modes/ functions to me, but since I have them, I never found it necessary to 'know it all'. Now that I care for a baby at home on mechanical ventilation, although my education/experience has taught me everything that I need to know care for him, I just want to 'know it all' !! You explained mechanical ventilation in such a way that, now, my RT's smile in amazement when we converse ;-) thank you so much!
I am an RN who may be called back to the hospital to care for patients...awesome to be able refresh on this while waiting for the call... it has been a lot of years since ICU for me. Thank you
Respiratory Therapist Run Ventilators Period. especially in critical care patients.. if you want to start to kill patients a painful death by all means take a 10 minuet video tutorial and have at it ... we have only gone to school for 2-4 years to learn about hemodynamics.. i not deminishing the job of our RN we love and need them.. but we need to stay in our own lane. or we will see masive crashes..
Excellent especially for students and doctors from non English speaking countries. The usual video tutorials given by native English speakers is with heavy accent and difficult to comprehend and causes lots of stress trying to make out what the speaker is trying to say. But your accent is so clear, slow, English is so simple and you have done fantastic service to students from third world countries. Even a layman can understand your lectures. If the patient care improves because of your lectures,(I am sure that it will) the credit actually goes t o you.
Of course laypeople might understand. The child blowing up a balloon, how much pressure does it need to get it big, depending of the material the balloon is made of. No equation necessary.. in fact..
Thank you so much for this lecture. It raised my Competency in Mechanical Ventilation by 40%. In home health it's very important I not only know how but can explain the rationale
This helped a lot. I took CCP in the summer and that was the hardest class I've ever taken so far. I still struggled to understand the basics of the vent and so far your video has helped cleared some cob webs lol.
I am a total layman re ventilators. Your calm and well paced explanation is down to earth and I am sure anyone in the field will understand this. Keep up the good work,
Thank you so much! Learned a lot, especially as a student, who is thinking to go to the anesthesiology residency and, at the same time, working in ICU, I understand much more with your help!
Excellent - just learning about ventilators as we are working on a new lower cost design for hospital / home use for patients just needing a little assist - physicist Dave
Great info. I'm gonna have to use you form of explaining (which is fantastic) when during MICU rounds for my medical students and new interns rotating through our service.
This was great. I wish I had this available back in the day. Thank you for your time. I started out as an Oxygen orderly back in 1973 after I was discharged from The Marine Corps in New York City. Wheeling H tanks on a dolly with an adjustable wrench to the patients bedside and changing them out when they reached 500 PSI. No piped in Oxygen back then and only open patient Wards. with 10 to 15 patients in a room separated by a draw curtain.Part of my arsenal was a No smoking sign. It was not uncommon. to see patients smoking while lying in their beds as well as a doctor examining a patient with a cigarette dangling from the sides of his mouth. Oh how we long for the good old days LOL. I eventually became a certified inhalation therapy tech. Via The AARC later it became the NBRC or vice Versa. I stopped practicing in 1999 when I came to Massachusetts only to discover Massachusetts was a commonwealth and reciprocity of my licenses were never granted. I like to believe, I was a respiratory therapist and have been around since the Infancy of our profession. That makes me the original OG of respiratory therapy. Back in the days. We ran to codes with a Bird Mark 5 or mark 8 pressure ventilators ( the little green Box ) attached to an E-cylinder of Oxygen. The ideal settings on the Bird were 15, 15, 15. It was actually a great little machine to run to codes with. Easy to maneuver through patients wards and great during transports. Back then the big fear with the Bird was the infrequent incidence of Barotrauma as well as all the negatives associated with Positive pressure ventilators. However, if you knew what you were doing, You were golden. later in my career I became a clinical instructor and that became part of my introduction to my students. I would introduce myself and begin with these words ( Keep in mind. I am a United States Marine ) I would begin, If you are here to press buttons and turn Knobs. This is not a class for you. I can teach a Monkey to do that. However, if you want to know what happens mechanically and physiologically after you have pressed that button and turned that knob. Please have a seat. ( By the way, my students had the highest passing rate on certs and registry ) Back to the past. Back then, we had Engstrom and Emerson Volume ventilators with a heating plate at the bottom and a steel pot similar to a pressure cooker that sat on atop of the heating plate. The tubing ( AKA Manifold) contained steel wool lining the inside of the tubing to increase and help maintain the humidity of a dry gas. It had a huge mechanical spirometer. It sat on top with a large needle that move per cycle of respiration . One day, the workhorse came onto the scene. We all gathered around and received an Inservice on the latest and the greatest. The Puritan Bennet MA-1. followed by the 7200, the bear respirator, Etc. I could go on forever, so I will end here with these two memories. When PEEP was in its Infancy. Hell, it felt like we invented it. We would take a large bottle filled with water, placed alongside the respirator on the floor. We would submerge the tubings of the manifold into the bottle below the water level we would adjust the amount of PEEP by adding more water to the bottle or elevating or decreasing the height of the submerged tubing into the water. This is how PEEP. started out. ( Positive End Expiratory Pressure. prolongs exhalation. Thereby allowing the Alveoli to remain open longer and allowing for a prolonged period of Diffusion along the Alveolar Capillary membrane ) Somethings you never forget LOL If you took the time to read this. Thank you for allowing me to share with you a trip down memory lane. Trust me there is a lot more to share as my career span was well over 35 years working in diverse clinical settings and adult critical care. To include having the honor of being part of Mount Sinai's School of medicine and working as a pulmonary research technician alongside Dr. Irving Sellikoff ( asbestosis and Sarcoidosis studies) Dr.Alvin Tierstien and Dr. L.K Brown. Traveling the country back in the 80's as part of a research team to predominately gay communities and seeing well over 100 patients a day and performing PFT's and Perfusion studies when patients at that time were expiring in NYC and the diagnosis at that time was " Fever Of Unknown Origin " ( AIDS) Going into the Tunnels of the NYC Subway system with a team to locate and perform sputum inductions on the homeless. At that time, we had a strain of drug resistant TB. Then I moved to Mass and my carrier came to an abrupt halt because of Bureaucracy. "Sie La Vie" . I am a U.S. Marine. We are trained to adapt and overcome. I fell back on the trades. In the Marine Corps, I was formally trained as a Lineman and electrician as well as an Avionics tech.( Aircraft electrician ) At Marine Corps engineer school. Courthouse Bay N.C. My mechanical aptitude I believe was why I was able to teach my students and reach them in a mechanical way. I would equate the human body in its purist form. A machine and in a mechanical way. The neuron pathways are no more than a glorified electrical conductor ( wire ) picture the wiring in your home. It has copper and the insulation that surrounds the copper coil is made of a rubber non conductive material. A neuron for all intents and purposes is a wire and it's insulation it is the Myelin sheath. The heart, a four chamber pump. Positive and negative pressure outputs with valves that open and close and seal etc. I miss my career, I miss my patients, I miss being able to have that feeling after all is said and done. Watching that patient and his family go home together. However, I was able to vicariously share with you a very small part of the evolution of Respiratory Therapy from a first hand eye witness. This is the OG of Respiratory therapy saying Thank you again and Semper Fi.
I was intubated a month ago due to multiple pneumothoraces as a complication from Wedge resection of my lungs. It’s a very traumatic experience but thankfully was able to survive.
The concepts are explained so beautifully and in such simple terms! It takes a genius to explain such complex things to a layman so Medcram guys - you are geniuses! Else any medical technician/doctor can pepper the entire talk with jargon and screw up one's interest in learning the concepts.
Awesome buddy...liked the simple methodology of teaching ..didn't cram it up like the docs do it while explaining the paramedics..thanx again...concept is crystal clear
I've done 4 things to greatly improve my lung function and overall wellness. My sleep, energy, and life outlook are greatly improved: 1. I started using the BreatheEasy Lung Exerciser about 5 years ago and still use it, 2. I stopped mouth breathing unless absolutely necessary, even when exercising, 3. I did light mouth taping at night in order to ensure nose breathing all night, 4. I do an simple exercise to reset my CO2 levels for triggering breathing so I don't breathe so much. See Patrick McKeown's work for more about this.
I’m about to step into Mechanical Ventilation for Respiratory Therapy. It’s a notorious class & aspect that gets people dropped from my program all the time. It’s a lil less scary at the moment
AC might be called Pt Initiated. Compliance is the inverse, or complement, of inflation Resistance(ie due to fibrosis, obesity, or fluid collection). The various alarms(vol, rate, pressure, pCO2-out, pO2-out, etc.) should always be set, & tailored for near normal respiration, in case the patient's respiratory performance changes for the worse.
I had to create a you tube channel to make a comment / request .... Please do a video on ICP head injuries / meningitis In the critical care setting ... I'm a 4semester RN student wish there were more of your great videos ... Thanks!
I learned quite a bit. I was always curious what sealed the tube in your throat. The problem is getting oxygen in, and drawing CO2 out. I'm still curious about tilting the body, the way before iron lung.
First, thank you so much for sharing your knowledge and making it understandable to the novice. Although I can't put most of your instruction to practical use in my own job, I appreciate the insight it gives me into the challenges you face in the hospital setting. Quick question, am I missing something or did you not touch on SIMV mode? I watched all 5 parts and if you covered it, I must have zoned out. When you described AC, it sounded like SIMV with the patient triggering the breaths as opposed to CMV breaths being vent-triggered. I realize the videos are finalized, but could you explain (as you do so eloquently) the mechanical difference between SIMV and AC mode? Thank you!
AC mode will deliver a consistent volume when the patient triggers a spontaneous breath, hence the "Control" in Assist Control. SIMV will still give the patient a set number of controlled breaths, but the patient triggered breaths (spontaneous) will be as big or small as the patient makes them (not controlled). AC = vent controlled spontaneous breaths while SIMV = patient controlled spontaneous breaths.
Not sure if you check comments on videos this old but what do you think of COVID patients receiving ventiliation and the discretion that needs to be taken into account before resorting to it in general. It's generally associated with poorer COVID outcomes and if used for too long leads to the inability of the patient to breathe on their own
Hi Medcram, I have throughly enjoyed listening to your videos on ventilation. I have an interest in producing educational videos and just wondered if you might be able to tell me which software you use to produce your handwritten videos? Any tips or further information you might be able to share about your creative process would be very gratefully received. Many thanks, FreeAnaestheticTutorials
ok i have a doubt how do we calculate the compliance of lung, from this video in AC mode you were saying that by setting the volume and knowing the compliance we can know the pressure , so was curios to know how compliance is found
In post #35 you spoke of Quercetin and it's benefit in managing Ebola and Sars. Even though the dosage of Quercetin is so variable, it still seems to be a way of providing prevention and possible treatment. This information is very significant and so much so, I have started taking 500mg four times a day along with 20mg of zinc. I am interested to know why you have not professed the widespread use of it?
Thanks for watching. Get CME for this video series,
AND see Dr. Seheult's updated vent videos at our website:
www.medcram.com/courses/mechanical-ventilation-explained-clearly
MedCram - Medical Lectures
Explained CLEARLY
Thank you! I'm an ER nurse turned ICU nurse literally overnight. I know nothing about mechanical ventilation and tomorrow I get to work on the machines for the first time so this is a great series!! I couldn't find something like this in German (I work in Germany as well) but hearing it explained so clearly in my mother tongue helps me feel less nervous.
Good to hear, thanks for the comment
Where have you been all of my nursing life! I work in a pediatric vent facility with amazing RT's who try their best to explain settings/modes/ functions to me, but since I have them, I never found it necessary to 'know it all'. Now that I care for a baby at home on mechanical ventilation, although my education/experience has taught me everything that I need to know care for him, I just want to 'know it all' !! You explained mechanical ventilation in such a way that, now, my RT's smile in amazement when we converse ;-) thank you so much!
+Linda Ellis Thank you for the great feedback!
i was a patient on this treatment, i would just like to thank all doctors and nurses, and cleaners, they all do a fantastic job, god bless you all.
I am an RN who may be called back to the hospital to care for patients...awesome to be able refresh on this while waiting for the call... it has been a lot of years since ICU for me. Thank you
I'm in the same boat!
Respiratory Therapist Run Ventilators Period. especially in critical care patients.. if you want to start to kill patients a painful death by all means take a 10 minuet video tutorial and have at it ... we have only gone to school for 2-4 years to learn about hemodynamics.. i not deminishing the job of our RN we love and need them.. but we need to stay in our own lane. or we will see masive crashes..
Just asking... would a CPAP Machine be sufficient ventilation (possibly) duirng this outbreak/pandemic?
In Australia, we don't have a lot of respiratory therapists. Critical Care trained nurses are very capable in looking after ventilated patients :)
@@CyclePat good question
I’m a mechanical engineer and I love your videos. They are very interesting and informative. Thanks!
love the no nonsense terminology - as someone once said - the more you know about a subject the simpler you can make it sound
Golden words-The more you know about the subject, the simpler you can make it sound.
Sooooo accurate!!!
Who's betting this video becomes even more popular
Can I leverage my bet 100*
Am
this was great! I'm a nurse new to critical care and vents have been confusing the hell out of me, this is making it more clear, thank you!
MedCram is gonna blow up over the next 3 months.
I’m a respiratory therapy student so I’m definitely looking forward to this
Excellent especially for students and doctors from non English speaking countries. The usual video tutorials given by native English speakers is with heavy accent and difficult to comprehend and causes lots of stress trying to make out what the speaker is trying to say. But your accent is so clear, slow, English is so simple and you have done fantastic service to students from third world countries. Even a layman can understand your lectures. If the patient care improves because of your lectures,(I am sure that it will) the credit actually goes t o you.
Of course laypeople might understand. The child blowing up a balloon, how much pressure does it need to get it big, depending of the material the balloon is made of. No equation necessary.. in fact..
Thank you so much for this lecture. It raised my Competency in Mechanical Ventilation by 40%. In home health it's very important I not only know how but can explain the rationale
This helped a lot. I took CCP in the summer and that was the hardest class I've ever taken so far. I still struggled to understand the basics of the vent and so far your video has helped cleared some cob webs lol.
Who is here because they are the new nurse to the ICU unit.. 🥹
I am a total layman re ventilators. Your calm and well paced explanation is down to earth and I am sure anyone in the field will understand this. Keep up the good work,
Thank you so much! Learned a lot, especially as a student, who is thinking to go to the anesthesiology residency and, at the same time, working in ICU, I understand much more with your help!
Thanks for your comment! We wish you luck!
Excellent - just learning about ventilators as we are working on a new lower cost design for hospital / home use for patients just needing a little assist - physicist Dave
Are you planning to do it amateurly and how many people are there working with you ? I am also interested.
Im in wt you frm winnipeg
even after you helped me through PA school, I still watch videos like this as I practice.
+Matthew Kele Good to hear, glad the videos remain helpful
Great info. I'm gonna have to use you form of explaining (which is fantastic) when during MICU rounds for my medical students and new interns rotating through our service.
Amazing how impactful this is in the wake of Covid19 and seeing comments from practitioners years ago to present. Thank you, Dr !!
Who else is here because of Corona Virus?
i am
😂 u got me
Me. I just realized this video was created in 2014.
@@RichaRat me engage in a war
I just want to know what to expect…
This was great. I wish I had this available back in the day. Thank you for your time. I started out as an Oxygen orderly back in 1973 after I was discharged from The Marine Corps in New York City. Wheeling H tanks on a dolly with an adjustable wrench to the patients bedside and changing them out when they reached 500 PSI. No piped in Oxygen back then and only open patient Wards. with 10 to 15 patients in a room separated by a draw curtain.Part of my arsenal was a No smoking sign. It was not uncommon. to see patients smoking while lying in their beds as well as a doctor examining a patient with a cigarette dangling from the sides of his mouth. Oh how we long for the good old days LOL. I eventually became a certified inhalation therapy tech. Via The AARC later it became the NBRC or vice Versa. I stopped practicing in 1999 when I came to Massachusetts only to discover Massachusetts was a commonwealth and reciprocity of my licenses were never granted. I like to believe, I was a respiratory therapist and have been around since the Infancy of our profession. That makes me the original OG of respiratory therapy. Back in the days. We ran to codes with a Bird Mark 5 or mark 8 pressure ventilators
( the little green Box ) attached to an E-cylinder of Oxygen. The ideal settings on the Bird were 15, 15, 15. It was actually a great little machine to run to codes with. Easy to maneuver through patients wards and great during transports. Back then the big fear with the Bird was the infrequent incidence of Barotrauma as well as all the negatives associated with Positive pressure ventilators. However, if you knew what you were doing, You were golden.
later in my career I became a clinical instructor and that became part of my introduction to my students. I would introduce myself and begin with these words
( Keep in mind. I am a United States Marine ) I would begin, If you are here to press buttons and turn Knobs. This is not a class for you. I can teach a Monkey to do that.
However, if you want to know what happens mechanically and physiologically after you have pressed that button and turned that knob. Please have a seat.
( By the way, my students had the highest passing rate on certs and registry ) Back to the past.
Back then, we had Engstrom and Emerson Volume ventilators with a heating plate at the bottom and a steel pot similar to a pressure cooker that sat on atop of the heating plate. The tubing ( AKA Manifold) contained steel wool lining the inside of the tubing to increase and help maintain the humidity of a dry gas. It had a huge mechanical spirometer. It sat on top with a large needle that move per cycle of respiration .
One day, the workhorse came onto the scene. We all gathered around and received an Inservice on the latest and the greatest. The Puritan Bennet MA-1. followed by the 7200, the bear respirator, Etc. I could go on forever, so I will end here with these two memories. When PEEP was in its Infancy. Hell, it felt like we invented it. We would take a large bottle filled with water, placed alongside the respirator on the floor. We would submerge the tubings of the manifold into the bottle below the water level we would adjust the amount of PEEP by adding more water to the bottle or elevating or decreasing the height of the submerged tubing into the water. This is how PEEP. started out. ( Positive End Expiratory Pressure. prolongs exhalation. Thereby allowing the Alveoli to remain open longer and allowing for a prolonged period of Diffusion along the Alveolar Capillary membrane ) Somethings you never forget LOL
If you took the time to read this. Thank you for allowing me to share with you a trip down memory lane. Trust me there is a lot more to share as my career span was well over 35 years working in diverse clinical settings and adult critical care. To include having the honor of being part of Mount Sinai's School of medicine and working as a pulmonary research technician alongside Dr. Irving Sellikoff ( asbestosis and Sarcoidosis studies) Dr.Alvin Tierstien and Dr. L.K Brown. Traveling the country back in the 80's as part of a research team to predominately gay communities and seeing well over 100 patients a day and performing PFT's and Perfusion studies when patients at that time were expiring in NYC and the diagnosis at that time was " Fever Of Unknown Origin " ( AIDS) Going into the Tunnels of the NYC Subway system with a team to locate and perform sputum inductions on the homeless. At that time, we had a strain of drug resistant TB.
Then I moved to Mass and my carrier came to an abrupt halt because of Bureaucracy. "Sie La Vie" . I am a U.S. Marine. We are trained to adapt and overcome.
I fell back on the trades. In the Marine Corps, I was formally trained as a Lineman and electrician as well as an Avionics tech.( Aircraft electrician ) At Marine Corps engineer school. Courthouse Bay N.C.
My mechanical aptitude I believe was why I was able to teach my students and reach them in a mechanical way. I would equate the human body in its purist form. A machine and in a mechanical way. The neuron pathways are no more than a glorified electrical conductor ( wire ) picture the wiring in your home. It has copper and the insulation that surrounds the copper coil is made of a rubber non conductive material.
A neuron for all intents and purposes is a wire and it's insulation it is the Myelin sheath. The heart, a four chamber pump. Positive and negative pressure outputs with valves that open and close and seal etc.
I miss my career, I miss my patients, I miss being able to have that feeling after all is said and done. Watching that patient and his family go home together.
However, I was able to vicariously share with you a very small part of the evolution of Respiratory Therapy from a first hand eye witness.
This is the OG of Respiratory therapy saying Thank you again and Semper Fi.
very informative, i am starting my IM residency and these lectures made a great difference to my knowledge , thanks
Hosam Eldin Bebars Good to hear. Hope your residency gets off to a good start
My cat loves the doctor's voice, and though usually very active, is sleeping nearby.
Me too - zzzz
☺
This is the exact explanation and step by steps instructions I was looking for. Please continued to do more blogs. Thank you
Thank you for your feedback
I was intubated a month ago due to multiple pneumothoraces as a complication from Wedge resection of my lungs. It’s a very traumatic experience but thankfully was able to survive.
Thank you for sharing your knowlegde in such a simple and concret matter, please continue to add on value on healthcare education. Keep it up !🤗👏👏👏
The concepts are explained so beautifully and in such simple terms! It takes a genius to explain such complex things to a layman so Medcram guys - you are geniuses! Else any medical technician/doctor can pepper the entire talk with jargon and screw up one's interest in learning the concepts.
I am here becoz of covid 19. Thank you doctor , immensely for the valuable video.
These are just brilliant. Excellent teacher, great level of detail. Thanks!
I really enjoy your videos, Roger. Thanks for sharing and making so many things easier to understand!
Your videos are always helping me a lot to understand every kind of topic....thank you very much....
Clear and simple introduction to mechanical ventilator dynamics. Well done.
Explained in a very simple comprehensible way to any beginner
God bless science ❤️ this is saving my dads life right now recovering from covid on the path to a healthy recovery
Best video on TH-cam !!! Very informative
+Melody Aribuabo Good to hear- thank you
Another outstanding period of instruction.
doc..ur understanding of the science and the way u made me understand it.. is marvellous..bow down to u sir...
wonderful.Simple and easy to understand.God Bless
Great explanation dr. Thanks
Great presentation! Simple explanation of a serious situation
Your way of explaining difficult things with simple words is really gorgeous .. I love it ..
Gorgeous LOL
Awesome buddy...liked the simple methodology of teaching ..didn't cram it up like the docs do it while explaining the paramedics..thanx again...concept is crystal clear
Johnson Irudayasamy Thanks for the feedback. Glad to hear it helped
Great teaching. Very simple to understand. Thank you.
Thank you for the feedback!
Thanks for the very clear, didactic presentation!
I've done 4 things to greatly improve my lung function and overall wellness. My sleep, energy, and life outlook are greatly improved:
1. I started using the BreatheEasy Lung Exerciser about 5 years ago and still use it,
2. I stopped mouth breathing unless absolutely necessary, even when exercising,
3. I did light mouth taping at night in order to ensure nose breathing all night,
4. I do an simple exercise to reset my CO2 levels for triggering breathing so I don't breathe so much. See Patrick McKeown's work for more about this.
Is your goal to get pulmonary hypertension?
I’m about to step into Mechanical Ventilation for Respiratory Therapy. It’s a notorious class & aspect that gets people dropped from my program all the time. It’s a lil less scary at the moment
Strong work guys! Love you lectures. Trying to get through them all!
+Jim Mathey Thanks Jim! Hope you're doing well
Thank you for the easy-down to basics demo!
Paracutie thank you for the comment
excellent presentation Doctor.
As good and as simple as it gets!!
Thanks Dr for this video as it helped me face my fear (THE VENTILATOR). Transitioning from Neuroscience to ICU RN :)
thanku sir....a lot of help...we ll remember u till life...
I'm here to prep for my last nursing exam (for advanced med surg)
modes explained lucidly. thanks.
High quality instruction :)
Thank you so mucho for this information. It was explained really good, and you made it seems easy to understand!
AC might be called Pt Initiated. Compliance is the inverse, or complement, of inflation Resistance(ie due to fibrosis, obesity, or fluid collection). The various alarms(vol, rate, pressure, pCO2-out, pO2-out, etc.) should always be set, & tailored for near normal respiration, in case the patient's respiratory performance changes for the worse.
wow it is very fantastic and i hvae got alot of knowledges from this lectur video
Thank you very much for this wonderful illustration of such a complicated topic
+Ahmad Shokry Thank you for the comment
Very simple & nicely explained. Thank you.
Awesome explanation.Thanks a lot.
Nice video. Thank you for the good explanation!
Excellent presentation.
Nice breakdown/intro to vents
2024 still im using ur most understandable lectures😍😍😍ㄲㄲ
That was really helpful, Thank you so much!
Not a doc but here because of the covid-19, very interesting, I supposed nowadays ventilators have an automatic setting set by a determined preset.
I'm here to see what's in my near future. I'm high risk. Good health everyone.
Tony Cotto build up your immune system , doctors are saying daily vitamin D3 is essential
@@Kittybarcode Unfortunately some people have to lower there immune system to stop transplant organ rejection and other reasons.
Tony Cotto GOD bless you!!🙏🏽
@@Kittybarcode yes!
Still alive?
Excellent series!
I had to create a you tube channel to make a comment / request .... Please do a video on ICP head injuries / meningitis In the critical care setting ... I'm a 4semester RN student wish there were more of your great videos ... Thanks!
Lali B Thanks so much for the topic suggestion, we will put this on the list. Best of luck in the rest of your training
Great teaching
This is really good!! Thank you!! Great teach for ventilator nurses!
Thank you for sharing your knowledge!
this is really well explained
I learned quite a bit. I was always curious what sealed the tube in your throat. The problem is getting oxygen in, and drawing CO2 out. I'm still curious about tilting the body, the way before iron lung.
very nicely explained
it is very helpfful for me.thank you!
Who else is reading the comments in 2020?
You guys are awesome! Very informative!
GrizzleyBruin Thanks for the feedback- glad the video helped.
Great intro!
Im planning to go back on track now that I finally received my license to practice as RN in another country. I miss ICU
Very intresting thanks for sharing.
Excellent class
First, thank you so much for sharing your knowledge and making it understandable to the novice. Although I can't put most of your instruction to practical use in my own job, I appreciate the insight it gives me into the challenges you face in the hospital setting. Quick question, am I missing something or did you not touch on SIMV mode? I watched all 5 parts and if you covered it, I must have zoned out. When you described AC, it sounded like SIMV with the patient triggering the breaths as opposed to CMV breaths being vent-triggered. I realize the videos are finalized, but could you explain (as you do so eloquently) the mechanical difference between SIMV and AC mode? Thank you!
J£*(@(@(jQjwjjjjajk ajjjJsjajaas
JjjjjjjjhJjjjjjjjhD ft tth0jjkjjjhggykqkkjjjkkkkajjsjJJjk a jd
AC mode will deliver a consistent volume when the patient triggers a spontaneous breath, hence the "Control" in Assist Control. SIMV will still give the patient a set number of controlled breaths, but the patient triggered breaths (spontaneous) will be as big or small as the patient makes them (not controlled). AC = vent controlled spontaneous breaths while SIMV = patient controlled spontaneous breaths.
Not sure if you check comments on videos this old but what do you think of COVID patients receiving ventiliation and the discretion that needs to be taken into account before resorting to it in general. It's generally associated with poorer COVID outcomes and if used for too long leads to the inability of the patient to breathe on their own
WOW, THIS CARTOONS IS VERY INFORMATIVE
Hi Medcram, I have throughly enjoyed listening to your videos on ventilation. I have an interest in producing educational videos and just wondered if you might be able to tell me which software you use to produce your handwritten videos? Any tips or further information you might be able to share about your creative process would be very gratefully received. Many thanks, FreeAnaestheticTutorials
I noticed the new Dyson V12 animal has a digital display, maybe the rug cleaning mode covers all this !
ok i have a doubt how do we calculate the compliance of lung, from this video in AC mode you were saying that by setting the volume and knowing the compliance we can know the pressure , so was curios to know how compliance is found
In post #35 you spoke of Quercetin and it's benefit in managing Ebola and Sars. Even though the dosage of Quercetin is so variable, it still seems to be a way of providing prevention and possible treatment. This information is very significant and so much so, I have started taking 500mg four times a day along with 20mg of zinc. I am interested to know why you have not professed the widespread use of it?
very helpful, thank you!
thank you, it was very clever and simple
And sometimes there are even knobs on the non-patient-side of the machine :-) Very useful vid (as always)
Great information well explained.
GREAT VIDEO
So helpful.Thankyou
such a great help
very nice lecture informative