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@mohamedalshikh61863 ай бұрын
im not a doctor and even my english not that good i want to tell you this video helps me to much as my father has copd and its very simple to understand, Keep going god bless you.
@shanellestone43793 жыл бұрын
Omg. I’m in my second term of RT school and I was just so lost when trying to learn about this portion of noninvasive ventilation. Thank you so much for making your videos!
@RespiratoryCoach3 жыл бұрын
You are so welcome! Glad it helped! Thank you for watching and commenting!
@marilyntorresrrt67635 жыл бұрын
every time i have checkoffs, videos like these helps me refresh :)
@RespiratoryCoach5 жыл бұрын
And this is why I created this channel. Thanks for the comment, Marilyn!!!!
@Yp_mam3 жыл бұрын
One of the best videos for Respiratory ICU
@nac20164 жыл бұрын
OMG I NEEDED THIS!!! This helped me so much!!!!!
@RespiratoryCoach4 жыл бұрын
Fantastic! Thank you for watching and leaving the kind comment!!!! Go be great!
@silk.spectre66063 жыл бұрын
This is wonderful! THANK YOU! I was pausing the video after the first example, and I got it right each time. This will be in my lab final, so thank you again for doing this!
@RespiratoryCoach3 жыл бұрын
Cool! Hope it helped with your lab final!
@kulothungans68382 жыл бұрын
This video is a dynamite! Bro this is an epic video. U brought somuch clarity in such a short span of time ... will remember as long as i see am ABG .... thanks bro!
@RespiratoryCoach2 жыл бұрын
Awesome! Glad you liked it!!
@luvinmy3bois4 жыл бұрын
It finally makes sense!! Just in time for summer finals tomorrow. THANK YOU!
@RespiratoryCoach4 жыл бұрын
Perfect!! How did finals go, Christina? Thanks for watching and commenting!!!
@minerva944solange4 жыл бұрын
Omg.....this made so much sense to me.....ugh.....thank you soo much for the service you provide selflessly...studying is hard for some of us without examples. Thank you!!!!!😘😘😘😘😘
@RespiratoryCoach4 жыл бұрын
Hi Mandy! You're very welcome, and I'm so glad it clarified things for you. Thank you so much for watching and commenting!!!
@lydiac5483 жыл бұрын
Joe, these are so good. So clear. So helpful. Thank you!
@joleenaah3 жыл бұрын
Such a great and easy way to understand NPPV. THANK YOU! Im in my second semester of RT school and I feel like i hit a jackpot coming across your videos ✨✨✨✨
@RespiratoryCoach3 жыл бұрын
You're very welcome, Joleen! Thank you for watching and kindly commenting!
@Thetimbercruiser3 жыл бұрын
New grad RN headed to the ICU. Great videos my dude 🤙🏻
@kennethweiss90683 жыл бұрын
Fantastic videos! As an RT for many years about to re-enter the work force after caring for mom the last couple of years, I find the material and extremely pleasant teaching manner wonderful. Thanks for this!!
@andrellaarbeary61512 ай бұрын
You made it so simple to understand. Thank you so much…
@susiecisner1736 Жыл бұрын
Thank you for helping me understand this so much better!
@samikshyapokharel27903 жыл бұрын
In short of words to thank you..Please understand how big help your video was..thank you !!
@jamlisa46963 жыл бұрын
Where have you been all my life? I am so freaking happy I found your channel😁. You are an amazing teacher sir.
@RespiratoryCoach3 жыл бұрын
I've been right here! So glad you finally found us!! Welcome to the FRT Community!
@jamlisa46963 жыл бұрын
@@RespiratoryCoach Thank you! I am binge watching your videos. So much to learn! You explain eveything so well. It’s just incredible. You are appreciated. Blessings to you and your family.🙏🏾
@Cindyabigail3 жыл бұрын
Thank you so much for making it clear and simple! So may videos out there that just over complicate things.
@frankmaggio4328 Жыл бұрын
Awesome explanation!!!!!!!!!!! When I went over bipap w some of my colleagues (I'm a Travem Nurse who always let RT manage bipap) it wasn't explained to me - the way you're explaining . I couldn't get an explanation of how to fix oxygenation vs. co2 removal. I've watched this video 8 times now. Now I'm getting it and I'm now comfortable knowing how to pick the setting! Thanks for making this video!
@quintonwynn64712 жыл бұрын
Bro you’re the GOAT
@RespiratoryCoach2 жыл бұрын
Too kind Quinton! I appreciate you watching and commenting!
@derickasartblog835 Жыл бұрын
Thank you 1000x for this. My wheels are starting to turn.
@dr.manzurahmed16522 жыл бұрын
Excellent explanation& very easy presentation but informative lectures.Thanks a lot.
@samanthafults92024 жыл бұрын
Bless you. This made so much more sense.
@RespiratoryCoach4 жыл бұрын
Cool! Thank you for watching and kindly commenting!!!
@starvingsum13 жыл бұрын
If I can help you in anyway let me know. This was fantastic! I have my check offs this morning and wow, your a life saver!
@RespiratoryCoach3 жыл бұрын
Best wishes on your check offs! Go be Great!
@starvingsum13 жыл бұрын
Thank you very much! I did good. I struggled on names for PFTs.. but nonetheless, I’m officially a senior now! :-). Thank you, I don’t think I’m great yet, but I’m striving for it!
@RespiratoryCoach3 жыл бұрын
Awesome! Finish strong! 💪
@drshaileshbarphe47174 жыл бұрын
Sir u hv Explained in a very simplified way. Thank u very much 🙏
@RespiratoryCoach4 жыл бұрын
You are most welcome. Thank you for watching!!
@traceylomax21564 жыл бұрын
Second week of orientation, listening to your videos again. Listening to u before RRT and after RRT
@RespiratoryCoach4 жыл бұрын
Awesome, Tracey. How's orientation going?
@msalmankhan8339 Жыл бұрын
Sir you don't know how much effective your lecture for us I don't know before how to set I used to set bipap without making sense
@MunecaA87 Жыл бұрын
Omg ! I am half way through this video and you have explained things in a very clear manner. My mother has been hospitalized in ICU many times this year for high cO2 levels, after last discharge they gave her a ventilator machine but the problem is that it was set up by equipment company without a proper sleep study, the guy said he was just going to set it up on a level that she’s comfortable, and I don’t think it should be that way, when she wears that ventilator and she’s sleeping o2 sat levels don’t go above 88 and they say there is no available appointments at sleep study centers until December, her c02 levels were over 90 before and last time I took her she was at 60 and they said oh well she is a c02 retainer
@lenahkarimi62603 жыл бұрын
You explained it in simplicity!! Was way easier for me to understand. Subscribed for more videos. Thank you.
@msalmankhan8339 Жыл бұрын
You are humble at the same time and want to keep learning ❤️
@S2SStorytellingtoSucess-yq6xq Жыл бұрын
hats off to you dear .. very well explained
@RespiratoryCoach Жыл бұрын
Thanks for watching and kindly commenting!
@Vivaz796 ай бұрын
Thank you. Explained v well, cleared my doubts and way of dealing with the issues.
@heathercoyle98343 жыл бұрын
Hello there! Your video is amazing and simplifies it all so it’s much easier to understand. Thank you! My question is on the actual state board tests it asks questions about changing the settings but they give answers like changing minute ventilation and such. It’s never as easy as you explain it. I feel like it goes into way more detail. It’s like they take it a step further in depth. Can you be owing this pretty please!!!
@stefaniegunter91282 жыл бұрын
This was the best explanation and practice of nppv... thank youuuuuu
@UMBUBA4 жыл бұрын
Loved it bro! Helped a lot. I’m a new RRT, just started working at the hospital.
@RespiratoryCoach4 жыл бұрын
Awesome!! Welcome to the field! Go be GREAT!
@tasiko62363 жыл бұрын
Thank you from UKRAINE 💙💛 you are incredible!! Very grateful neonatologist)
@ahmadhassan25112 жыл бұрын
Perfect How simply u explained it.. thanks 👍
@fanyu65294 жыл бұрын
Thank you very much!!! Finally, I can understand this annoying thing!!
@nishadrangana37273 жыл бұрын
I gathered more information from u.. thanks a lot sir..
@clarishancheta1487 Жыл бұрын
Wish you are my professor I love the way you teach. Do you have a video on setting up the Mechanical Ventilation Machine (Hamilton G5). ❤❤
@gracedodd21914 жыл бұрын
most helpful channel on youtube
@RespiratoryCoach4 жыл бұрын
Wow, thanks! I appreciate you watching and kindly commenting!!!
@Vanillakd Жыл бұрын
Thank you so much for this video! Definitely had a light bulb moment when I watched it lol :-D
@tarikrafiq18462 жыл бұрын
You are a pro . Thank you Easy explaining . You need to write a book. How to be a therapist in 5 days .
@shanu00123 жыл бұрын
You made it look like 'school kid doing simple math' easy.. Kudos..
@RespiratoryCoach3 жыл бұрын
That's my goal!! Thank you for the comment and for watching.
@rajender6864 жыл бұрын
Simple and informative....that's all we need....nice
@RespiratoryCoach4 жыл бұрын
I agree! Thanks for watching and commenting!
@kimms86104 жыл бұрын
Thank you I was struggling to under stand this concept. Amazing explanation..thank you so much.
@RespiratoryCoach4 жыл бұрын
You're very welcome, Kim. Glad it helped, and I appreciate you watching!
@СвятозарПупкин3 жыл бұрын
Thank you I was struggling to under stand this concept. Amazing explanation..thank you so much.
@СвятозарПупкин3 жыл бұрын
This was so helpful! Thank you!
@policegadi3 жыл бұрын
Such a clear explanation.. wonderful
@RespiratoryCoach3 жыл бұрын
Thank you, Dr. Walke!
@dhandapani98703 жыл бұрын
Thanking GOD for you🥳
@JB-cg1rn4 жыл бұрын
Very helpful. Thank you so very much!
@hunterburton826 ай бұрын
Awesome video buddy
@RespiratoryCoach6 ай бұрын
Thanks buddy! I appreciate you watching it!
@bayanalkhalifa18534 жыл бұрын
Thank you so much!!! This is soooooooo helpful.
@RespiratoryCoach4 жыл бұрын
Glad it was helpful, Bayan! Thank you so much for watching!!!
@jeckellstallworth4 жыл бұрын
Excellent video as always! Thank you
@RespiratoryCoach4 жыл бұрын
Hey, Jay! Thanks man. I always appreciate your presence on the channel.
@kristenplotner88454 жыл бұрын
This was so helpful! Thank you!
@RespiratoryCoach4 жыл бұрын
You're so welcome! Thank you for watching and commenting!!
@griseldagonzalez51215 жыл бұрын
Great explanation. Love all your videos.
@RespiratoryCoach5 жыл бұрын
Well thanks for watching, and thanks for the kind comment!
@tulip-vf3iz4 жыл бұрын
God bless you for this amazing video
@RespiratoryCoach4 жыл бұрын
Hi, Tulip. God bless you for watching and leaving this kind comment!
@martiniasmith14463 жыл бұрын
Even if the bicarb is out of normal range, we shouldn't worry about that
@bezaadmassu49223 жыл бұрын
Ahh thanks for simplifying this subject! Super helpful
@RespiratoryCoach3 жыл бұрын
Glad it was helpful!
@Lungs523 Жыл бұрын
I hope you know that you definitely make a difference in our learning for the better!!! Thanks a million😊I truly appreciate the x u take to do these awesome videos that help us so much 🥹🤛🏼
@dr.tabassum28592 жыл бұрын
Thank you sooo much!! It helped a lot! Thanks a lot!
@Marzyattakz5 жыл бұрын
Yasssss!!! So good !!!!!
@RespiratoryCoach5 жыл бұрын
Here to help, so just let me know what you need.
@mohamedhabibberhanu65534 жыл бұрын
Awesome job coach I really enjoyed it
@RespiratoryCoach4 жыл бұрын
Awesome, thank you!
@drabdulsamadpulmonologist71133 жыл бұрын
The only conceptual lecture on NIV I found on KZbin is your's
@dinapoole9018 Жыл бұрын
good job explaining .
@zakilivoali2504 Жыл бұрын
Great work man. Can you do a video on CPAP
@PravinChandran1983 Жыл бұрын
Very nice , simple and understandable, thanks for sharing and your efforts , kind of you 👍👏👏🙂
@rickpelow18613 жыл бұрын
These are best RRT info on youtube. Can you explain when you have settings of epap min and epap max how to increase oxygenation
@stryderhiryu82 жыл бұрын
It expands the alveoli.. thus the very essential part of lungs are well suffice with oxygen.
@desimotto97253 жыл бұрын
Great review. You connected the dots for me
@RespiratoryCoach3 жыл бұрын
Awesome! Thank you!
@joshuacastruita80523 жыл бұрын
Great video bro, thank you.
@pratikshasutar43284 жыл бұрын
Well explained thanks a lot ! Ur channel is a blessing 🙏
@the_resilient19775 жыл бұрын
Thank you soooo much! This video was very helpful 🙌🏾
@RespiratoryCoach5 жыл бұрын
Glad it helped. Let me know whenever I can help with whatever.
@carissababyy123 жыл бұрын
Awesome video. Thank you for this, it helped sooo much!!
@marilyntorresrrt67635 жыл бұрын
YOU ARE A LIFE SAVER> this helped me so much. I appreciate it. Now im ready for Wednesday, very confident. Will keep you posted :)
@RespiratoryCoach5 жыл бұрын
I don't know about that. Lol. Just doing what I can to help.
@AliljaJfk Жыл бұрын
Wonderfuly explained ❤
@RespiratoryCoach Жыл бұрын
Thank you for watching and commenting!
@naazbano44903 жыл бұрын
Awesome...I just needed this
@wasimraja3013 жыл бұрын
Very good appreciate ur work, can u pls make video on oxygen therapy, which mode of oxygenation should be used in which setting,when to use high flow system when to use low flow system, when to use Nasal canula,face mask,high flow nasal canula,NRBM etc.
@timbailey65482 жыл бұрын
Okay got it oxygenation problem increase epap and keep the pressure support so increase IPap as well. If the problem is ventilation then increase IPAP alone.
@RespiratoryCoach2 жыл бұрын
Hey, Tim! Essentially yes, but there is one potential scenario to consider. Let's say a patient is placed on 15/10, but has no oxygenation issues. In this case, we could leave IPAP at 15 and decrease EPAP to 5, and that would increase PS without having to increase IPAP. Just wanted to throw that out there. Thanks for commenting and watching. Good luck on your upcoming CSE!!!
@joannefurman21964 жыл бұрын
Your explanations are very clear. Can you provide an example of a ventilation and oxygenation problem?
@RespiratoryCoach4 жыл бұрын
Hi Joanne. First, thanks for watching and posting your question. An oxygenation problem would be a patient who's PaO2 is below normal, say 54. Or might be indicated by a low saturation, say 84%. You might also say a patient had an oxygenation problem if their PaO2 was 80, but they were requiring 80% oxygen to achieve that. A ventilation problem would best be illustrated by a patient with a high CO2 (65) and a low pH (7.15), or a patient with a normal CO2 and pH, but is requiring 12lpm of minute volume to achieve that normal gas. Does that help clarify? Let me know if not.
@joannefurman21964 жыл бұрын
@@RespiratoryCoach Yes, but I was wondering how you would adjust the settings for the IPAP & EPAP if there was an oxygenation and ventilation problem. Let say a patient who has a CO2 rate of 31 and is moderately hypoxemic?
@RespiratoryCoach4 жыл бұрын
I see, Joanne. So if your CO2 is 31, which means it's low, then you need to decrease the difference between IPAP and EPAP, which you could easily do by increasing EPAP to address the moderate hypoxemia. So if the patient was on 12/5, then increasing the EPAP to 8, would now put them on 12/8. Your pressure support is lower thus your CO2 should return to normal, and with the added EPAP hopefully your hypoxemia will correct. Let's say your patient was on 10/5 and their ABG came back with a high CO2 and a low O2. Then to address the low oxygen we would increase EPAP, let's say to 8. To address the high CO2 we need to increase the PS, which we know is the difference between IPAP and EPAP. If we placed IPAP on 13, we would do nothing for the high CO2 because the difference is still 5. So we would need to increase the IPAP to 15 or 18, now our PS is 7-10, which is an increase from 5 and our CO2 should come down. Does that answer your question?
@joannefurman21964 жыл бұрын
@@RespiratoryCoach Yes! Awesome!!! Thank you for your help!!!!
@helenosawe63272 жыл бұрын
please do teaching on how to do vent check, the most important parameters to monitor and how to make adjustments. Thanks
@moizshaikh26053 жыл бұрын
👌👌👌 really appreciable..
@timbailey65482 жыл бұрын
Thank you trying to understand cse practice exams and have it coming up soon
@jubaida4alam Жыл бұрын
You are the best
@honeyb06254 жыл бұрын
Thanks, life saver
@RespiratoryCoach4 жыл бұрын
Hi! Thanks for this kind comment and for watching!!!! Best wishes!
@ngee97013 жыл бұрын
bloody awesome. thank you
@manadoctorvanama90683 жыл бұрын
Great explanation fan from indian
@ankurmontu4 жыл бұрын
Excellent.
@RespiratoryCoach4 жыл бұрын
Thank you! Cheers!
@brianwestgate70552 жыл бұрын
I feel like we kept FiO2 out of the conversation, in regards to oxygenation. If the patient feels comfortable with the support settings, yet values show oxygenation issues, you can keep the support settings while supplementing oxygen by way of FiO2.
@riritan7983 жыл бұрын
Many thanks sir
@amrindergill69902 жыл бұрын
Superb information, Cleared all doubts. Dr advised my father to put on Bipap. Just want to know which mode it should run like ST etc
@nithinkrishna98613 жыл бұрын
THANKS BUDDY
@RespiratoryCoach3 жыл бұрын
You're welcome, Nithin!!
@tasosanagnostopoulos26874 жыл бұрын
Congratulations for your fantastic video! Crystal and clear explanation. Just one question: Which are the most common situations in which we prompt for a BiPAP ST machine rather than a simple BiPAP? Thank you in advance , continue the great work!
@RespiratoryCoach4 жыл бұрын
Glad you liked it. I'm not completely clear on the difference between a BiPAP S/T machine vs a simple BiPap machine? When you say S/T I think of the V60, but what are you referring to as a simple BiPap machine?
@stryderhiryu82 жыл бұрын
@@RespiratoryCoach the "Elisa 800" has the two option: dynamic Bipap and dynamic Bipap ST.
@TheRuzmatov3 жыл бұрын
fantastic! thanks mate!
@kennethakalonu44313 жыл бұрын
Excellent video!!!!!!!!!
@minahilzaman11254 жыл бұрын
Made my icu rotation so much easier
@RespiratoryCoach4 жыл бұрын
Awesome! Love comments like this. This comment is why this channel exist! Thank you!
@dlewispromed3 жыл бұрын
This was a great explanation, I wish I'd watched it before checkoffs. Will you go over how the HIP and LIP alarms are set and what the LIP T alarm is used for?
@munyrahxz15404 жыл бұрын
Thank very much, I really like your videos ❤️
@RespiratoryCoach4 жыл бұрын
Thanks, Munyrah! I really appreciate you watching and commenting.
@saeedahmad48514 жыл бұрын
A bundle of thx for the simplified and comprehensive explanations. Sometime we come across patients with type 2 respiratory failure having high CO2 levels and low Oxygen concentrations. e.g 7.21/68/46/16/73% Although such critical patients do need intubation but still if we can't intubate them then what will be the best settings for BIPAP.
@RespiratoryCoach4 жыл бұрын
Hi, Saeed! For that gas you provided, if I were going to attempt NIV first (probably wouldn't, but let's just go with it)I would be aggressive with my EPAP setting to maximize oxygenation, as well as an aggressive IPAP setting to maximize ventilation. So IPAP 20 / EPAP 10. Watch my return tidal volume, minute ventilation, patient presentation, Sp02, reassess a gas in 30 minutes and hope for an improvement. If those settings don't show improvement fairly quickly, this patient needs to be intubated. Hey, thanks for watching and offering this example!