I am a Board Certificied Critical Care NP working as an Intensivist. Your contents are the best thing on the internet in regards to anything Respiratory Management for RTs, NPs/PAs, RNs or MDs. Handsdown. Thank you for your devotion to your craft and keeping all these concepts simple. You may not realize it but you are making a difference sir.
Awesome. Watching from London. I work in critical care as a nurse and we operate our ventilators. Your teachings have been beneficial to the maximum. I have learnt so much within the last two weeks from you. Great teacher Thanks for the knowledge impacted in people like us that struggle with ventilator settings.
I like your methods, you have a way of explaining things in a way that makes sense. I actually took and passed the CRTT exam in 1995 but let it slip as I became an LPN right after I finished my 2 year degree in respiratory school. Now that the government has hyper regulated the nursing profession and buried us with all this frivolous and redundant paperwork, it is impossible to treat the whole person because we have to spend about 70% of our time typing on the computer, which takes away badly needeed on the floor/hands on care. So i am both angered and frustrated and looking to get back into respiratory therapy. I wished I had kept renewing my RT certificate and taken the registry back in 1995 as the latest version of the multiple choice exam seem a great deal harder and the clinical sims a virtual impossibility to pass. Your videos are straight forward and clear and give me confidence to pass both of the latest exams. Unlike this other company the offers national seminars, their practice exams focus on all the stuff that you didn't study that hard like hemodynamics/wedge pressures, MAP, etc. Almost every other question centers on that or the other thing I didn't like-pediatric problems. I love the little ones but would never take a job i some neonatal unit. I am guessing they do this on purpose to make you feel stupid or inadequate so you will panic and purchase all their tokens or whatever. I don't get any sense of manipulation or trickery from you and so I am eager to watch all your videos and sign up for the boot camp and hopefully get out of nursing and back as an RT. Thanks for the outstanding work that you do
We aren't able to entirely look at flow I guess we can change the Respiratory rate which brings tidal volume down or decrease the rate to help tidal volumes. That's in VC
Who are the 5 best rappers of all time? Dy-Lan, Dy-Lan, Dy-Lan...Dy-Lan and Dy-Lan What are the 5 things we control on Mechanical Ventilation? I-Time, I-Time, I-Time...I-Time and I-Time
I'd like to add that actual I:E ratio rather than set should be your guide for adjusting inspiratory time as more often than not your patient is or will be breathing above the set rate. Sad to see so many RTs these days documenting set when their patients actually have a less than 1:2 or even inversed.
I dont understand the dimensional analysis of the Itime formula. Itime is inversely proportional to flow (with Vt set, a higher flow corresponds to a lower Itime) so, wouldn't flow be the denominator in the ecuation?
I aplogize. I miss spoke and thank you for clarifying. Vt = I time x flow, meaning I time = Vt/Flow. You're exactly correct! Thanks for watching and kindly commenting.
Thank you sir! We calculate tidal volume in adult patients based on ideal body weight. Do we have to do the same while ventilating infants or it is not applicable in neonatal ventilation?
I am a new RT. I passed my boards back in September but I still watch your videos. You have a gift for teaching
I am a Board Certificied Critical Care NP working as an Intensivist. Your contents are the best thing on the internet in regards to anything Respiratory Management for RTs, NPs/PAs, RNs or MDs. Handsdown. Thank you for your devotion to your craft and keeping all these concepts simple. You may not realize it but you are making a difference sir.
You're too kind! Thank you so much for watching, commenting, and supporting the channel!
Awesome. Watching from London.
I work in critical care as a nurse and we operate our ventilators.
Your teachings have been beneficial to the maximum. I have learnt so much within the last two weeks from you. Great teacher
Thanks for the knowledge impacted in people like us that struggle with ventilator settings.
Keep the content coming coach great video!
Another great video. I genuinely appreciate it. Thank you
I like your methods, you have a way of explaining things in a way that makes sense. I actually took and passed the CRTT exam in 1995 but let it slip as I became an LPN right after I finished my 2 year degree in respiratory school. Now that the government has hyper regulated the nursing profession and buried us with all this frivolous and redundant paperwork, it is impossible to treat the whole person because we have to spend about 70% of our time typing on the computer, which takes away badly needeed on the floor/hands on care. So i am both angered and frustrated and looking to get back into respiratory therapy. I wished I had kept renewing my RT certificate and taken the registry back in 1995 as the latest version of the multiple choice exam seem a great deal harder and the clinical sims a virtual impossibility to pass. Your videos are straight forward and clear and give me confidence to pass both of the latest exams. Unlike this other company the offers national seminars, their practice exams focus on all the stuff that you didn't study that hard like hemodynamics/wedge pressures, MAP, etc. Almost every other question centers on that or the other thing I didn't like-pediatric problems. I love the little ones but would never take a job i some neonatal unit. I am guessing they do this on purpose to make you feel stupid or inadequate so you will panic and purchase all their tokens or whatever. I don't get any sense of manipulation or trickery from you and so I am eager to watch all your videos and sign up for the boot camp and hopefully get out of nursing and back as an RT. Thanks for the outstanding work that you do
Thank you for watching and taking the time to leave an insightful comment. Go get that RRT!
Thanks a lot!!! Great lessons... Regards from Poland :)
Hi and love from the USA. Thank you so much for watching and kindly commenting!
Great lecture, in school right now. Like the straight forward teaching style.
I’m an RT student studying to take the TMC at the end of this year. Great content! Thank you!
Thank you so much doc! I love your shirt 😢❤
You’re an amazing educator ✊🏾🙏🏾❤
great job as always, ty
Thank you for watching and kindly commenting!
Stand me corrected if am wrong ? Isnt the insp time= Vt(tidal volume)/ flow
yup you're correct
Another great video coach! As we increase the inspiratory flow can this increase the peak airway pressure?
100% increasing flow will increase peak as it increases airway resistance. Continual monitoring is essential! Thanks for watching and commenting.
You do a great job man 🙌🏻
I love your shirt!!!
Send me an email to respiratorycoach@gmail.com.
We aren't able to entirely look at flow I guess we can change the Respiratory rate which brings tidal volume down or decrease the rate to help tidal volumes. That's in VC
Who are the 5 best rappers of all time? Dy-Lan, Dy-Lan, Dy-Lan...Dy-Lan and Dy-Lan
What are the 5 things we control on Mechanical Ventilation? I-Time, I-Time, I-Time...I-Time and I-Time
very nice
Thank you so much for watching and commenting!
Just had a test on I:E ratios yesterday. I could’ve used this 😢
Don't worry. It'll all come back again soon, and next time, you'll be ready!
It's about the size of the baby bottle to baby size ratio.
Thank you
So adjusting I Time VC is not has effective like PC
Sorry for my ignorance. Is Ti=Vt*Flow or Ti=Vt/Flow?
Yup its vt/flow
I'd like to add that actual I:E ratio rather than set should be your guide for adjusting inspiratory time as more often than not your patient is or will be breathing above the set rate. Sad to see so many RTs these days documenting set when their patients actually have a less than 1:2 or even inversed.
100% Thanks for adding to the conversation.
I dont understand the dimensional analysis of the Itime formula. Itime is inversely proportional to flow (with Vt set, a higher flow corresponds to a lower Itime) so, wouldn't flow be the denominator in the ecuation?
I aplogize. I miss spoke and thank you for clarifying.
Vt = I time x flow, meaning I time = Vt/Flow. You're exactly correct! Thanks for watching and kindly commenting.
@@RespiratoryCoach No, thanks you sir. You are an amazing teacher. Your work ir awesome. Long time subscriber to this channel
Thank you sir!
We calculate tidal volume in adult patients based on ideal body weight.
Do we have to do the same while ventilating infants or it is not applicable in neonatal ventilation?
Vt/flow= itime?
Correct. I misspoke. Thanks for watching and commenting!
Just checking Coach! We all make mistakes 😅
Are you making a CSE BOOT CAMP anytime soon?
What about neonatal/pediatric boot camp?
@raymc9698 CSE Boot Camp launched yesterday. Introductory offer $49 for all of September.
@@raymc9698 respiratorycoach.teachable.com/courses
@@RespiratoryCoach thank you Joe 😊
❤❤👏👏