Dynamic vs Static Compliance with Graphics Analysis!

[@deniseryan6591]

Started an accelerated class in MV last week. Thank you for clearly explaining this!

[@rajasekharthottadi5151]

No words man...thank you so much.....

[@RespiratoryCoach]

Thank you for watching, Rajasekhar. I appreciate you.

[@Marzyattakz]

Yes!!!! Thank you for this !!! It helped so much !!! A bazillion thank you for fulfilling my request. Iam a first year student who’s currently taking MechanicalVent so thank you thank you !!!!

[@RespiratoryCoach]

Glad to help!

[@patkap41]

Thanks so much dude! I was lost in the weeds on dynamic vs static until now.

[@RespiratoryCoach]

Cool man! Thanks for watching.

[@ellafeng6087]

You are completely made me understand now! Best teacher ❤️

[@maaduufan5140]

Thank you!!!! I'm more confident to explain this to my colleague now.

[@RespiratoryCoach]

Perfect!!! Thank you for watching and actually talking to colleagues about this stuff!

[@osamamkaeeil2295]

thank you @respiratory coach....you deserve more subcribers.... greetings from ICU al-jala hospital BENGHAZI LIBYA ^_^

[@RespiratoryCoach]

You're welcome, Osama. Returned greetings from America!!!

[@darianbaines9433]

Thank you so much! I have a quiz on this today, I’m beyond happy I stumbled upon your video 😊🙏🏾

[@freshheat27]

This is such a great video, thanks for the explanation.

[@ericborges163]

Compliance is change in volume per unit change in pressure. Not the other way.

[@RespiratoryCoach]

Thank you

[@chelysgarage1457]

there was a trivia question which stated what does the 25 signify in the result of static compliance of 25ml/cmH20

[@RespiratoryCoach]

Not sure I understand the question, but I'm going to say Volume. The 25 is how many ml are delivered for every 1 cmh20 of pressure.

[@Sunshine-yu1do]

You made it so easy to understand. Thank you very much

[@khazeemahafeez6811]

Wow!! You're amazing! thank you for making it so easy to understand.

[@RespiratoryCoach]

Thank you for watching and for leaving the kind comment! I appreciate it! Best wishes.

[@luciastone1349]

I remember it alphabetically. D comes before S. D find the value for the whole respiratory track. S comes later in the alphabet and is the lower part of the respiratory track!

[@luciastone1349]

I also remember the trans airway pressure, trans thoracic pressure and the trans pulmonary pressure all the same way! They directly relate to the inhalation chart.

[@RespiratoryCoach]

I like that! Thanks for sharing that technique and for watching!

[@MrTimothy87]

The question you had at the beginning as far as nurses and RTS and the different. I will tell you there is a huge difference..they think they know bit alot of them don't even understand the education that an RT has..the question is better if you ask what does a nurse do that an RT cant..it differs from hospital to hospital. At most hospitals RTS have way more autonomy and can do their jobs without having to report to the MD everything you have to do to fix someone..We usually call them after we've fixed the problem and tell them what we did when the problem arise..We don't have to wait for the doc to call beck..if you know what needs to be done then do it,fix the issue and report to them everything that has happened. I would never put down another profession but it really gets on my nerves when I hear about some people who think they know it all..No one knows everything, no one and as far as Respiratory is concerned my wife is a nurse and I can tell you from helping her study that the approach to pt care is completely different..they don't know what we know,they are taught differently..They don't dive into things in depth as we do when it comes to Respiratory..I believe pur profession should be called Cardiopulmonary Practitioners instead of Respiratory Therapist cause we cover the heart as much as we cover the lungs..Also brain and endocrine system because it all impacts the ABG which on turn can impact the Respiratory system..I've been an RT for 30 years and love it..I love the growth of the profession and all the opportunities now available which weren't available when I first started..I pray you all go for the APRT,AA or even PA and keep going..if u was younger I would do it..Keep your heads up,you guys are very special with your knowledge, skill and education..There is no one in the hospital like RTS..We are like the mad scientist of the hospital..I remember when we didn't have the equipment we would build one to make it work especially during Covid..Stay up to all my colleagues..So proud to be an RT..I couldn't see myself doing anything else..RT 4 LIFE...😎😎

[@gayou7061]

Wow! New subscriber 🥲🥲🥲 thank you sir! I’m in an accelerated course and it takes me longer to understand things so I have to do allot of self teaching. This video made this subject much easier to understand!

[@mohanadsaleh5338]

Great video Just one correction: Compliance is change in volume for any given applied pressure tV/DP

[@RespiratoryCoach]

Thanks, Mahaned! I appreciate the correction. FRTs please note that this is the definition of compliance. I would like your thoughts on the following. The reason I have a hard time teaching to the definition, as you correctly stated, is because the definition implies that we apply a given pressure and tidal volume is the result of that pressure. But in fact, assessing compliance results from the opposite. We can only accurately assess compliance in volume modes of ventilation, where vT is set and pressure results from that given volume. Now, I get it and you get it, but is it fair to say that students might struggle with this concept? The last thing students need to misperceive is that in volume ventilation, delivered vT is somehow the result of an applied pressure. They must grasp that, in VC, pressure is the result of a delivered volume. In other words, a change in pressure is the result of an applied volume. That's my conundrum when preparing students to be critical thinkers at the bedside. What are your thoughts on this? Perhaps I'm missing something. Thank you again for the kind comment and contribution.

[@princessbenson6673]

Thank you so much for this. God bless you

[@RespiratoryCoach]

You're very welcome. Thank you for watching!!!

[@HK9pro-z8r]

It truely make sense now.😊

[@RespiratoryCoach]

Love it! Thanks for watching and commenting!

[@alaremo6875]

Thanks alot for these precious lectures may God bless you

[@jeckellstallworth]

Simply the best! Truly! Thank you once again.

[@RespiratoryCoach]

Nah man, thank you for watching and leaving this kind comment!!!!

[@nathgoody5905]

Thanks a lot...love you

[@drleminhkhoi]

"For a multiple-compartment model of the lungs, as the distribution of resistance and compliance become less homogeneous, CSTAT becomes greater than CDYN because flow persists among lung units with different mechanical properties (pendelluft) and this flow increases ΔP for the same ΔV. In this case, CDYN decreases as respiratory rate increases. Unfortunately, some authors have propagated an old idea that dynamic compliance can be calculated using peak inspiratory pressure (i.e., PPEAK rather than PPLAT): CDYN = VT/(PPEAK−PEEP). Because PPEAK is a function of both R and C, clearly this metric is not a form of “compliance.” This outdated definition of CDYN is both clinically irrelevant and theoretically misleading". What do you think of this statement in a textbook of MV? Thanks

[@MA-xl6do]

Thank you so much.. I had never really understood it before i came across this video ❤ Please explain respiratory failure

[@RespiratoryCoach]

Cool! Glad you found the video and channel? Respiratory failure occurs when either one of two things occur. 1) Hypoxemic respiratory failure (Type 1) occurs when the lungs fail to bring enough oxygen into arterial circulation for tissue metabolism. Egan's defines Hypoxemic respiratory failure when the PaO2 is less than 60mmHg. 2) Hypercapnic respiratory failure (Type 2) occurs when the lungs fail to get rid of CO2 effectively. Egan's defines hypercapnic respiratory failure when the PaCo2 rises above 50. Of course, these definitions do not distinguish between acute or chronic respiratory failures, which would require an assessment of baseline levels and pH. Hope this helps a little. I'll do a video over this, but it may be a little bit. Thanks for watching and commenting!!

[@MA-xl6do]

@@RespiratoryCoach Thank you :) I don't understand why ventilation affects PaCO2 and not PaO2

[@viktoriousextensions394]

Great breakdown

[@salonimehta6702]

came across this video as I just started my residency in Anesthesia...this was so so helpful! Could you also make a video on equal pressure point, closing capacities?

[@RespiratoryCoach]

Hello Saloni! I'm glad you found it helpful. I'm not familiar with the terms equal pressure point and closing capacities. Most likely just using different terms, but if you could clarify for me please. Thank you for watching and commenting! Best wishes with your anesthesia residency!

[@nurulhasan9311]

How can we calculate static and dynamic compliance in pressure control ventilation

[@RespiratoryCoach]

Same question I've been asking for years. They'll be the same. You can use exhaled volume divided by change in pressure, but you'll get the same for static and dynamic. No way to separate the two in pc, to differentiate airway vs alveolar problem. Same with PRVC volume targeted, but actual breaths are pressure controlled.

[@idelmisvaliente7368]

Can you please talk about troubleshooting on a mechanical ventilator next?

[@RespiratoryCoach]

Sure. Any specific troubleshooting questions, such as pertaining to alarms, graphics, modes, etc? Or just a quick general overview?

[@RespiratoryCoach]

Vent troubleshooting video is posted. Enjoy!

[@km221ssd]

Amazing

[@AmilaR1989]

Nicely explained. Thanks!

[@RespiratoryCoach]

You're welcome! Thank you for watching!!

[@marvd5750]

I didn't know the Pastor from the "Ozarks" was a respiratory therapist!

[@RespiratoryCoach]

I'm going to have to google Ozarks Pastor, lol. Thanks for watching, Marv.

[@sandraauqui1607]

No me habian explicado asi jamas ... muchas gracias

[@RespiratoryCoach]

Feliz de hacerlo. Gracias por mirar y comentar! (Hope that's correct)

[@andreistanescu87]

Such a good video. Classic

[@rajasekharthottadi5151]

Can you please talk about your preferred intial alram settings in various modes depend on clincal scenarios...thank you coach

[@RespiratoryCoach]

Absolutely! Thanks for watching and commenting with a request.

[@jaybuddih6874]

Sir Can u explain more about the ARDS protocol for covid patients?

[@RespiratoryCoach]

Hey Jay. I'll working on getting a video out on ARDS, ardsnet protocol, and APRV, but am leary of linking it specifically to COVID, just because it would be an assumption of best practice, not actually research proven. Still alot to learn about COVID. Thank you for watching and posting your question.

[@munyrahxz1540]

Thank you very much .. it clear ❤️👍🏻

[@RespiratoryCoach]

I'm glad it made sense. Thank you for watching.

[@hanshans940]

Thank you so much sir.

[@karenmitchell6654]

Thank you

[@mariaholivella5058]

Thanks for the explanation With visual. Hate to incriminate myself to say I forgot much since I left school. I’ve been an RT for 10 years now. Going to get my ACCS and this challenge has made me dig back to the book. But honestly, don’t even my believe my instructor (director of respiratory program) explained as well as you and she had been doing education for years!! Nice work😊

[@RespiratoryCoach]

Trust me you are not alone! It's very easy to forget much of the theory based concepts post graduation, especially if conscious decisions to utilize the knowledge on a daily basis aren't made. Thank you for watching and for your kind comments. GOOD LUCK on your ACCS!!!! Let us know how you do.

[@RespiratoryCoach]

I saw you were asking about delta P and ARDS regarding a conversation you had with a physician. Can't find that comment for some reason, but here's a response. Hope I correctly address your question. kzbin.info/www/bejne/qobOXnhqe6qoaLc

[@mariaholivella5058]

Respiratory Coach Sorry I deleted it. I felt it was a stupid question until I listened to your KZbin update on Driving pressure which would’ve made more sense when MD was referencing ARDS. I will most definitely research the link. THANK YOU!!! Will you confirm that a worsening Pneumothorax (chest tube was clamped) would effect both dynamic and static compliance?? Or one verses the other? ...it has NOT turned into a tension pneumothorax just failing clamp test/ obstructed. Im using this video to help me through a “trauma critical thinking” scenario so I’m making one up and just want to confirm my thought process.

[@RespiratoryCoach]

@@mariaholivella5058 I'm going to do a video over this great question, but for quick confirmation, yes. A pneumothorax will decrease your static and dynamic compliance. Actually, anything that decreases static compliance will also decrease dynamic compliance. Dynamic can decrease without affecting static, but dynamic will always decrease anytime static decreases. Hope this helps. Will put this into video form soon.

[@RespiratoryCoach]

@@mariaholivella5058 Here's the video explanation to your last question. Don't ever feel stupid asking a question that will only aid you in becoming a better RT! Thanks for asking. Hope this helps! kzbin.info/www/bejne/oYive5yHpcaibKM

[@km221ssd]

Amazing I swear to god thxxxxx I just get it all loooovvvveeeee your video 😭😭

[@RespiratoryCoach]

You're too nice. Thanks for the kind comments and thanks for watching. Best wishes!!!

[@karenantonelli7007]

So what’s normal. I work in a C 19 Unit

[@atitsmotovlog2048]

Thank u so much

[@Marzyattakz]

So would your plat pressure be correlated to your volume controlled ventilation?

[@RespiratoryCoach]

Ask me that question in a different way, please. Just want to be clear in what you're asking.

[@RespiratoryCoach]

Yes, plateau pressure only pertains to volume control ventilation, because plateau pressure is the pressure in the alveoli after a set tv is given and held for a brief period of time. PC doesn't deliver a set tv, rather a set insp pressure for a set I time, so you want see that drop in pip to plat, because the pressure is held constant. Hope this helps!

[@saeedullah2179]

Thanks sir for such a good lectur on compliance ❤

[@RespiratoryCoach]

Thanks for watching and for the kind comment! Good luck!

[@gemmamillen1707]

Plateau pressure can be higher in the spontaneously breathing patient due to the increased respiratory effort. This is what a italian professor in icu taught me, what is your opinion on this??

[@RespiratoryCoach]

I'd like to respond with a video. Got you on the list. Thanks for commenting!

[@karenmitchell6654]

Can you do more video on Patient Assessment

[@RespiratoryCoach]

I can. Specifically, what are you looking for? I have a video posted over palpation and percussion. Are you looking for key assessment findings associated with certain disease processes, vital signs, breathing patterns, etc? Would rather do a 10-15 minute focused video rather than 45-60 minute all encompassing patient assessment video. What's your weakness when it comes to patient assessment?

[@karenmitchell6654]

@@RespiratoryCoach Disease and Associations. my TMC test is in a few weeks.

[@karenmitchell6654]

@@RespiratoryCoach Your videos are awesome!

[@RespiratoryCoach]

Thank you! Did you find the videos over diseases and associations?

[@karenmitchell6654]

@@RespiratoryCoach Thank you it was very helpful.

[@nedybelizaire7915]

great lecture

[@riritan798]

Many thanks sir

[@zlope6159]

thank u soooo much thaaaank u💓

[@RigoStar1931]

Damn, this is good.

[@RespiratoryCoach]

Thanks, Rigo. I appreciate that kind, straight to the point comment. And thanks for watching!!

[@Talongakupo]

2:15

[@RespiratoryCoach]

Thank you for watching!!!

[@sivaprasad-oe7hp]

Ssuper and extrordinry explantion

[@RespiratoryCoach]

Thank you for the kind comment. Also thanks for watching!!!!

[@اميرهاحمد-م7ب]

Pleural disease is not parenchymal disease why you put it in same category with Cs,unless if u talk about lung atelectasis atelectasis so it matters

[@vanvashwe]

Thanks Sir

[@RespiratoryCoach]

You're very welcome. Thanks for watching and for the kind comment. Best wishes!

[@adhieg.p.477]

I came here to know the equation of dyne and stat compliance. BUT,guess what? I am able to learn more than just equation!!! Thanks soo much coach for this very understandable explanation of this topic. 👍👍..U Nailed it!

[@aubreylynnroe]

Super helpful!!

[@martiniasmith1446]

You rock

[@Little-Women]

👍👍❤️

[@fishingsouls4christceoofgi614]

Buckets of gratitude❣️

[@mikeservello4394]

I hope that comment on Instagram wasn't coming from a nurse.

[@Nonamua1422]

I loveeeeeee you ❤