Mechanical Ventilation - Most COMPREHENSIVE Explanation! 🤫

[@MedicosisPerfectionalis]

🦠Antibiotics Lectures: www.medicosisperfectionalis.com/ 📝 Download Notes: www.medicosisperfectionalis.com/

[@woshanimal]

It always amazes me how you can explain complex topics in such a clear and nonchalant (in a good way!) manner. It makes me feel like I CAN understand and CAN learn! Thank you, sir!

[@MedicosisPerfectionalis]

I am so happy to hear this! Thank you, Alexandra!

[@nab7]

3 days since i struggle to learn about ventilation. Don’t even know how many videos i watched before. Finally i can live in peace now that i found this one. The most simple and easily understandable lecture. Hands down to the best teacher on internet.

[@MedicosisPerfectionalis]

Thank you so much!

[@MedicosisPerfectionalis]

📝 Download my handwritten notes: www.medicosisperfectionalis.com/

[@isabellarees1475]

Thank you!! I'm a fourth year nursing student about to start my final preceptorship in the CVICU and this really helped me to understand mechanical ventilation! The pace and humor were perfect to keep me focused!

[@mexycana7131]

I’m a fourth year med student and just came across this video. Wow! I was struggling to understand this for so lung but you explained this magnificently! Also you’re hilarious 😂

[@MedicosisPerfectionalis]

Haha 😂 Thank you so much 😊 I am honored! Can you please help me by sharing?

[@muhammedali3514]

Too early to understand..!

[@CaptainVelveeta]

"for so *lung* "..either a very coincidental typo or perfectly timed pun...I'm goin with the pun 😂

[@MedicosisPerfectionalis]

😍🖼Animated Mnemonics (Picmonic): www.picmonic.com/viphookup/medicosis 📗 Get my notes in pdf files at www.medicosisperfectionalis.com/ If you like my videos, please consider leaving a tip at www.paypal.me/perfectionalis/

[@loki_cane_corso_italiano7825]

Hello mate, i have a question in regards to one of your points made, that perhaps was mistakenly made. You said that c-pap is non invasive and then you classified B-PAP with ventilation. You said that B-PAP (OR BI-PAP) is invasive. Was that just a mistake? I'm guessing so, bc I'm sure you know, both c-pap and B-PAP are noninvasive. While yes, Ventilation is invasive.

[@payalnayak2176]

Thank you for being such a great teacher.I will always remember you with the deepest respect and affection for your efforts in making each lesson enjoyable and educational.Your teaching makes life in Med School a hell lot easy....I can't thank you enough.

[@MedicosisPerfectionalis]

Thank you so much, dear :)

[@blessingadams4695]

If u do not understand this, there's no hope for u understanding anything else........This part keeps cracking me up. Thank you so much for this lecture, it's very cool and understandable!

[@MedicosisPerfectionalis]

Glad you enjoyed it!

[@DrPaulOarga]

22:26 did you mean to draw the flow curve in explaining Plateau pressure rising due to decreasing compliance?

[@mladenkapopovic9496]

Thank you for this video. Great explanation. This means that you understand the matter perfectly compared to many others who confuse me because they do not even understand the essence of the matter enough .

[@MedicosisPerfectionalis]

Thank you so much 😊

[@mariepierrethelusma2074]

Thanks!

[@MedicosisPerfectionalis]

My pleasure 😇

[@shriyadeshpande9221]

It's a brilliant video where such a challenging topic has been brought to its knees. Love the way you teach! Sharing it with all my fellow residents. Super like👍

[@MedicosisPerfectionalis]

Thank you so much, dear! This is such a wonderful comment :) Mechanical ventilation has been brought to its knees 😃

[@fathimarandereeparuk249]

This guy is hilarious sometimes 😂

[@MedicosisPerfectionalis]

Thank you so much 😊

[@chandramoulis.g7202]

Hilarious 😆 is best way to teach , otherwise will be snoring

[@MedicosisPerfectionalis]

Haha 😂

[@josipag2185]

Love the ironic style and yet it’s somehow positive irony ❤️

[@MedicosisPerfectionalis]

Thanks a million!

[@Ktreneice]

omg just found my fav channel for critical care. Lol I love your sense of humor and you make it easier to understand this stuff!

[@arle3n]

Your comical approach to teaching is how I just realized, love to learn! I've been caught laughing more than many times throughout your presentation. I love it! Subscribed!

[@MedicosisPerfectionalis]

Awesome 👏 Thank you so much for watching! Can you please help me by sharing?

[@arle3n]

Medicosis Perfectionalis of course!

[@MedicosisPerfectionalis]

Thank you, dear!

[@ryanmenard2080]

Thank you so much for sharing this video!! I felt like i was in a lecture class and actually learned something. Very great explanation!!! Making it comical helps as well!

[@MedicosisPerfectionalis]

Thank you so much 😊 Can you please help me by sharing?

[@marselatiko397]

.....

[@maheshvasa]

His way of explaining is too soothing to ears, finally iam able to focus

[@libbyjunior6606]

Only youtube video that explains a lot and never made me fall asleep. 😂

[@MedicosisPerfectionalis]

Haha 😂 Thank you so much for watching

[@florentinomanantan6274]

Hahahaha i agree

[@vishalkumar3329]

I don't think this type of teaching anyone can do ...thank you so much sir ....good job ...u made the boring topics so easy ...ur teaching style is really great ....I am from India ....thank you so much ...

[@MedicosisPerfectionalis]

You're very welcome 😊 Can you please help me by sharing?

[@UrjaVora-s6d]

You're the only hope for complex medical topicsssss ❤❤

[@Unicorn-up3gn]

Thank you for this lecture! You're a lifesaver. I'm just confused about one thing though. You mentioned that AC and CMV are examples of continuous ventilation and that the machine does the work to breathe. However, at 9:54, you stated that in AC and CMV, the patient does the work.

[@dratelectasis]

The machine does do the work with AC ventilation. However, you can set a back up rate so if the patient ends up not achieving the rate set in the machine, it will trigger the breath. Watch out for tachypnea which you can see in a COPD patient because it can lead to air trapping

[@Sgn8253]

I noticed same, thanks for your explanation

[@RK-qc7sj]

you are my favorite discovery of the year

[@MedicosisPerfectionalis]

Thank you so much 😊

[@drbipinyewale]

Mine too

[@mhuraic]

I have no idea how your channel popped up on my feed, but all I can say is that my head come out of the sphincter and thank you for that!

[@MedicosisPerfectionalis]

Haha 😂 You’re very welcome 😊 Thank you so much for watching!

[@mikegreenskywalker]

Thank you very much for the video friend. 20:38 Did you mean that when airway resistance is increasing , the peak pressure is also INCREASING ? (not lower ?)

[@komalawan393]

thank you so much for this. one question: you said a CMV does not allow spontaneous breathing (i.e the machine does the work of breathing), but when explaining AC/CMV, you said that patient does work of breathing? also another thing is that when triggering a breath at AC mode, how is the patient able to drop the PEEP into a negative pressure, even though we set it to 5? shouldnt the breath be triggered from the PEEP we set? dropping it to negative for inhalation is causing the alveoli to collapse, which we dont want. can u please explain this?

[@hassanzlatan6390]

You are the best really, you have made it simple, keep going!

[@MedicosisPerfectionalis]

Thank you so much, bro!

[@nnnnnnnn9732]

one of the most helpful medical videos everrrrr

[@MedicosisPerfectionalis]

Thank you so much!

[@cluelesslife]

Amazing to the point explanation! You rock! The only thing (for me!) is that you talk very, very fast 🙂. I had to stop now and then to take a breath ;-) and 'rewind'. But this stuff is exactly what I needed for my upcoming nursing exam about raspatory thingies. Thank you 🙏🏻

[@MedicosisPerfectionalis]

I appreciate you so much! Thank you for your honest feedback!

[@rutvikrana512]

Thank you so much! This is very helpful, doctor. 😊

[@thirumaaranu.g6348]

So simple & easy to understand.

[@MedicosisPerfectionalis]

Thank you!

[@lorrie9462]

Thank you for this video because it's clarified a couple of things for me but you mentioned that AC or CMV is mandatory mechanical ventilation but also mentioned at 9:54 that the patient does the work of breathing. I've read from a couple other sources that the patient CAN attempt to initiate spontaneous breathing but in CMV/AC, this is overtaken by the machine so that the patient isn't actually doing the work of breathing but they can initiate if they are capable. The machine takes over to complete the breathing cycle.

[@olatunjioladipo1980]

Just noticed this now as well. I think it should be patient is not doing the work of breathing

[@jasonvarghese8388]

Thanks, I’m new to the NICU and was struggling with vents. This helped a lot!

[@MedicosisPerfectionalis]

My pleasure 😇

[@StephenLuisi]

I find these lectures to be highly valuable. Wish I could get more people to watch these.

[@MedicosisPerfectionalis]

Thank you 😊

[@Beyeholy7]

Phenomenal video!! I’m about to start my NICU rotation and this is pure gold !

[@MedicosisPerfectionalis]

Fantastic! Thank you 🙏

[@secretpassion3801]

by far the most comprehensive, topic oriented, interesting video on vent support mechanism.

[@MedicosisPerfectionalis]

Thank you so much 😊 I appreciate it! Your comment made me so happy!

[@salisaabdirisaq7122]

😂🤣😂😂this guy is amazing teaching and the same time entertainment .really appreciate

[@MedicosisPerfectionalis]

Thank you so much 😊

[@yazeed_catnap]

Your voice tone is amazing Wallah, like someone said hilarious "perfect description" .Thanks a lot for what you are doing . It's really helpful.

[@MedicosisPerfectionalis]

Thank you 🙏

[@zoozolplexOne]

I will take a deep breath now! Thanks for the info

[@nargizsafarova9989]

Because of your video and explanation i could understand difference between pressure control and pressure support ventilation. You are doing a great job. Thank you so much. Tots of friendly kisses for all videos you preparing.

[@MedicosisPerfectionalis]

Thank you so much ☺️

[@fayalenzi1055]

Thank you for this incredible teaching ✅ now I understand this annoying topic very well 👍🏻BTW your channel it’s the most informative medical channel ever, keep going 💫

[@MedicosisPerfectionalis]

Thank you so much 😊 I am honored!

[@trevapowers5514]

You are a hoot! I wish you were around 25 yrs ago when I took my critical care training on vents. Great job!

[@MedicosisPerfectionalis]

Wow 🤩 Thank you so much 😊

[@gourimhetre3314]

Liked your sense of humour n the explanation too❤

[@MedicosisPerfectionalis]

Thank you so much!

[@ployyindee6880]

You are the best . I have watched many videos but I still cannot understand clearly. You gave such simple examples , so I get it easily.

[@MedicosisPerfectionalis]

Wow 🤩 Awesome 👏

[@workuabageda1623]

Wow really medicosis perfectionalis 👏

[@MedicosisPerfectionalis]

Thank you!

[@vikashpandey-j2d]

Thank you so much for this valuable information in such a lovely way of presentation 🎉🎉🎉🎉

[@MedicosisPerfectionalis]

Glad it was helpful!

[@natsuki3526]

One hell of an awesome lecture. You rock Medicosis!

[@MedicosisPerfectionalis]

Thank you so much 😊

[@etorres305]

My friend, you did it!! Great video and please keep up the good work and that same attitude. Love it

[@MedicosisPerfectionalis]

Thank you so much ☺️

[@beto7563]

شكرا دكتور،،نفتخر بيك وبشرحك 🙏🏻🙏🏻الله يبارك بيك Thank you alot from iraq,you are the best🌺🌺

[@MedicosisPerfectionalis]

You're welcome 😇

[@leradisiac]

the best overviewing lecture about mechanical ventilation! thank you

[@MedicosisPerfectionalis]

My pleasure 😇

[@onyekaohaka8176]

Beautiful piece.it has give me a lot of confidence

[@ilanakum594]

best video ever! period! end of discussion!

[@MedicosisPerfectionalis]

Thank you!

[@worriedmary6368]

I am so glad I came across this video, excellent! Helped make sense of ventilators for me, thank you:)

[@MedicosisPerfectionalis]

Glad it helped!

[@nonal4223]

Amazing explanation! Thank you

[@MedicosisPerfectionalis]

Glad it was helpful!

[@navjotSingh-yd9ke]

what a learning , i can not explain may be properly but only say its as simple as can, thank you very much for this video and thanks your dedicated time to make this very very useful video for us. u rd great mind and great person too.

[@MedicosisPerfectionalis]

Thank you so much 😊 Can you please help me by sharing ?

[@munsiyayimboma2530]

I cannot thank you enough, you go straight to the point. amazing teaching methods. thank you.

[@MedicosisPerfectionalis]

Thank you 😊

[@秉寬陳-n3o]

Very detailed and easy-learning explanation！Totally loves it！

[@MedicosisPerfectionalis]

Thank you 🙏

[@ZBG486]

Thank you for making perfect sense😊

[@MedicosisPerfectionalis]

You’re very welcome! Would you please help me by sharing?

[@ZBG486]

@@MedicosisPerfectionalis of course🙂

[@MedicosisPerfectionalis]

Thank you 🙏

[@3dprintbd839]

great video sir !!!! watching it to make a mechanical ventilator for COVID-19. its the best video in youtube

[@MedicosisPerfectionalis]

Thank you so much 😊

[@AlreadyAJD]

30:40... i dont think we increase PEEP to decrease venous return in a failing heart, in fact, cardiac circulation is compromised as diastole is compromised if we increase PEEP. but the interstitial fluid accumulation will be prevented from back pressure changes. great lecture!

[@rutvikrana512]

20:20 to understand it, imagine putting a barometer inside trachea. Inspiration : air goes rapidly in by venti, V constant, P adjusted automatically via venti, to maintain steady volume flow venti force air into lungs, now imagine barometer going up, now after lung opens it no longer resist expansion (imagine balloon -> first blow is hard then easy), so flow is steady, but as volume built in pressure still goes up but not quickly as before so that explains why curving to right at peak, also explain platu and decline of air flow. Now during expiration air goes out but remember barometer doesnt measure direction so it doesn't matter air go in or out if there is more air -> more pressure. So air go out flow reversed (-ve increase), pressure decline as air is getting less in total, now when air is at PEEP, means there is still air but very few. Now if venti start pushing air in again new cycle start, if patient start spontaneous breath (hering reflex prevention of collapse) chest creates -ve pressure it will be reflected on lung -> trachea -> barometer -> -ve. Machine understand dude this guy wants to breath, let give me hand, it will start new cycle, no need for chest to do active work, PPV maintained. But we did let little -ve to build up, if we dont want this at all, set venti to fully control mod with PEEP 5. Now there will be no way lung can collapse.

[@rutvikrana512]

When pressure increases and volume remains the same, it means that the volume inside is unchanged because the machine is doing extra work. Therefore, it requires more pressure to overcome the resistance from the lungs, which implies decreased compliance. This decrease in compliance might be due to sclerosis, edema buildup, or other factors.

[@rutvikrana512]

21:52 to understand this, Inspiration: barometer ↑, more resistance → more work by venti → peak ↑ Expiration: lung contracts → pressure plateau (↓ air → ↓ pressure + lung compliance → ↑ pressure => plateau) Any resistance will peak pressure and increase plateau. As lecturer says, airway obstruction affects peak more and compliance to plateau.

[@elizabethgarcia7813]

The best of the best explanations!

[@evapianista2835]

You don't know how much you make my life easy 😍😂😂😂 Thannnkkk you and I told my friends about you

[@calebiwuoha5129]

You are just so amazing. I am an engineer but you made me a medical student in 35 minutes

[@MedicosisPerfectionalis]

Haha 😂 Thank you so much 😊

[@Dvarden]

You are one of my favorite humans 🙃

[@MedicosisPerfectionalis]

Thank you!

[@Abuarab8042]

Fantastic ,clear explanation.thank you❤

[@MedicosisPerfectionalis]

My pleasure 😇

[@mudasirm2384]

Massive Respect King!

[@MedicosisPerfectionalis]

Thank you!

[@10KewlPerson10]

Thanks for your video! I have a question regarding (15:30) the P and V diagrams. If P and V are inversely proportional, why does pressure increase when volume increases?

[@niharnayak6417]

There it’s mechanical ventilation going on ie with POSITIVE pressure, air is being ejected into the lungs (POSITIVE volume). Therefore, during inspiration there’s positive pressure

[@melindakaszuk1118]

Excellent explanation and love the humor...but as an ICU RN, I can tell you, not all of us are on Instagram. Lol...sharing with my nursing students...

[@MedicosisPerfectionalis]

I was just joking 🙃 Sorry about that...I know that nurses work really hard!

[@kyrakahn4631]

Best teaching videos ever🙌

[@MedicosisPerfectionalis]

Thanks 🙏 Please help me by sharing

[@shreyagoswamy514]

Why is the doctor searching for his Ferrari keys? 😂.... Loved this video! 😻... Best of luck!

[@MedicosisPerfectionalis]

It’s a joke 🙃

[@TheSharath706]

You’re a lifesaver thank you so much 🙏🏽

[@mahamadkhidir1843]

Thank you for your explanation great teaching comes from great teacher.

[@MedicosisPerfectionalis]

Thank you so much 😊

[@pranshugupta3355]

Thanx a lot man i was hell searching for easy explanation of the same🔥

[@MedicosisPerfectionalis]

Great! Thank you!

[@subirbhaduri]

Great video and witty! Especially for the likes of us engineers struggling with designing low cost ventilators! Rather it feels not very different than an engineer talking about the workings of a car engine up for repairs :)

[@MedicosisPerfectionalis]

Awesome 👏 I am so happy to hear that! I used to love physics and maths...until they started talking about calculus! 😑

[@calebiwuoha5129]

Can we talk, I am trying to do the same thing

[@subirbhaduri]

@@MedicosisPerfectionalis Ha ha. Its same here but i'v managed to outsource calculus it to good friends :)

[@zenoelea9430]

In the text you wrote, "the greater the resistance, the lower the pressure" and later you said that if peak pressure is increased it means that resistance is increased. Can you please explain that again?

[@brookewang7237]

Thank you so much for this video. Very helpful! Our program director is a pulmonologist and I just can’t get any points from his one hour lecture. Btw, you are funny at teaching which helps me memorize key points!

[@MedicosisPerfectionalis]

Thank you so much 😊 I really appreciate it! There are many good doctors out there who are simply not very good at teaching, unfortunately! I appreciate you!

[@eastinwest7914]

excellent explanation,i have very rarely seen such explanation of ventilator ,which has been broken to such baby feed level that is suitable for all health professionals

[@MedicosisPerfectionalis]

I am so delighted to hear that! Thank you so much 😊

[@markreddy4505]

Subscribed within a minute after watching this ❤

[@محمدعسيري-ط2ح]

You are a global treasure man I really love you man 😂❤️

[@MedicosisPerfectionalis]

Thank you 🙏

[@abo6afsh]

Man you are awesome and funny thanks very much, this is the best mechanical ventilation video in the internet

[@LD-ky8bo]

Thank you! So comprehensive!

[@MedicosisPerfectionalis]

Thank you!

[@eshannacodogan329]

Very good explanation. Thank you!!!

[@MedicosisPerfectionalis]

My pleasure 😇

[@shahdismailalqatu9711]

another life saver video ! thank you so much !

[@MedicosisPerfectionalis]

My pleasure 😇

[@enyiwang719]

How to survive the NP school? These lectures will save your life! Thanks so much!!!!

[@MedicosisPerfectionalis]

My pleasure 😇 Good luck 🍀

[@floridavirtualrealestateto952]

Holy moly this was amazing........ one of the best KZbin lectures I've ever listened to! I was slightly offended about the instagram comment but then the Ferrari comment was said and I like an equal opportunity teaser. Thank you so much for this!

[@MedicosisPerfectionalis]

Haha 😂...You’re right...I was just messing around with people! I love everyone! Thank you so much for watching and for your kind words!

[@eternalmedicine2997]

why it’s true nurses play on instagram all day

[@KitWoodrow]

Quirky but effective - thank you for this video.

[@miriii11]

OMG the best teacher 👏🏻😂❤️ thank you!

[@rimshasiddique1255]

I love the way you say "Shut up" and "baby" 😂

[@MedicosisPerfectionalis]

☺️☺️😊

[@zoozolplexOne]

hi mate, thanks for sharing. I have seen this video many times to try to undestand as mach as possible.

[@MedicosisPerfectionalis]

Thank you 🙏

[@sakil3975]

your sense of humor is hilarious

[@MedicosisPerfectionalis]

Thank you ☺️

[@sahraahmedkoshin]

I am here as a result of the Coronavirus pandemic. I am asthmatic, a little stressed out about possibility of catching the virus and struggling to breathe. God forbid! I want to educate myself for eventual need. I found this video to be very useful. You are a good educator.

[@MedicosisPerfectionalis]

I am honored! You ae such a nice person. How is your health now?

[@ahmadmhalees3167]

Thank you for this nice explanation .... I hope you put the link of the topic 🌹👌

[@MedicosisPerfectionalis]

Thank you 🙏 Link to what?

[@ahmadmhalees3167]

I mean the subject PDF

[@thehandlez]

Man holy moly, you're a gift from god!!!!

[@MedicosisPerfectionalis]

Thank you so much 😊

[@sheebasaradaniel8930]

🤣🤣🤣🤣🤣❤❤❤ class enjoyed well.... Fun with lots of information....

[@victorsosu1003]

excellent teaching, u made it more fun

[@MedicosisPerfectionalis]

Thank you so much 😊

[@graciegrace2558]

Thank you for this, you are a freaking awesome teacher 💞

[@MedicosisPerfectionalis]

My pleasure!

[@kirstiengilbert7275]

My favorite YT channel. You're hilarious and make learning easy

[@MedicosisPerfectionalis]

Thank you so much 😊 Can you please help me by sharing?

[@bhupendrapanchal8018]

This help me to understand mode of ventilater mode

[@MedicosisPerfectionalis]

Awesome!

[@sopnilkoirala5055]

thank you for this wonderful lecture. just wanted to ask something, at 22:25 you have mentioned that peak pressure increases with increase in airway resistance but the text says otherwise. are you trying to refer to general airway pressure in the text or does it refer to the peak pressure?

[@JadAwwad]

The text has a mistake in it

[@faizarauf1559]

The best explanation 👌🏻👌🏻💯💯 Massive respect for making it this amazing and easy to understand 😇

[@MedicosisPerfectionalis]

My pleasure 😇