Hey up man. I can't think of a hate comment so I'll just make a comment anyway. I'm an ICU nurse (not nearly as experienced or knowledgeable as I should/could be) and just wanted to say... Despite nurses/doctors and resp physios constantly having that quiet battle of 'we know best'.. You guys/gals really are the best when it comes to the resp system. Jennifer Killey and Sarah Chipperfield were my initial 2 best lecturers at Huddersfield Uni. Both physios and both absolute legends. Thanks so much for your vids and I think I finally understand triggering alot more. Might try and explain it to the newbies and work and having thinking I'm a professor... lol. Keep up the good work and thanks...
@@rb7685 yup... I'm in Yorkshire but different ICUs in England have a different setup it would seem. Some places don't have much respiratory physiotherapist involvement at all (or very little) whilst the patients are on the vent.
Thanks for commenting with these thoughts, Shafiq. I really appreciate your nursing view on this and shout outs to Jennifer and Sarah! I hope they get a chance to see your kind words. Hey, I appreciate you watching and kindly commenting.
Do you see this lack of respiratory physiotherapist involvement effecting patient outcomes during mechanical ventilation? Why aren't they utilized more in this setting?
Hi resp coach and apologies I never saw the reply before. I'm an agency nurse in the UK so get to see various models of nursing/policies being implemented in various hospitals across the country (I have no real limit of how far I travel for work by car on agency as my usual place of work is a 2.5 hour cycle ride away) and have had the privilege of also seeing how they all coped and 'strategised'. Some places use respiratory physio team adequately and appropriately but other places not so much. I believe it's all due to funding and in my contracted employment we're lucky as we have a permanent specialist ICU physio. The rest are always on a 3 or 4 month rotation!
Was so excited to see some new videos. You are a great instructor/educator, and your graphics take it to the next level. Thanks for all that you do for the RT community!
Your videos are always so helpful! Thank you for taking your time to slow it down and simplify concepts that may be difficult to understand when read out of the book.
What a very clear explanation of a rare topic. your concise and clear explanation has helped me to put many things into perspective. You are a good very teacher that seems to always explain topics that are super important and yet not popular. Many thank you for this priceless and relevant topic. I have acquired a missing puzzle in my understanding of ventilators. You are the best and a real respiratory coach. Thanks, Coach.
Love your videos your the reason I was able to learn and pass board exam. I still watch your videos to learn more and it is been very helpful. I am currently going through ICU orientation and learning alot more than before.
Not an RT student, but a new RN student, I just like watching your videos and trying to understand the full picture better! Can you go over the dangers of giving 100% oxygen/fiO2 to a patient with lung damage or lung inflammation (covid pneumonia for example)
Thank you for the sensitivity key. I think the personality key is pulling people away from their normal sensitivity bias and into a grey area that is making them make decisions away from what is normal common sense thinking and reaction.
It's understood to be a negative value, so some vents don't represent as such. That's the best answer I have for you. Hey, thanks for watching and commenting!
Thanks for the kind comment. I teach at a community college in Texas. Prefer not to disclose specifically to avoid any potential conflicts of interest. Feel free to email me.... Respiratorycoach@gmail.com
what happens if i sent by pressure trigger as 10 and peep as 5 ? How can a patient create 5 cmH20 below 0 ? will it create a vacuum or -5cmH20 inside the lungs ?
Hi Coach, im a bit confused about the bias flow. Since on the vent we set Peep / cpap as a setting, wouldnt that count as "bias flow"? how is it possible for the vent or for us to differentiate between the bias flow and peep since peep is a continuous pressure?
I am physician I never heard anyone explained so easy way explain difficult part of ventilator management
You're the reason I pass my classes. I appreciate you so much!
can not understand a bit during class but I really get it from your channel, I really appreciate your work as a future RT
I'm from Brazil, I'm a physical therapist and work in a ICU..really love your videos and the way you easly explain...tnk u Joe...
My pleasure, Andre! I appreciate you taking the time to watch and then kindly comment!!
Amazing!!!!! Thank you for explaining that complex topic so well
can’t stop myself watching this vid and don’t thank u , im watching and learning a lot from your channel❤
Thanks for watching and kindly commenting!
I can’t believe you don’t have more subscribers!! You’re the best at what you do on TH-cam
Thanks Brian! Just thankful for the handful of subs I do have. I appreciate your kind words.
Hey up man. I can't think of a hate comment so I'll just make a comment anyway. I'm an ICU nurse (not nearly as experienced or knowledgeable as I should/could be) and just wanted to say... Despite nurses/doctors and resp physios constantly having that quiet battle of 'we know best'.. You guys/gals really are the best when it comes to the resp system. Jennifer Killey and Sarah Chipperfield were my initial 2 best lecturers at Huddersfield Uni. Both physios and both absolute legends. Thanks so much for your vids and I think I finally understand triggering alot more. Might try and explain it to the newbies and work and having thinking I'm a professor... lol. Keep up the good work and thanks...
Ru in the UK system?I noticed you refer to registered resp practitioner s as resp physio s.Is the job the same as ours? Tks for your time 🙂
@@rb7685 yup... I'm in Yorkshire but different ICUs in England have a different setup it would seem. Some places don't have much respiratory physiotherapist involvement at all (or very little) whilst the patients are on the vent.
Thanks for commenting with these thoughts, Shafiq. I really appreciate your nursing view on this and shout outs to Jennifer and Sarah! I hope they get a chance to see your kind words. Hey, I appreciate you watching and kindly commenting.
Do you see this lack of respiratory physiotherapist involvement effecting patient outcomes during mechanical ventilation? Why aren't they utilized more in this setting?
Hi resp coach and apologies I never saw the reply before. I'm an agency nurse in the UK so get to see various models of nursing/policies being implemented in various hospitals across the country (I have no real limit of how far I travel for work by car on agency as my usual place of work is a 2.5 hour cycle ride away) and have had the privilege of also seeing how they all coped and 'strategised'. Some places use respiratory physio team adequately and appropriately but other places not so much. I believe it's all due to funding and in my contracted employment we're lucky as we have a permanent specialist ICU physio. The rest are always on a 3 or 4 month rotation!
Was so excited to see some new videos. You are a great instructor/educator, and your graphics take it to the next level. Thanks for all that you do for the RT community!
Thank you, Sheri, for watching and kindly commenting!!!
You’re the best respiratory teacher on youtube! Love the new teaching tools!
Your videos are always so helpful! Thank you for taking your time to slow it down and simplify concepts that may be difficult to understand when read out of the book.
Im not a RT, i am an ICU nurse ♥️. Currently doing a ICU PostGrad course. Your videos helped me a lot. Thank you
What a very clear explanation of a rare topic. your concise and clear explanation has helped me to put many things into perspective. You are a good very teacher that seems to always explain topics that are super important and yet not popular. Many thank you for this priceless and relevant topic. I have acquired a missing puzzle in my understanding of ventilators. You are the best and a real respiratory coach. Thanks, Coach.
I love watching your videos. I’m an RT and I just like getting refreshers on things! You do an amazing job of explaining things. So, thank you!
Awesome, Bridgett! Thanks for watching and kindly commenting!
Thanks for taking the time and explain everything so easy, I just finished RT school and am studying for my boards and this is a great review.
Fantastic! Check out one of my TMC Boot Camps if it fits your schedule. Congratulations and thanks for watching!!!
Love your videos your the reason I was able to learn and pass board exam. I still watch your videos to learn more and it is been very helpful. I am currently going through ICU orientation and learning alot more than before.
I really love learning from you, you make things so much easier!
Great info. The way you break stuff down is simple and great!
Not an RT student, but a new RN student, I just like watching your videos and trying to understand the full picture better! Can you go over the dangers of giving 100% oxygen/fiO2 to a patient with lung damage or lung inflammation (covid pneumonia for example)
As usual, amazing video! Thank you for taking the time to do this video!
My pleasure, Suha! Glad you enjoyed it. Thanks for watching and kindly commenting!
Thank you for the sensitivity key. I think the personality key is pulling people away from their normal sensitivity bias and into a grey area that is making them make decisions away from what is normal common sense thinking and reaction.
Outstanding video on a subject that few RT's really understand---including me!
Thanks alot dear joe
Amazing.....as usual ❤
Well done
Fantastic as usual
Thank you sir ❤
Greate explanation!
thank you for your efforts
Good one, thanks
Thank you. I've been trying to understand flow and pressure trigger for years. Subscribe🤛
Thank you
Useful…thank you
Thanks!
When you are in flow trigger, is the higher the setting easier or harder?
You are awesome
Hi coach
Can you answer me
Why pressure trigger sometimes in positive value not negative.
It's understood to be a negative value, so some vents don't represent as such. That's the best answer I have for you. Hey, thanks for watching and commenting!
I love your videos … your explanation is so great .. TKANKS Coach (:
Thanks, Ali! I appreciate your kind comment and you watching!
Does this bias flow principle also work in pressure control? There's no bias flow setting in pressure control so far I remember.
Great presentation!! Where do you teach at?
Thanks for the kind comment. I teach at a community college in Texas. Prefer not to disclose specifically to avoid any potential conflicts of interest. Feel free to email me.... Respiratorycoach@gmail.com
@@RespiratoryCoach well I'm from Alabama I just noticed a distinct similarity in dialect.best wishes...
I have a question about bias flow
If bais flow 4 liter per minute
Is that 4 L calculated from all flow cycle or isolated??
Sir from where you get the bias flow numeric
I’m an anaesthesia technologist and I am watching this 💔
The biased flow is the same as the flow rate we set on the ventilator?
what happens if i sent by pressure trigger as 10 and peep as 5 ?
How can a patient create 5 cmH20 below 0 ?
will it create a vacuum or -5cmH20 inside the lungs ?
Yes, exactly what you described is correct. If PEEP is set at 5 then the patient must generate a pressure down to -5 to initiate a breath.
Hi Coach, im a bit confused about the bias flow. Since on the vent we set Peep / cpap as a setting, wouldnt that count as "bias flow"? how is it possible for the vent or for us to differentiate between the bias flow and peep since peep is a continuous pressure?
I assume pressure and flow are of different concepts.
🙏
Will a SVN in line with a V60 mess with the patient’s ability to initiate a breath?
It is preferable to use an aerogen for med delivery. External nebs induce false flow that is measured by the vent
No, because the V60 operates on pressure triggering. Still, any reduction of additional flow is preferred, so the previous comment is true as well!
That’s an expensive interactive monitor. Gotta love Joe investing in himself to help us all
Bro can move out of the way towards the end of the video or before erasing so we could take screenshots….thanks man