How to adjust Respiratory Rate (RR) according to pCO2 levels in ABG

How to adjust Respiratory Rate (RR) according to pCO2 levels in ABG

[@drpriyanka-shelke-kolekar]

Thank you again sir for the practical learning ☺..you are making the future doctors like us Pro in critical care management.

[@clinicalworld5077]

Proud to be one of your online student ❤

[@TheICUChannel]

same here. together we are learning

[@aparajitasinha6056]

Awesome video & thank you so much sir

[@dr.mahavirsinghsengar1593]

Very informative tip.

[@varunvalsalan1793]

Thanks 🤩

[@nishakushwah1422]

Thank you sir for such nice information This will be very helpful .

[@clinicalworld5077]

Keep shining Sir...

[@md.sultantalib4659]

Very useful video...tq again sir❤

[@TheICUChannel]

Always welcome

[@dr.deepakgore1079]

Very nice relevant ICU post ❤❤🎉

[@TheICUChannel]

Glad it was helpful!

[@nikhilncc]

Thank you sir. I have a query. Like in the example above, if the RR is set to 14, will the PaCO2 persist to be in the 32 range? Can we also use this method in ARDS?

[@sahanaveeraraghavan6460]

Excellent tip sir.

[@TheICUChannel]

Glad u liked

[@pawankalani9454]

Good morning dear dr. Formula is new pco2=pco2×Minute ventilation ÷ New minute ventilation

[@chinmaynarayanchakrabarti9735]

The thing is , if tidal volume is fixed , the change in RR will make change in MV!! So it's same, think of it.

[@saiyadmohammadharis288]

Thank alot sir it's very helpful

[@TheICUChannel]

Most welcome

[@asmiahossen400]

Sir for other patients?? Like asthma COPD?

[@painanddetox1394]

Can we make changes to TV or peep to achieve EtCO2. Is there any formula for that also please advise. Thanks.

[@chhunnytong2686]

thanks so much sir

[@MC13133]

Is this formula only for neuro patients or not??

[@vijayalakshmicmsunderaj595]

Important tip.

[@TheICUChannel]

thanks

[@user-lf8wv2pp6t]

Thanks. Very nice

[@TheICUChannel]

welcome

[@nomankhalid1496]

Sir can you please tell how to manage a patient of mysthenia crisis with type to respiratory failure On which ventilation mode we should put the patient and whether to give curare or not?

[@dr.jitendra5152]

Great👍

[@TheICUChannel]

Thanks

[@3lo17]

Thanks , is there any role weaning. From MV by use P100 / P0.1 as parameter

[@moriedahmad4514]

Thank u sir for the good topic…would u please explain how to recruit on a ventlator

[@dipankarpaul5943]

Sir one of my pt is having rt sided lrti with consolidation of the rt lower zone pt is having pco2 of 91 on admission she was intubated as she was disoriented and put on p a/c mode but despite this her pco2 just came down to 79 next day but after that rate was adjusted but despite that pco2 is not coming down then mode was changed to v a/c mode and respiratory medicine consultation was taken for changing mode of this pt they advised v a/c mode with rate of 18 but despite all her sp0 2 shows rising trend and still on abg pt pco2 never comes down below 80 and pt is not improving kindly give us ur valuable opinion

[@TheICUChannel]

kzbin.infoosNEF3fKCCU?si=NkuCVuP4Oee2LXMu

[@dipankarpaul5943]

@@TheICUChannel thank u sir please make one video on ventilator setting for treatment of CO2 retention

[@az143ism]

what target of PCO2 is required in different diseases ? Any ref where i can look it for

[@kumaravi292006]

Sir please make a video on Pco2 level in different diseases

[@jeanpomelo5884]

You are rdLly amazing!! Would like to know how to use this in kPa units, am I correct to think it will be the same formula?

[@sumitkalkal7412]

Sir similarly for a patient in severe metabolic acidosis patient say pH of 6.9 After intubation We need to maintain enough minute ventilation Sir please can u explain this target minute ventilation concept I am unable to find good literature on it

[@srinivasaraosirasapalli5104]

Nice

[@TheICUChannel]

Thanks

[@sheikhulalam5430]

Thank you sir for great info.would please give the name of formula

[@TheICUChannel]

don't know the name, i read somewhere and use it and it works.

[@SukanyaVarun-rn5dk]

Sir Please make a video on duolevel ventilator mode🙏

[@muzzusahmed7086]

Hello doctor thanks for the useful tip. Can I ask why is this specifically being targeted in neuro patients? Or the other way to ask why co2 wont cause vasodilation at more than 32 and vasoconstriction in less than 32 in normal patients? I'm sorry its just confusing

[@TheICUChannel]

because its what the studies have shown.

[@sunilkumarvetty3805]

👍

[@THEANESTHESIST]

Can we apply the same formula in COPD pts sir for their target co2 levels ?

[@TheICUChannel]

on ventilator, keeping all settings same, if only RR have to be adjusted, than this can be applied.

[@prasoonsrivastava2909]

@@TheICUChannel sir...thank you for the video. I had a followup doubt: should we also change the Vt to maintain the minute ventilation in such cases?

[@TheICUChannel]

@prasoonsrivastava2909 not really Upto an extent because it was high MV which was causing pco2 washout

[@akhilraghavan1843]

What should be the I:E ratio while using this formula?

[@TheICUChannel]

All settings are kept same while using it . If you want to change them , then all will have impact

[@ArunAnuzEditz]

❤❤❤

[@dineshrp9624]

Sir, is there a formula to reduce the tidal volume instead of respiratory rate. Does it also follow a similar formula ?

[@TheICUChannel]

I haven’t used any till now. Will check if there is any.

[@akhildesu3932]

Sir, can we involve I:E ratio to this formula??? While applying this formula, we should keep same I:E ratio??just only change RR??

[@TheICUChannel]

This is when all other settings remains the same including I:E … u r just adjusting RR.

[@akhildesu3932]

Ok sir thank you

[@abhishekgajera2809]

Is this apply for COPD or any respiratory disease causing increased pco2? Sir

[@TheICUChannel]

apply to anything as long as other settings remain the same.

[@RahulSharma-nl3sj]

Hello sir According to this formula what should be ideal inspiratory to expiratory ratio? If we just set the respiratory rate but the I:E ratio is not optimum I think we will not achieve the target

[@TheICUChannel]

Tee keep usually 1:3

[@RahulSharma-nl3sj]

@@TheICUChannel thank you sir

[@balasundaram7781]

❤

[@denesh3s]

What will be FIO2 SIR.

[@az143ism]

Is this formula applicable in every critical pt? Or just neurosurgery pt??

[@TheICUChannel]

Formula is applicable in every patient, pco2 target varies.

[@az143ism]

So what target of PCO2 is required in different diseases ? Any ref where i can look it for

[@navneetjuneja]

Sir what is AC / VC stands for and 400 is TV ?? and also 5 / 30 %

[@TheICUChannel]

kzbin.info2Tifqd8Ybmk?si=_OnslhD5mRjgsiSE

[@amberkumar3916]

Sir can we quote this Any reference to this sir

[@pranavgulhane5267]

What about ie ratio in type 2 rf?

[@TheICUChannel]

kzbin.info2Tifqd8Ybmk?si=_OnslhD5mRjgsiSE

[@baijunair1720]

Sir do you conduct any critical care fellowship course??

[@TheICUChannel]

No. But CCEF does , visit collegeofcriticalcare.com

[@ramugoud5239]

If patient in Spontaneous?

[@TheICUChannel]

Not useful in that case obviously

[@KingTiger10588]

Yes more respiratory puhlez

[@TheICUChannel]

sure