As a CPap user for sleep apnea this is the best explanation I've ever come across...thank you
@rrt401Ай бұрын
Long time RT here. You sir are a gift to Everyone who watches. 😊
@Sickdude4202 жыл бұрын
Dude, 2 weeks ago the respiratory physician and intensivist gave a 40 min talk on NIV. Without a doubt, this was soooo much better with all respect to him. You need to realise you have a special talent in explaining these really obscure and non intuitive concepts so nicely and what you say is so relatable. Im starting to think medicine was meant to be taught by young doctors like you rather than the old heads who seem to not be able to connect as well and really answer the real questions us training doctors have.
@ConanLiuMD2 жыл бұрын
Thank you so so much for such a kind comment! I really appreciate it so much and your words definitely are very inspiring and motivating for me to do more. Really hope I can keep creating videos that are helpful for people out there! Thanks again!! :)
@DavidONeal-zp2gl9 күн бұрын
You explain things in a way that is easy to understand. Thanks!
@markmann67964 ай бұрын
You have a talent for being clear and concise. Please continue.
@andrerene939 Жыл бұрын
Thanks, am a nurse and totally enjoy your videos. Clear, direct, practical presentations that many can benefit from.
@stephanie-iw3it2 жыл бұрын
RT student hereI am so happy I came across your videos they are Super helpful, thank you so much!
@leesaa43116 ай бұрын
Thank you so much Conan; this has helped explain CPAP vs BIPAP quickly, succinctly and has definitely aided me as an ED nurse.
@funmilayoaiyenuro80193 ай бұрын
Thank you so much. Concise and straight to the point
@futuremd99Ай бұрын
Excellent as always.
@debigdogk95632 жыл бұрын
Brilliant and straight to the point. Thank you thank you and thank you 🙏
@ConanLiuMD2 жыл бұрын
No, thank you!!! :)
@joejobzor2 жыл бұрын
Thanks for this video! I was looking for a simple explanation of this
@ConanLiuMD2 жыл бұрын
Thank you!! Hope it was helpful :)
@LastTrump711 ай бұрын
@@ConanLiuMDthis was not about sleep apnea which a CPAP or BIPAP can be used for. I was put on what I think was a CPAP for sleep apnea and it was set from 4-15 and that was to increase as I went to sleep as needed. However I could rarely get to sleep because it felt like what I can imagine a ventilator feels like and it was hard to feel like you could breathe naturally. I managed to fall asleep for about 2 hours a couple times but never seen the ramp up go over 8. But when I woke up it felt like 20. I finally had to return it. Was the most unnatural breathing I ever experienced. Any ideas?
@parkavi51185 ай бұрын
Great explanation!
@MkA402 Жыл бұрын
Awesome explanation. Thank you!
@JohnnyWishbone852 жыл бұрын
Wonderful video as always. My main concern with BiPAP on an altered patient is that it's very important that a patient be receptive to your coaching them to take slow, deep breaths. This is particularly important in contexts like rural hospitals or transport where the ventilators available may not be the newest and best. My agency, for example, uses the LTV1200 ventilator, the BiPAP capability of which is pretty... arguable. It cannot respond very well to someone who is taking irregular, rapid, shallow breaths, and such a person is going to have a very bad time unless we can coach them to take slow, deep breaths. Again, this is primarily a concern where the ventilators are older and less capable. As a side note, I've often wondered if ketamine has any utility with the patient on BiPAP who is refractory to coaching.
@ConanLiuMD2 жыл бұрын
Excellent points and really appreciate the teaching! Thank you :)
@OM-bi9wi Жыл бұрын
Finally i get the point
@saymav4 ай бұрын
This cleared a lot! Thnx for sharing your k pledge with us
@zainahmad57704 ай бұрын
Great video thank you!
@venkatramanayyar21922 жыл бұрын
Brilliantly presented
@ConanLiuMD2 жыл бұрын
Thank you!!
@dineshlama7164Ай бұрын
thank you doctor.
@bbhumo10 ай бұрын
this is to the point. thank you :)
@arghallum29 күн бұрын
Does bipap machine auto detect when we inhale or exhale? Or we must adjust to the machine's timing?
@kosaiganem90972 жыл бұрын
awsome, great job
@trin6458 ай бұрын
good video!! but I still have a question, so when you say increasing the IPAP will help the pressure support and cause them to expire more C02; why does that occur ? is that just from natural processes like the more we inhale the more we expire ?
@dr.dominicktibuhwa53802 ай бұрын
Doctor can Bipap work for upper airway resistance??
@ilyanoselovich20304 ай бұрын
Why CPAP is not able to increase TIDAL VOLIUME directly? It seems that CPAP can extend the lungs and increases FRC. Maybe the reason is that during expirium the patients have to overcome the High pressure of CPAP? Is this the reason why it doesn't able to ventilate (affect TV)? The air remains stuck in the lungs. In BPAP the patient deals with lower pressure during expirium. Is there something else that pressure support above peep does?
@Howtowithpaulaandjohn8 ай бұрын
Would you use BiPap with an ALS patient who doesn’t want invasive ventilation?
@vitorgodinhoadv2 жыл бұрын
Conan, do you still use anki as a tool to study? Can you make a video to update us?
@ConanLiuMD2 жыл бұрын
Yes I do! My last video was the one titled "Anki for 576 Days" - wondering if you saw that one?
@popoju92 жыл бұрын
hi dr. liu, i am epileptic and have multiple seizures every time i sleep. will either CPAP or BiPAP help with the seizures because i find that i snore and don't take in as much oxygen as i should. there is a flap in the back of my throat that prevents air from going in and out. i now have to sleep sitting up as if i am reading a book. please help. i am also concerned that if i do get either a cpap or a bipap that when i do have a seizure and my limbs swings around that it was break the machine by tossing it across the room. again, please advise.
@ConanLiuMD2 жыл бұрын
I would definitely seek medical advice from your personal doctor and a neurologist! CPAP can definitely help with snoring/sleep apnea which could be a trigger for seizures, but you should definitely see your own doctor since they will know your history better.
@grh7399 Жыл бұрын
I have a c-pap and sometimes wake up coughing ( rare, but scary) I believe from holding my breath, I don't know. What thinketh you?
@ConanLiuMD Жыл бұрын
Hard to tell and you should get evaluated further by your doctor. Could be CPAP doesn't have a good fit or needs some troubleshooting. Symptoms of waking up suddenly at night gasping for air could also be a sign of heart failure (we call it paroxsymal nocturnal dyspnea, though this is a bit different from the cough you are describing and you say it only happens very rarely so I doubt this is the case). You could also just be aspirating and choking on some saliva while sleeping too