CPAP vs BiPAP - Non-Invasive Ventilation EXPLAINED

[@ICUAdvantage]

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[@tonylars4128]

Just wonderful, been searching for "what do bipap settings mean?" for a while now, and I think this has helped. Have you heard people talk about - Peyichael Simplified Plan - (just google it )? It is a good exclusive guide for discovering how to get rid of snoring and sleep apnea without the normal expense. Ive heard some awesome things about it and my friend got cool results with it.

[@lfino100]

This was great, I have been researching "how does bipap help copd?" for a while now, and I think this has helped. Ever heard of - Peyichael Simplified Plan - (search on google )? It is a good exclusive guide for discovering how to get rid of snoring and sleep apnea without the headache. Ive heard some interesting things about it and my cousin got great success with it.

[@pieroachique3202]

Cheers for this, I've been looking for "do bipap machines work?" for a while now, and I think this has helped. You ever tried - Peyichael Simplified Plan - (should be on google have a look )? It is an awesome exclusive guide for discovering how to get rid of snoring and sleep apnea minus the normal expense. Ive heard some pretty good things about it and my mate got great results with it.

[@sweetgalcindy]

Just got my ni ventilator today because my asthma and COPD well my lungs arnt that great... can you tell me why when I first started to use it did my right lung hurt so bad and felt like it was going to pop .. after having it on for a bit it wasnt bad but oh my hung hurts from it only the right side thought.. I hate the Warm mist machine that's hooked to it warm air makes it harder to breath... I can say I feel like I'm am getting so much more air into my lungs then I have in so many years

[@democracybacksliding]

I will join you're Patreon for as long as I can. Glad you asked :):)

[@iimasahm6438]

I love, love, love it when super smart people care enough about the rest of us that they take the time and effort to simplify explanations for us. I have been caring for my COPD mother since February and reading everything I can, trying to understand what each of the machines she is on does to and for her. I LOVE the way you present this valuable information. Thank you so much! I am now subscribed and will continue studying your wonderful "chalkboards" so I can be there to help others if needed.

[@ICUAdvantage]

Thank you so much for such an awesome comment. I'm really glad that you enjoyed the video and glad to hear about you going out to learn more to be able to take care of your mother. Thats amazing.

[@AT-yj8gl]

❤️

[@EL-ZANATY]

I hope she is becoming better and healthier, I've been caring for my COPD father too for two years and searching if the BiPAP can help. stage 4 COPD

[@StratosFear1992]

I'm an internal medicine resident (UK, NHS) doing a rotation on ICU and your videos are an absolute godsend. Thank you Eddie for being so freakin awesome!

[@lgkfamily]

4:45. CPAP vs BiPAP: I have used both to treat my sleep apnea. CPAP at home for 15 years, and exposed to BiPAP for first time two months ago (March 2020) when I was hospitalized. CPAP provides constant pressure. You are exhaling against the pressure. BiPAP has lower pressure for exhalation. The biggest problem I ran into when using the BiPAP was that the respiratory therapist provided me with very little guidance on what to expect. He simply complained that I was "one of those" patients who would keep taking off the mask. I had to wonder if the respiratory therapist had ever worn a BiPAP himself. The BiPAP will adapt automatically to your respiration rate, but it takes up to half a minute for it to do so. In the meantime, I felt like I was suffocating every time I tried to inhaled while the machine was in the low-pressure portion of its cycle. Eventually I figured out on my own that if I keep calm and allow the machine to adjust to my respiration rate then I can use the BiPAP without any further trouble. The respiratory therapist should have told me that up front.

[@MaxMakerChannel]

Lance Kaz Thanks for this insight. I am only getting used to this. Got my machine yesterday.

[@SomnoNaut]

It actually depends on what mode of BPAP is used. Straight spontaneous BPAP will only toggle between IPAP and EPAP when you request to inhale or request to exhale. When in a TIMED mode, then the backup rate kicks in and if you do not request an inhalation before the respiratory rate setting (breaths per minute), then it will give a breath (NB: Theses machines CANNOT open your lungs, they do NOT have the force of a ventilator.) More than likely, my experience with applying PAP on patients is that they feel starved for breath at the lower settings when awake, so they end up ripping the mask off. Usually just allowing a conscious comfortable setting to be the starting setting is all that it takes to get someone over the usage hump. Has worked well in my 35+ years of sleep teching.

[@tazmanianrhonda8040]

Nursing student here. Thank you for the pro tip so I can help patients in the future if I run into a new BiPap user!

[@echase416]

The newer models of CPAPs can be set to APAP or VPAP. (XPAP, really.) The newer Resmed machines have a setting called EPR, or ‘expiratory pressure relief’. The patented nickname is ‘Easy Breathe’. It’s a nice setting because users don’t have to ‘exhale against a wind tunnel’. (It can be a reason why people stop using their XPAP machines.)

[@luisakissee5710]

Thank you!!!!!

[@KylieDankert]

I've been using your videos through my critical care semester in nursing school, during my CTICU externship, PCU new grad job and now as I am transitioning into an ICU role. Thank you so much for the work you put into these videos and educating others. I recommend your videos all the time to people in school or as they are transitioning into new roles!

[@ichigocardivilla1974]

Im an ICU Nurse and i really love your videos, thankfully i already understood cpap and bipap ! U deserve more subscribers 💝

[@KennnnnnyTucky]

Thanks so much for posting this info. My bro in law is fighting for his life in a London ICU with Covid. He crashed dramatically after a week and we almost lost him Friday. He went to 15L per minute oxygen but was still going down hill. Due to complications the Consult indicated they wouldn't be able to put him on a ventilator so they played their final card today which is a CPAP hood which looks pretty terrifying. Bro In Law is quite delirious and for a while was trying to get the hood off even though it's his last hope. But he calmed through the day and his sats tonight are stable so hoping he will be able to take the fight to another day. Respect to all the Dr's and nurses who are working in the middle of this hell.

[@ICUAdvantage]

So sorry to hear about this and that your brother-in-law is fighting this right now. I'm glad to hear that the CPAP hood seems to be helping and that he is tolerating it better now. Stay strong and know that many of us here are thinking of you, your brother-in-law and the rest of your family!

[@ddljr]

So Sorry to hear about your brother . I hope he is able to successfully recover and is in good health now

[@AimForTheBushes908]

How is your brother doing? Any updates?

[@KennnnnnyTucky]

Sadly my bro in law lost his battle with Covid on19th May. CPAP helped for a few days and they tried Hydroxyquinoline and Dexamethasone but it wasn't enough. With Diabetes, COPD, a blood disorder, heart issue and hypertension, he knew everything was against him. That's why they never left the house from March until he developed non covid pneumonia and entered hospital. He made a swift recovery on antibiotics and went home but 3 days later he was struggling for breath and when re-admitted was Covid positive. Little doubt it was acquired during the first hospital admission which is tragic. The only saving grace is that my sister was allowed to stay with him for his final hour unlike many. Whilst there may have been failings in infection control in the hospital, the ICU nurses and doctors gave it their best shot. Respect to them for working in unimaginably awful conditions and indeed to their colleagues around the world who do similar work to keep folks alive. With best wishes to you all.

[@Oilofmercy]

@@KennnnnnyTucky so sorry. 😪

[@steffybp6674]

Taking my Nursing exam soon and thank God I watched this video! Thank you too for sharing it was so easy to understand.

[@ICUAdvantage]

So awesome to hear this! Good luck on your exam and you'll have to check in and let me know how it went!

[@steffybp6674]

ICU Advantage for sure! Thank you so much!

[@barcelonahighlightsandvide371]

Gud

[@jamesmckeown8789]

This is so helpful! Its so nice that experts spend time to explain it for everyone.My dad is currently in hospital fighting covid. They are using the cpap on him and then a nasal cannula. I just wanted to know exactly what it does. Thank you !!!!

[@ICUAdvantage]

Happy to hear this video was helpful for you and wishing all the best for your dad and speedy recovery!

[@YeahJerrickT]

RT student here! Love your videos and Respiratory Coach! Keep it up and thank you for the content

[@ICUAdvantage]

Awesome and thank you so much for taking the time to leave a comment Jerrick! The RT/RN relationship is probably one of the closest, especially in the ICU. Glad you enjoy the content.

[@robertsleight8013]

I'm already on 24/7 BiPap due to illness. Always wanted a better understanding of how it works. Thanks.

[@ICUAdvantage]

Glad to hear this video helped!

[@punjabigirl6019]

Same here

[@robinwalker299]

Thank you for explaining things so users can understand what's happening to them!! I've been on a bipap for several years now and your videos have really helped me!

[@agnesboachie3021]

I have a pt two days ago on Avaps and I didn’t know so I called the RT and I really didn’t get the clear explanation so after u this video I’m so so happy to have a deeper understanding. God bless u

[@ICUAdvantage]

Happy to have been able to help!

[@lucianoeikensenaha9093]

Thank you for all your videos. I'm starting at ICU and your videos are A+ in my studies. Please continue with these very important classes !! Congrats !!

[@ICUAdvantage]

Awesome and congrats on the new position. Glad to hear these videos have been helpful and wishing you all the best in your new adventure!

[@mrredacted9326]

How is it going 3 years later lol?

[@OmarAbdulMalikDHEdMPASPACPAPro]

Peace be to you! I have been a medically licensed Physician Assistant for twenty years. I currently work as a Hospitalist PA in Washington, D.C. where I live with my wife and children. I found this video VERY helpful! I have just subscribed! Thank you for sharing This! Be safe!😷❤👨🏾‍⚕️

[@ICUAdvantage]

Awesome so glad to have you on board Omar and so glad that this was helpful for you. You stay safe as well!

[@DanSme1]

Ok, that was helpful. BUT please reference a video that discusses SYMPTOMS experienced by patients when experiencing either form of respiratory failure. I’ve been on CPAP for 6 years. Of late, when I wake up my body is BURNING. Is that the second type? Is there CO2 building up in my blood and I need to switch to BIPAP?

[@MrAndysan86]

Your videos are actually very helpful for me. I am a going into my senior year of nursing school and needed to review a lot of patho and your videos do just that!

[@ICUAdvantage]

That's awesome to hear Andy! I'm so glad you find them useful and thanks for stopping in and leaving a comment!

[@rosaliemasecampo5770]

Very clear thanks for sharing a Big help for us nurses and i learned a lot and a good refresher Thank you please continue making videos 2:36 sharing your knowledge.

[@ICUAdvantage]

It's always great to hear the videos and lessons I put together are helpful. Thank you!

[@TheStx123]

Thanks for the video, using it for my ventilator training, the teaching materials provided was so full of abbreviation hard to understand, thanks for the video, it helps alot.

[@ICUAdvantage]

Great to hear this. Sometimes it takes hearing things a different way to make it all click.

[@safaasaud]

Please do more for ventilation modes, and ICU bundles. Thanks

[@ICUAdvantage]

Thank you for the suggestions Safaa! Actually the next 3 lessons coming are all about vents! 😉

[@schan2975]

I wish I had this before I sat my med school final exam last year. Thanks for making things crystal clear!!! :DDD

[@ICUAdvantage]

Awesome! Thanks for the awesome comment Swaine! :)

[@rangikagunasekara2862]

Thankyou very much . This is so important. I'm a ICU nursing officer from Srilanka.

[@ICUAdvantage]

You are very welcome! Glad you liked it!

[@Sternschnuppen85]

Wow!! Thanks so much for having a channel like this! Really appreciate this as the ICU can be so complex! Thanks!

[@ICUAdvantage]

AWESOME! So glad you that you are liking the channel and finding it helpful! And yes, the ICU can be complex. Thats what makes it so fun! 🙂

[@deanmichaelk]

The BiPAP machine essentially uses two different air pressure for inhalation and exhalation. its purpose is to alliviate the inhalation and the exhalation for the patient. the air pressure is adjusted higher during inhalation to help keeping the airway open, and the air pressure is lower during exhalation allowing the patient to easily exhale the air out.

[@ICUAdvantage]

Spot on Dean!

[@deanmichaelk]

I do have a question about the BiPAP machine. How does the exhaled air gets out of patient to the atmosphere?

[@Natty_red]

I am an ED nurse and find a lot of your videos very helpful. Thank you

[@ICUAdvantage]

Very cool! Glad you are enjoying the videos. I've had quite a few ED nurses commenting as well. Always nice to know so many people in so many areas like them! 😊

[@rfpeace]

well done sir! BTW this compliment is being paid to you from a 10+yr PICU nurse! cheers!

[@gregorywb1]

Who is here during the COVID19 pandemic

[@garconrouge9099]

probably anyone whose post time is after March 12........

[@ICUAdvantage]

I'm thinking A LOT right now

[@JohnDoe-od3dx]

can be treated using this method?

[@sofouli]

This was great, thanks, I have been researching "how much is a bipap machine?" for a while now, and I think this has helped. Have you heard people talk about - Peyichael Simplified Plan - (search on google )? It is a good one off product for discovering how to get rid of snoring and sleep apnea without the headache. Ive heard some awesome things about it and my partner got excellent results with it.

[@omidzebarjadi1730]

Just wonderful, been searching for "what does bipap treat?" for a while now, and I think this has helped. Have you heard people talk about - Peyichael Simplified Plan - (should be on google have a look )? It is a great exclusive product for discovering how to get rid of snoring and sleep apnea minus the normal expense. Ive heard some unbelievable things about it and my neighbour got great success with it.

[@ragdakarim1919]

THANK YOU!!! BEST TEACHER ON KZbin!!!

[@ICUAdvantage]

Wow! Thank you. Far too kind!

[@Drzen23]

Thankyou so much sir for your kind and helpful explanation it means a lot to me to study through your videos..Looking forward to learn more from you

[@kirstinmarshall5864]

Just came here to say that the way you explain things finally helped these critical care concepts to click for me!! I am in my critical care rotation in an advanced program and was struggling to make connections! Thank you SO SO SO much!

[@ICUAdvantage]

So happy to hear this Kristin! Im glad that this video was able to help you connect the dots and explain things in a way that worked for you. 😊

[@josy4767]

This helped clear up my understanding on this topic so much! Thank you for your clear explanation and the use of a simple table to summarise what you were saying.

[@UMBUBA]

Hi, I’m a Respiratory Therapy student. These videos are great, thank you!

[@ICUAdvantage]

Sweet! Glad to have you here and glad you have liked the videos! How much longer do you have left in school?

[@sharnaclarke8230]

My comment guess for the start of the video. Cpap is continuous pressure to the patient inhaling. Bipap is two pressures, inhale and exhale.

[@ICUAdvantage]

Nailed it Sharna! Sounds like you had a good understanding from the start. Hopefully you were able to learn a thing or 2 from the video! Thanks for commenting! 🙂

[@tetech2]

Text Out of focus esp at 2 min.

[@oscarwilde9581]

A much better explanation for the layperson than this video provided. Thanks.

[@jeanjean6826]

@@ICUAdvantage Hey I was wondering, does a Cpap bring no help at all for ventilation, how does PA/PaCO2 adapt to it ? also, i get that adding a FiO2 help "clean" your lungs from CO2, so can you had extra oxygen with a Cpap machine ? sorry about my english and thanks in advance

[@Virtuous_Heart]

Just when I thought I've seen the best video, this one popped up. Thanks a lot

[@ICUAdvantage]

Wow, thank you so much Don! Really glad you liked it!

[@leahoneil5289]

Thank you! My 9 month old son is on bipap and I was having trouble understanding the difference between bipap and cpap. There was a lot in this video that I did not understand, but I have a better understanding of the difference now.

[@ICUAdvantage]

I'm so sorry to hear that Leah, but I'm glad you were able to get some good information from this video!

[@Virtuous_Heart]

New subbie. You are a blessing to our medical career

[@abdullahyousafzai9397]

Thank you for such beautiful piece of knowledge. A cardiopulmonary physical therapist here ✌✌

[@ICUAdvantage]

Very cool! Glad you liked it Abdullah!

[@courtenayerhardt2443]

You are amazing!!! Currently in an online ICU course and struggling with some concepts. Already listened to the mechanical vent videos!! Super helpful and you simplify it! Subscribed and liked!!

[@ICUAdvantage]

Thank you so much Courtenay! I'm really happy to hear that these videos are helpful for you. Welcome aboard on the channel! :)

[@nancylauten567]

Great Information. So many of US are caring for our elders at Home. Often there is equipment but not much instruction. Thanks!! Remember to CLEAN your CPAP and BiPAP masks regularly!! I will check out your other Videos. ~ Care Giver Mom #892

[@ICUAdvantage]

Glad it was helpful!

[@MedManiac1]

this is the best channel I've come across!

[@ICUAdvantage]

So awesome to hear! Thank you!

[@amrhamada3262]

Thank you for this wonderful clarification. I have a question, The CPAP should decrease the cardiac output not increase it, right ?

[@shaquanavincent3374]

I am so glad I watched this I am on a cpap and it's only been a year and I experienced dry mouth how do I fix this problem? But you have helped me alot to learn more about this great video 📹 👍🏾 👏🏾

[@Godzilla370]

I just got prescribed a bipap for my central sleep apnea. Wish me luck!

[@angieskidney]

At 5:00 when asked, all I know is that CPAP blows one way and BIPAP blows both ways? CPAP didn't work for me (and I have a good heart, but I tend to stop breathing when I sleep) so they put me on BiPap when on CPAP I started holding my breath in my sleep (ya odd right??). I still do not get a full night's sleep and I am a 46 yo 5'5" woman 210 lbs with a history of Pneumonia (last time was so bad I had to be intubated and was in ICU for at least 3 days). I also have no kidney function. I am a side sleeper 85% of the time.

[@ICUAdvantage]

I wish you all the best Angie

[@freecopt4003]

I have tto congratulate you you are better than my teacher in medical school and residency. I was the top of my class I follow you but you make it refreshing I am anesthesiologist by the way and like to have a lecturer in oscillation mode is it the came as jt ventilation ?????

[@ICUAdvantage]

Thank you so much! I appreciate this comment. And sorry for the confusion again, but were you asking another question at the end?

[@drsunny3760]

Hi watson.. i m a big fan of urs.. i have watched almost all videos of urs and learned alot.. please cover antibiotics in detail in ur next videos..

[@ICUAdvantage]

Wow! That's a lot of videos to watch! 😊 Really glad that you are liking them. I do have antibiotics on the todo list. Not sure when I'll get to it yet.

[@leonardodavinccetessaroste5271]

Excelente vídeo, thanks from Brazil

[@DiveIntoNehasLife]

All your given information was outstanding..the only problem I wanted to make you to notice is that try making bigger slides and big fonts so that in low hd mode, the words are visible and can fit into brain just by looking at the slide. Thank you😇

[@ICUAdvantage]

Thanks for the feedback. It truly is something I am always thinking in the back of my head and I sometimes default to smaller writing without thinking. Know that it is something I am aware of and trying to fix myself! 😊

[@Samri3344]

I wish i find this video before the first exam. Anyways i am sure it will help me for mid term. Thank you for the wonderful lecture.

[@ICUAdvantage]

Awesome! Glad you liked it sorry you didn't find it in time for that exam Egzaber!

[@morgana156]

Love this!!! Thank you for your knowledge and for taking the time to explain these concepts so thoroughly. Very inspiring!

[@drriteshsharma6448]

Excellent presentation Sir... The way you make simple proves that you have tremendous mastery over the subject... Sir how to decide which patient requires CPAP or BiPAP...

[@ICUAdvantage]

Thank you so much! I really appreciate the kind words. The question really revolves around 2 primary things. Do we need to easy/assist a patient with their respiratory effort, and/or do we need to also control ventilation and CO2 clearance? If so, then BiPAP is our go to.

[@ICUAdvantage]

ease*/assist

[@nestlee84]

Informative lectures help nurses to develop critical thinking to our patients... Thank you.

[@ICUAdvantage]

You're welcome. Thanks for the comment and glad it was helpful!

[@kinder101]

Thank you for your clear and concise video!

[@rohitroy533]

You deserve more and more Subscribers

[@ICUAdvantage]

Appreciate that! Its slow going, but def keeps increasing each day!

[@nancycox473]

CPAP provides continuous air pressure to help keep alveoli. BiPap is used to support ❤️ failure to help prevent sleep apnea.

[@teboniquemickle161]

6 months in TICU and still learning!!! Thank you.

[@ICUAdvantage]

It never ends! Enjoy the ride and welcome!

[@Lungs523]

Thank you for this informative explanation 😊

[@mistraleyonpamnacteta9275]

Thank you, this video help better understand the CPAP and BIPAP.

[@ICUAdvantage]

You're welcome!

[@Len_M.]

I had Surgery in Julu, and my O2 stats kept dropping when I was brought back to my Room. I first had the regular nose canuals, then a larger set. Next they put this full face mask on with so much pressure/sound, that it was you couldn’t hear yourself think (definitely hard to communicate with anyone.) The last two were in the ICU. After that I was re-intubated and was out for the next several days. I had Surgery on the morning of July 10th which was a Wednesday IIRC, and was in ICU by early afternoon (again IIRC.) I think I spent one night with that big face mask, and then I was told they could try flushing out my lungs to get all the gunk out when they seen I wasn’t improving the following morning. I should say they had been giving me IV antibiotics. I had three normal IV’s in my arms, one artirial IV on the proximal side of my wrist to draw blood, and a central line on my neck. Another thing my epideral wasn’t working (I could still feel the ice bsgs they use ro tesr if you can feel, other than that the actual surgery itself went well. I have a video of when I was unconscious if you are interested seeing.

[@B4dcfegtscld]

Thanks very very much for explaining this in simplest way..

[@ICUAdvantage]

Glad to hear I was able to do just that!

[@goodvibes8372]

Please explain what tidal volume, pressure support... And many

[@ICUAdvantage]

Tidal volume is the volume of a breath delivered. As for pressure support, I do talk about that in my vent video here: kzbin.info/www/bejne/e2bYfYBqZrqFo6c

[@3_Gold_Coins]

I have a bi pap. I just purchased a full mask in case I need it. I know that it’s not a ventilator, but I would think that it would be better than nothing. I use my nasal pillow for now. I will let my machine know if I switch to a full mask.

[@ICUAdvantage]

Ty

[@Puppy_1]

CPAP is one volume of pressure where is BiPAP is by level which means two different pressures. I have sleep apnea and asthma. That’s why I use the bypath so there you go and also is easier to choking. I mean, the CPAP can feel like you’re choking where as a BiPAP doesn’t so much.

[@ValidityJ]

I have a CPAP for when I sleep. I've had it for a year now and interesting, I was diagnosed with sleep apnea the same age my dad was (who of course, also has a cpap). I cannot put into words how miserable my life was up until I finally got this diagnosis...literally from night 1 after using it. I wish to slap a CPAP on everyone that MIGHT have sleep apnea. It will change your life for the better. Really great video. Thanks so much for making it!

[@gracenhaokip8813]

Is there a change in your spo2 when lying down and standing?

[@ICUAdvantage]

Thank you!

[@clavo3352]

re: Covid emergency and shortage of machines; Can you do either Cpap or Bipap while the patient is prone?

[@ICUAdvantage]

Yup. They actually have looked at this and see better outcomes in prone vs not. There is a body of evidence suggesting awake proning may have better outcomes.

[@garyknight8966]

@@ICUAdvantage I'm doing an article about this, to counter the 'chill' on proposals to use cpap or bipap for covid-19 due to aerosolization out the forced exhaust. Can you cite the place (paper) where you found 'better outcomes' reported? Side note: can wearing specialized (eg surgical) mask over the cpap mask / exit counter aerosolization, and if so is cpap better than bipap (to add enough pressure to clear CO2 through such an added mask)? Or is bipap generally better to reduce aerosolization in the first place? And if so, can the clearance problem be remedied by increasing the O2 input and / or iron supplements for the patient?

[@julzs6557]

There is a study now in JAMA about the use/ management of HFNC and proning to avoid intubation among Covid-19 Respiratory Distress

[@milboltnut]

CPAP one way in and you exhale on your own. BiPAP regulates you inhale IPAP and your exhale EPAP... hence BiPAP therpy, flushing C02 and bringing your titration to where it should be or as close as it should be anyway

[@milboltnut]

Ins Co acts like they know Sleep Apnea and think a APAP was the answer to my Central Apnea... 3 months later I have to do a second study with Titration which should have been done BEFORE I was prescribed an APAP.... Now I have to make sure an ASV is going to be used during the study.............

[@ICUAdvantage]

👍

[@abdullahmawad8661]

Am loving this channel

[@aseelna6057]

Great job!👏🏻👏🏻Appreciate it

[@ICUAdvantage]

Thank you so much!

[@javadaghrab5687]

Excellent stuff. You provide some setting examples for COPD crashing, acute pulmonary edema. Asthma. Thanks

[@thatnursekerryann]

Gosh I love this channel! Thank you!! 💕💕

[@ICUAdvantage]

You are so welcome!

[@moila04]

Very useful videos, :) just subscribed!. I always found ventilation so difficult and I work in ICU as a medical technologist. I find hemodynamics easy but with ventilation modes it is so complex with troubleshooting. Your videos made it very easy to understand, I like it when you use analogies or explaining it simply. Please do more videos on ventilation, maybe o2 therapy?, troubleshooting ventilators. And I think you should do videos on cardiac studies that are used in icu such as pulmonary artery catheters :)

[@ICUAdvantage]

AWESOME! Thank you Mia. Thats great that these videos have make things easy to understand for you. And thank you for the suggestions. I actually have a couple of those on the to-do list already! 🙂

[@SomnoNaut]

Also, it is important to recognize the difference between waking respiration and sleeping respiration. When we sleep we go through differing levels of respiratory control in different stages of sleep, so our dynamics of breathing totally change throughout the night.

[@ainerice9585]

Can this be used as a ventilator for people who might be suffering from a virus that affects the respiratory system negatively ?

[@Hagg-o-tron]

You can say its name. Coronavirus isn't Voldemort.

[@joanlynch5271]

Yes, I think so.

[@ainerice9585]

@@Hagg-o-tron do you know the answer

[@ainerice9585]

@@joanlynch5271 thank you

[@brazeiar9672]

Yes if their symtoms aren't too severe. Already being done.

[@drsandeshpasumarthy3260]

Very informative coach....want to hear a lesson on HFNC,Bipap and Cpap setup NIV and ECMO ....thank u

[@ICUAdvantage]

Thank you! I do have a series I just recently finished on ECMO. I do plan HFNC at some point in the future.

[@boyunkim9409]

Another thank you for this awesome brief lession! short video was a bit scary but was real help!

[@ICUAdvantage]

Glad you liked it!

[@dryoutube]

Great stuff! I've been watching your videos for years now and you've inspired me to create my own educational channel too!

[@ICUAdvantage]

That's awesome! I wish you the best on your KZbin journey. It takes time to get started, but stick with it and it will eventually get traction and grow!

[@IonVama-yn7ij]

Very nice explained, thank you

[@CcherryNjx]

ICU nurse here - great video !

[@ICUAdvantage]

Awesome! Glad you liked it!

[@Ffmed22]

Really good stuff. Loving this channel.

[@ICUAdvantage]

Awesome Justin! So glad to hear it! And welcome!

[@wasimshehzad6377]

Excellent dear can you make a session on HFNC

[@jitendragoswami9294]

Another helpfull guide from you👏 N the video visualisation of lung ventilation was plus point to it Thanks a lot👍

[@ICUAdvantage]

Glad it was helpful! Those lungs really do help make the point. For some reason a bunch of people have flagged it for being gruesome 🙄

[@jitendragoswami9294]

No, it was really helpfull, n being paramedic i would say it wasn't gruesome for me, at all. Tnx again

[@muhammedburakdurmus3112]

You are a super teacher! Thank you so much!

[@petrachase859]

CPAP is continuos positive air pressure and BIPAP is a bilevel airway pressure

[@ICUAdvantage]

You got it!

[@dhandapani9870]

Thank you so much. You’re such a blessing

[@ICUAdvantage]

You are so welcome

[@ibrahimabdelhady8038]

What is the difference between active and passive circuits and when to use any one of them ? Thank u

[@gurnoorkler8674]

Yes yes now ready for my medschool exam

[@ICUAdvantage]

Awesome! You'll have to let me know how you did!

[@arzhangsadeghi]

Quick question If CPAP or BIPAP is not breathing for patient, what function respiratory rate setting has in these machines?

[@muhammedfaisal1369]

Do we can use bipap insted of cpap mechine?

[@authman-alshibly]

You mention in the video that CPAP improves CO. It is known that CPAP reduces preload and afterload which eventually means a reduction in the SV, so how does that help in improving CO?

[@ICUAdvantage]

Only applies in cases of heart failure with elevated preload and overstretch. If we reduce preload, we reduce overstretch and bring Frank-Starling curve back into more optimal range. In most other patients, yes the increased intrathoracic pressure reduces preload and thus reduces CO.

[@1122fisher]

This was absolutely amazing and so beneficial!!!

[@ICUAdvantage]

Wow, so great to hear! Thank you Diane!

[@Jannine566]

Thankyou. Patiently explained and appreciated.

[@ICUAdvantage]

Glad it was helpful Jannine!

[@elisabetejardim9446]

Very well explained Thank you very much! 👏🏼👏🏼👏🏼

[@ICUAdvantage]

Glad to hear that! You’re very welcome

[@KishonSah]

Great sir very precisely explained

[@ICUAdvantage]

Thank you so much!

[@theclaezeonu6730]

Very good lesson. Simply explicit

[@ICUAdvantage]

Thank you! Glad you liked it.

[@rafaelsanchez2042]

This channel is the best. Keep it up!

[@ICUAdvantage]

Thank you so much Rafael! I certainly plan to. 🙂

[@DocWhiskey1776]

Could CPAP machines be tweaked to work as full on ventilators that we are in short supply on with COVID-19? I gotta think there are tons of CPAP machines out there so it would be much faster if we could sort of Macgyver them to work when we use up all the regular ventilators. Just my lay thoughts, is there a reason it couldn’t work?

[@brazeiar9672]

They are already doing this.

[@notlikely4468]

I'm here because my newest EMS protocols say NO CPAP for Covid-19 patients But (as usual) no explanation why Infection control? Or Efficacy? 'Cause you'd think.....

[@brazeiar9672]

@@notlikely4468 Well UK gov wants 1000 CPAP machines to be made per day specifically to treat Covid-19. If infection control was the issue then they would use those plastic hoods that are used in Italy.

[@notlikely4468]

@@brazeiar9672 Ya...so far even my professional practice people haven't been able to justify the restriction Now...we aren't respirologists ....or RT's But....logic seems to say...if they de-sat...put them on CPAP and hope we don't need to intubate in the field (Na...actually everyone has a HUGE hard on to intubate....but just because we can doesn't mean we should)

[@DocWhiskey1776]

not likely there are a few articles that came out and infection control was one reason but it assumed the mask whereas I was thinking hook up to ET tube and adjust software that controls the pump. I see MIT did a machine that basically just squeezes a BVM that idea crossed my mind but seemed easier to have things go wrong. I like that so many companies are trying to make full on ventilators but I don’t know if they can do them as fast as we will need. If infection control biggest issue with the masks though at home should not be that big a deal but ppl with cpap at home already likely in that higher risk category I would think.

[@mikesmithyes967]

Love your videos. If you can talk about intubation, that would be great!

[@ICUAdvantage]

Yes, its on the todo list!

[@CSEMELEC]

What about for Pleural Effusion? Bipap or CPAP?

[@zelykazorogole5331]

If I were to get a abg back for a patient on a BiPAP mode and say I have a high CO2, what is the first setting I should look to change to bring my CO2 down, and what other options do I haave? I know some NIV modes you can have a target tidal volume so that's easier to adjust, but some modes you have to adjust pressure. Hope this question makes sense

[@ICUAdvantage]

Great question! So we first want to make sure you have a good seal to ensure they are getting the volume we intend. From there we need to increase minute ventilation. That is achieved either by increasing tidal volume or respiratory rate. For most BiPAP more than likely we will be looking to increase the tidal volume, which would be achieved by increasing IPAP to help them take larger breaths. More importantly is how does your patient look? Are they tachypnic? Do they looked distressed or increased WOB? If so, we might need to move past NIV.

[@twinklelight1362]

Thank you so much! Very helpful video.

[@islandred3968]

If the icus become overwhelmed and cannot provide ventilation for patients with bilateral pneumonia, is it a feasible emergency measure for people to use their home cpap to assist in recovery? Is the a way to add an oxygen concentrator to a home cpap with improvised equipment if the situation becomes desperate?

[@RSimusic]

absolutely - theres a few videos explaining this functioning with oximeters showing proof they work. Search "Home Made Respirator"

[@islandred3968]

Any specific suggestions ? I’d love some links to follow up with

[@brazeiar9672]

Sure, although if you have significant breathing problems and then catch covid-19 you are probably not going to have a good outcome, CPAP or not.

[@ICUAdvantage]

I guess in some circumstances there may be improved outcomes, but if you truly need intubation and full vent support and you only have CPAP, it most likely won't be of benefit.

[@johndevuono6445]

High Flow Nasal Cannula is a third option for noninvasive PPV

[@ICUAdvantage]

I had debated including it, but the jury is still out to say for sure the amount of PEEP that is achieved with its use. Given the ambiguity of that type of support, I chose to not include it. Thanks for making mention of it though.