Respiratory Failure EXPLAINED!

Covering the basics about respiratory failure! 📝 Free Quiz: adv.icu/34IHYxt
‼️🎓 Want to earn CE credits for watching these videos? Join ICU Advantage Academy. 👉🏼 adv.icu/academy
💲✂️ 10% off EACH Month your MyNurisngMastery subscription: adv.icu/mastery
❤️🙏🏼 Show your support with an ICU Advantage Sticker HERE 👉🏼 adv.icu/support
Being able to closely monitor patients is a staple of critical care and one thing we constantly do is monitor our patients breathing. Managing respiratory failure is something that you will do all the time. In this lesson I talk about what exactly respiratory failure is and how we classify it based on Type 1 Hypoxemic and Type 2 Hypercapnic, as well as covering the many different causes within 4 major groups from impaired ventilation (hypoventilation), impaired gas exchange, airway obstruction, and ventilation perfusion mismatch. From there we review over the signs and symptoms for patients in respiratory failure as well as the different diagnostic tests we can see. Finally I cover some of our principals of management for these patients and things you could expect to see and do.
----------
🤔 Curious how you can show your support? AND get extra content such as the notes for each lesson!
Consider supporting ICU Advantage....
- on KZbin channel membership head over to: adv.icu/ym
- on Patreon head over to: adv.icu/pm
If not, no worries, as you watching videos here, liking them, commenting and sharing them also really help to support the channel! 😍
---------
👕 $20 towards Figs Scrubs! adv.icu/figs 🤑
LIMITED TIME OFFER! Get 3 free stocks valued up to $6300 by opening & funding a Webull brokerage account! Get started: a.webull.com/wfFpxIPmW3jyn7pnaA
---------
📚📖BOOKS I RECOMMEND
✔️Barron’s CCRN Exam: amzn.to/2MFWIkH
✔️Pass CCRN!: amzn.to/36apxgN
✔️AACN Essentials of Critical Care Nursing: amzn.to/2F5riQs
✔️Kaplan Adult CCRN Review: amzn.to/37igv1t
✔️Marino’s The ICU Book: amzn.to/2ZzKP4Y
🩺🏥🖊SOME OF MY FAVORITE NURSING GEAR
✔️3M Littmann Master Cardiology Stethoscope: amzn.to/2sn0wR5
✔️Rip Shears - Trauma Shears: amzn.to/35diZwR
✔️Leatherman - Raptor Shears: amzn.to/2MGF801
✔️Stethoscope Tape Holder: amzn.to/2snWkAy
✔️Pilot FriXion Erasable Pens: amzn.to/2Qw9pQg
💻🎙GEAR THAT I USE TO MAKE THESE VIDEOS
✔️Apple Pencil: amzn.to/368qS83
✔️iPad Pro 12.9”: amzn.to/367s2QV
✔️Blue Yeti Mic: amzn.to/2Q7vrK9
✔️MacBook Pro 15”: amzn.to/2tcDegM
👍🏼👍🏼👍🏼
If you enjoyed this video or found it useful, please hit the like button as this greatly helps the channel out! Also make sure and subscribe, hit the bell icon and select all notifications to stay up to date on our latest videos!
👁🎥👁🎥
Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
✅ ICU Drips: • ICU Drips
✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
🙏🙏 A Special THANK YOU to KZbin and Patreon Members!!! 🙏🙏
🏆 Patreon Code Team: John, Tsz, Dajana, Selena, Anita, Amelie, Dominic, April!
0:00 Intro
1:58 What is Respiratory Failure?
4:23 Causes of Respiratory Failure
4:47 CAUSE - Impaired Ventilation (Hypoventilation)
6:44 CAUSE - Impaired Gas Exchange
8:42 CAUSE - Airway Obstruction
10:05 CAUSE - Ventilation/Perfusion (V/Q) Mismatch
13:30 Clinical Presentation
15:31 Principals of Management
19:13 Wrap-up
⚠️⚠️ DISCLAIMER: Links included in this description are affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you!
❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.
#ICUAdvantage #RespiratoryFailure #Respiratory

[@ICUAdvantage]

❤🙏🏼 Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support Notes for this lesson (and all previous lessons) are availably only to KZbin and Patreon members. Links to join both here ⬇ ► KZbin: adv.icu/ym | ► Patreon: adv.icu/pm

[@rawannasra5898]

Thank you for helping a failure to understand

[@josephmartinez8166]

You're awesome man. Thank you for having the desire and heart to teach us become better nurses.

[@ICUAdvantage]

Thanks Joseph! Truly my pleasure to be able to help. Just glad so many find value in the videos.

[@nadiniranaweera4662]

Absolutely correct

[@menacegallagher7334]

I was literally searching "Respiratory Failure ICU Advantage" just last week since I like to supplement all my university topics with your videos since they're actually engaging. If I'm going to be forced to do my degree online, I'm going to focus my time on people who understand how to properly deliver educational content via video; I cannot say that of my lecturers.

[@shanehtethan4133]

Thank you so much for all that generosity you put in this high quality piece of work.

[@parisazamani1751]

A million thumbs up to your thorough and easy to understand lessons. You are amazing Eddie. Thank you so much for all you do for the critical care community. 👍👏🥇🏆🙏

[@user-pr7wi6uy1m]

This was such a helpful video. Thank you so much for making it. I appreciate you!

[@suchithakuntla5616]

This is just so mazing. Appreciate your efforts to make things this concise.

[@aramqaladzay3818]

Great proper explanation, keep the great work up man.

[@xaxiang11]

Thank you so much for sharing your knowledge! Can you also make a video regarding Coronary Artery blood flow? Im working in CCU and we always have patients with NSTEMI..i still struggle with all this arteries of the heart and their blood supply..

[@ICUAdvantage]

Happy to be able to help! And I do have coronary blood flow on the todo list! Hopefully ill get to it sooner than later 😊

[@fengzhengtou1990]

Thanks for this video. You made resp failures and their categories so easy to understand 😊

[@Aligatortubtub]

I appreciate your videos so much. You’re a great teacher. Thank you so much for all the work you put into your lessons!

[@ICUAdvantage]

Thank you so much Ali. You are too kind. I really appreciate the kind words and happy to help!

[@diaXbruk]

Thank youuuu for this quick and amazing lecture, looking forward to watching ALL of your videos!!!❤️

[@ICUAdvantage]

Thank you so much! Be careful, theres a lot of videos these days lol. Glad you enjoyed it.

[@sarasameer8818]

Awesome wrapping of the topic!!

[@fatimadiezrivas744]

Thank you for saving me through critical care in nursing school!

[@Zizuthecreatorlamarwest]

I'm not in the ICU, but I think this is easy to understand and is informative.100/10.

[@ICUAdvantage]

Great to hear!

[@alexnrusty]

Starting in Critical Care in 2 months, been on PCU for 1.5 years, I’ve been living on your channel recently! Thanks for all of your videos

[@ICUAdvantage]

Awesome! Congrats on the new ICU gig. Be ready for a whole new world. You'll definitely have a leg up compared to a new grad, but know you are going to feel like a new grad all over again. Best of luck to you and it gets better over time! 😊

[@dunjanassery1230]

Med student here, your videos are super helpful for my ICU rotation

[@ICUAdvantage]

Awesome to hear this! Best of luck in the ICU!

[@kriscaoree5258]

Wow, it's really helpful. I'm a NICU nurse and it helps me understand better in taking care of intubated babies and hooked on mech vent. Thanks a lot!

[@allykat1156]

This video was amazing! All of them are! Thank you so much for breaking it down for us and adding some visual aides for visual learners like me

[@ICUAdvantage]

Thank you so much Ally, really happy to hear this! Glad it was helpful for ya

[@nonohussain1069]

Thank u it’s very helpful and easy to keep in mind ❤️

[@TheFfmike317]

Eddie you're a Genious at explaining everything. Thank you!!!

[@ICUAdvantage]

You are far too kind but I do appreciate that Mike! Glad you enjoy the videos!

[@queykasaintlouis1542]

such a wonderful video!!

[@AprilAdell4]

Perfect timing! We are reviewing respiratory failure in nursing school right now! Thank you

[@ICUAdvantage]

I love it when the timing works out like this! 😊

[@israchan4474]

Thank you!

[@sanimolvs4820]

Amazing presentation❤️.. Simple descroiption in depth.. Tnks👍🏻👍🏻

[@thepalettewhispererasmr1227]

Thank you...these are really coming in handy trying to study for my CEN

[@oreskoul]

great video . thank you so much . well explained

[@deniseross4432]

I really appreciate your clear and concise presentation.

[@ICUAdvantage]

Glad you enjoyed it Denise!

[@msgirl497]

Omg I love you and will never be able to thank you enough for this channel!

[@ICUAdvantage]

Lol love you too! Just happy to know that you enjoy the videos I make 😊

[@irenelopez9534]

🙌🏽🙌🏽🙌🏽🙌🏽 incredible content as usual! You have slowly become my favorite KZbin channel 🤍

[@ICUAdvantage]

Woohoo!! 😊 I really appreciate that Irene! So great to hear this!! ❤️

[@mamacutievlog6890]

You deserve an award bro.

[@ICUAdvantage]

Lol appreciate that. Glad you found it helpful.

[@leilanitrahan9286]

This is very informative! Thanks for helping nurses like me. God bless!

[@ICUAdvantage]

Glad to hear it. Truly happy to be able to help.

[@johnessien2167]

You've got really beautiful writing

[@hfrazi6158]

Thank you so much for your videos! I have been working in the pulmonary MICU for a year now and your videos have been so helpful! Could you cover content on taking care of pts with Cirrhosis and renal failure in future videos?

[@ICUAdvantage]

You are so welcome! Glad to be able to help. I do have liver failure on the todo list and perhaps more on AKI and renal failure.

[@kristine4590]

Thank you so much for all of the information you shared. You are truly amazing.God bless you

[@ICUAdvantage]

You are very welcome. Thanks for leaving a comment!

[@insomniaperennis3949]

Thank you for the time you deserve explanation so serious failure of our body. Have a nice time Doctor

[@hereBDBD]

this is great! gives the BIG reasons WHY while learning the WHAT in meds school.

[@ICUAdvantage]

Yes, the why helps to understand the what. Big believe in that.

[@layamustafa]

AMAZINGGGGGG LECTURE

[@lanli3215]

VERY HELPFUL VIDEO! THANK YOU!!

[@ICUAdvantage]

Glad to hear it!

[@user-op3im8sz3g]

Excellent 👍

[@Benphil41]

Thank you for helping me to understand this topic.

[@ICUAdvantage]

Glad to be able to help!

[@worldaround6520]

Thanks a lot sir.

[@makeymhri]

Lots of love from critical care nursing student here!!! You are awesome 👏 thank you 🙏🏼

[@ICUAdvantage]

Woohoo!! So close!!! Glad you enjoy the videos!

[@greensahuaro2834]

You are awesome!!!!!!!

[@medfitconsultant]

Thanks so much.

[@dalaisand5453]

❤❤❤❤ you are a master. You are huge❤thanks for passing your intellectualism and professionalism to all of us. 🎉

[@ICUAdvantage]

So nice of you! Glad you enjoyed the lesson. Thank you so much!

[@zewduashagrie9868]

what can i say god bless you thank you very muchhhhhhhhhhhh finally i understand RF in the nice way .....u were nice tnxxxx

[@oj5193]

Great Video! Thank you so much!

[@ICUAdvantage]

Glad you liked it!

[@jasonskully433]

these videos are BOSS!

[@sinclair657]

Thank you

[@arabachosen-dw2db]

Thank you 🥺

[@daliadali3763]

thank you 👍🏻

[@saudeme8133]

Thank you for the videos ☺️ I always watch your video because I'm a sign at the ICU ☺️

[@ICUAdvantage]

You're welcome! Glad you liked it!

[@s.p009]

Beautiful 👏🏽👏🏽👏🏽👏🏽

[@aditithakur4604]

Very helpful!

[@ICUAdvantage]

Glad it was helpful!

[@nadiniranaweera4662]

Best Teacher ❤️❤️❤️🙏🙏🙏

[@ICUAdvantage]

Thank you so much! I appreciate that Nadini

[@chiaracannatella4819]

seriously thanks! made my day :)

[@ICUAdvantage]

Woohoo!! Happy to help!

[@roland.j.ruttledge]

So informative, as ever, many thanks UK

[@ICUAdvantage]

Appreciate that Roland! Hope you have been well.

[@roland.j.ruttledge]

@@ICUAdvantage GM all good thanks, just a bit busy. I'm first response not clinical, but if it matches, I so enjoy your presentations. Even 50% works wonders!💪😃

[@ICUAdvantage]

@@roland.j.ruttledge Awesome! Yeah definitely a lot of stuff that I cover applies in areas outside of ICU. Glad you have found value in these videos.

[@muhammedanwarvpm2213]

All your videos are very informative. Could you please make a video series on pain management

[@ICUAdvantage]

Appreciate that and I'll add that to the todo list

[@wejdanhussaien4409]

Genius explantation 🙏 thank you

[@ICUAdvantage]

You're very welcome!

[@fahimakbari5367]

Thanks it was helpful.

[@ICUAdvantage]

Great to hear!

[@reeleltahir8479]

I enjoyed watching itt, this is how medicine should be teached.

[@sasuxsakuxfan]

I'm a senior in my BSN program and currently taking advanced concepts/critical care/med surg 2 (many different names for this course). Thank you so much for these videos. They always help me understand more and not just memorize things. I find it really difficult to memorize things without fully understanding the why's and how's. I spend hours getting caught up if I want to know "why." Your drawings with the alveoli and gas exchange were so hopeful too. My instructor doesn't provide visuals for any patho/bio. You're a great teacher. Thank you again for sharing your knowledge in a digestible way!!

[@crista9984]

Thanks!

[@ICUAdvantage]

Thank you so much!

[@Dronnin9Tyra]

This was a fantastic video and breakdown. My aunt is in MICU and has been for the past 3 weeks they have her a trach to help her breathe. She has double pneumonia and they just diagnosed her with OHS and sepsis. This video really help me understand what’s been going on and what to expect. Thank you so much.

[@thepalettewhispererasmr1227]

How did she do?

[@thepalettewhispererasmr1227]

Omg I just saw your name....my name is TYRA too!! Oh my goodness! It’s so rare to meet another Tyra, especially like this! Anyway...I hope your aunt has recovered and is home 🙏🏾

[@Dronnin9Tyra]

@@thepalettewhispererasmr1227 She passed away a couple of days after I posted that comment. Thank you for asking.

[@hemapiyaratna2888]

Awesome 👏 thanks

[@ICUAdvantage]

You're welcome!

[@mohammedsaleh6558]

Big Love 4 you , icu advantage

[@ICUAdvantage]

Thank you so much!

[@okk2101]

Really great

[@ICUAdvantage]

Thank you!

[@lunakur2965]

Thank you for the awesome content, I'm going back to work after maternity leave and re watching your video is very reassuring that I won't be totally clueless once I'm back 😂

[@ICUAdvantage]

It's like riding a bike! You've got this!

[@d7memohanna]

Man you're the best

[@ICUAdvantage]

Thank you, too kind!

[@chikamsoiwuala3770]

4th comment yay!!! Am so grateful for these lessons!! Thank you!!

[@ICUAdvantage]

You are very welcome! Really glad you enjoy them!

[@nonal4223]

thank you

[@ICUAdvantage]

Youre welcome!

[@khaledemadkhabbaz-ek9gj]

Perfect

[@queenferiel9579]

Thanks

[@ICUAdvantage]

YW!

[@albertahammond5495]

This is great

[@ICUAdvantage]

Thank you!

[@mohamedbashiridris3833]

good lecture

[@ICUAdvantage]

Thank you!

[@alejandrocurado5134]

Lesson made easy

[@ICUAdvantage]

Great!

[@taskeenzafrullah4573]

This video is really helpful. Only one thing which I want to highlight is that if you use visible colours in writing it will be much better to understand and writing should be some what clear. Over all it is best

[@ICUAdvantage]

What colors were not visible?

[@allisonsheridan998]

ICU Advantage, I am wondering what blackboard/whiteboard app you use to create these videos for education. I have not been successful in finding one that allows me to be this interactive

[@guytelfer1353]

So when the alveoli collapses , 1st'ly this leaves space and the molecular chain falling off its sprocket , ? is mostly the capillarie itself will fill the void creating a new link leaving DNA debris to be recycled maybe a healthy process to rejuvenate alveoli, autonomiclly displacing proteins and enzymes

[@lilysal8858]

what is the diff between compensated and decompensated respiratory failure ?

[@guytelfer1353]

Severe cases of cov2 we could safely say people with GITract issues can make things worse? As being a lead factor leading to severity, recommend healthier GI and how bloating can cause respiratory damage, possible viruses can become parasites or parysites. There can be cross containamation of CV19 through parasites and parasitic flies.

[@bre97bj]

I had a patient with labored RR in the 30s-40s, tachycardia in 150s, no fever, and spo2 at 100 on 4L of O2. He has a hx of COPD and new onset cough. Lactics were elevated. What do you suggest is a reason for the high spo2 and the increase work of breathing especially in a COPD patient

[@ICUAdvantage]

Given his lactic is elevated, it seems as though his RR may be trying to blow off CO2 to correct a probable acidosis. His respiratory distress doesn't seem to be related to his oxygenation. This appears to be ventilation related. Given his COPD, his CO2 clearance may not be the best already and then needing to blow off more to correct acidosis could be causing strain. Did he have an infection going on (pneumonia, sepsis)? Did you get an ABG?

[@bre97bj]

@@ICUAdvantagethis was an ER pt btw or information was coming in real time. from what I could remember he probably had some acute lower respiratory infection. All I can remember is his pH being 7.11 or something. And when you say ventilation, are we talking about the oxygenation in the tissues (as suppose to the alveoli)? Never could understand why spo2 (given that it is an accurate number) would be normal and they still have a hard time breathing. Thanks for the reply

[@ICUAdvantage]

@@bre97bj Got ya. Ok and yeah with a pH of 7.1 he is very acidotic and thus the body wants to blow off CO2 to compensate for that. Ventilation is the movement of air in and out of the lungs. Ventilation (or minute ventilation) is what drives CO2 clearance. Breathe faster and with larger volumes (aka increased minute ventilation) then you blow off more CO2, which is what this gentleman was trying to do it seems. With COPD, ventilation is not great (as well as oxygenation can also suffer). Given this pt was so acidotic, he really needed a lot of good ventilation to blow off a lot of CO2 to compensate, which he probably was not able to do and thus his respiratory drive continued to want to increase, which was probably what you were seeing. Certainly could be other things at play too, but this is a big one that stands out for me.

[@bre97bj]

@@ICUAdvantage great explanation thanks!

[@jillthompson4280]

What about cpb machine, when doing cardiac bypass surgery the lungs are not ventilated in some cases causing atalextasis. Why is this?

[@ICUAdvantage]

I'm not as familiar with the workings of bypass during cases. I thought they always keep ventilating the lungs during the case. If they stop, then there is no airway pressure to split the alveoli open which would lead to collapse, aka atelectasis. But again, this isn't first hand knowledge on the subject.

[@authman-alshibly]

Why did you classify V/Q mismatch separate from impaired gas exchange?

[@ICUAdvantage]

VQ mismatch is pretty broad in what encompasses and contribute. Specifically covered impaired gas exchange to understand the physiology around that alveolar-capillary membrane gas exchange and the disturbances that can result. Certainly impaired gas exchanges contributes to VQ mismatch, but so do the other causes discussed in there.

[@divyajoshi5496]

Sir I want respiratory emergencies vedio please give me the link of that vedio

[@nicholaszaaiman9169]

Great video and explanation but the drop box password is not working. id like to study the notes for Resp Failure

[@ICUAdvantage]

Glad you liked the video! The password changes each month. Look for the most recent post on the community tab and that'll always have the most current password.

[@justari106]

Wow u complained everything in a very good way better than my doctor

[@coyuiod]

what are the next videos about?

[@ICUAdvantage]

The million dollar question 😉

[@renants100k]

my brother died this issues last june 29,2023😢😢😢

[@RICHINFORIEGN]

My condolences..when did he found out he have tye condition

[@christinepanganuron1486]

Searching this because my father admitted due to brain tumor but died due to respiratory failure

[@jayjy1583]

Yeah, get a surgery, come out of it with resp failure. Great!

[@indiajohnson3190]

Thank you

[@ICUAdvantage]

You're welcome

[@moradzayed]

thank you

[@ICUAdvantage]

You're welcome!