Respiratory Therapy - Mechanical Ventilation - Trigger, cycle, limit, volume vs pressure

[@megandavies160]

You have really helped me get through respiratory school. I graduate may 2022. Thank you respiratory coach!

[@RespiratoryCoach]

Hey Megan! That's so exciting! Finish strong!

[@salehalsolmi422]

Man I swear if a pass the exam and graduate I will give u half my first salary!! You’re incredible!! Many thx

[@RespiratoryCoach]

Not if, but when. And I'll take it....and turn it into a scholarship for a future Respiratory Therapist! Let me know when you're ready.

[@ambereenalam8980]

Many thanks from an MD ! Your teaching is exceptional !

[@RespiratoryCoach]

Thank you Dr. Alam! I appreciate you watching and leaving the kind comment!!

[@fataturchina5289]

Neverending thanks from another MD, I agree too,you're a great teacher,much much better than professors..!!!

[@maxpla168]

Received your t-shirt today Joe, I want to personally thank you for helping me in the past. Joe, thank you for sharing your knowledge. Love your videos, and be safe.

[@RespiratoryCoach]

You are very welcome, Max. Thanks for all the support. You be safe as well!!

[@deettecase2221]

You are a fantastic teacher! I love and appreciate your teaching style and your approach to presenting the material. Thank you for your time in making these videos, they have been a HUGE help!!

[@RespiratoryCoach]

Awesome! I'm glad you find them helpful. Also, thank you for watching and kindly commenting!!!

[@elumarymampilly3248]

I found tour channel only a few days before. Now I'm watching all your videos continuously in my spare time. Wonderful videos. Thanks a lot

[@RespiratoryCoach]

Awesome! Thank you for watching and kindly commenting!! Glad you found the channel!

[@cammandokittie]

THANK YOU! You explain it as a teacher should. Not as if you are trying to show off your PHD. 👏👏👏

[@RespiratoryCoach]

Lol, Christina. I don't have a PhD to show off, so I just teach. Glad it made it sense to you. Thank you for watching and kindly commenting!!

[@tamtam-n9o]

OMG, had i known about you last yr i would have passed my TMC, i really understand ventilators now, you give detail info that no one else give....thks

[@fiveldee1506]

Wooooow you've got a subscriber in me! I'm an AA student and your videos, drawings, and teaching style make comprehension so much easier -- aka giving me the gift of time since now I don't have to rewatch class recordings 100 times over anymore

[@Patty-pm9to]

Thank you for being such a great and caring teacher. At the beginning of all your videos I automatically save and like them and I've already subscribed.

[@RespiratoryCoach]

Thank you, Patty! I appreciate your kind comment and you watching!!!

[@maureenflorida6]

Game changer, coach. Game.changer.

[@zahidjamil9076]

God bless u....Aperson who makes difficult things into simple is Genius ......U r Genius

[@nadiaelhani9523]

I am starting a new job as critical care PA. Your videos are awesome. Many thanks to you!

[@RespiratoryCoach]

Awesome! Best wishes on your new job!

[@jocelynizweird27]

Thank you! I’m so glad i found your channel. I wish i knew about you sooner. I really enjoy how you explain everything into a more simple way of understanding.

[@RespiratoryCoach]

You are very welcome!! Thank you for watching and commenting. Glad you found the channel...better late than never!!! Welcome!!

[@SophieDydzakxx]

reviewing for finals.... thank you for making subjects that seem so complicated and confusing easier to understand :)

[@ellafeng6087]

I have learnt lot from you! Really thanks! Explicit explanation with great speed to follow!

[@fmmini6898]

We use volume trigger here in pakistan. We set the volume trigger of 2L for pediatrics and 3L for adults ....

[@danielbutler7202]

Thank you from a PA! Super clear and informative!

[@RespiratoryCoach]

Thanks for watching and kindly commenting!

[@aisha665]

Thank you so much,i learned from you a lot,I am first year of RT

[@RespiratoryCoach]

Very cool! Enjoy your journey to RRT!!! Thanks for watching and commenting!!

[@tinatanner244]

Great explanation!!! Thank you.

[@RespiratoryCoach]

Glad you liked it. Thanks for watching!

[@kimms8610]

OMGosh!!! Its like you were reading my mind, I so needed this! This is going to help me tremendously with my TMC practice exams. Thanks coach!! 👍👍

[@RespiratoryCoach]

Hi, Kim! Long time no see. How's the studying going? Glad you found this helpful, and thanks again for watching!!!

[@kimms8610]

@@RespiratoryCoach Hi Coach! Studying is going well. Between your tutorials and Kettering, Im feeling a lot more conftdent about the boards. I do have a question...what do you feel is the best approach to ClinSim practice / success? Thanks as always 💛💜💛

[@shevonforbes9826]

Could you make a video on when to touch you’re flow and pressure trigger? What are the indication to go up on you’re flow triggers etc

[@garyjaramillo3196]

Very helpful ty, can't wait for the future videos in this segment to come

[@RespiratoryCoach]

Glad you found it helpful, Gary! Thank you for watching and commenting. Stay tuned...

[@haleygrace7498]

I'm a year into Respiratory Therapy school and you've helped me pass my classes! Appreciate this content a lot otherwise i'd be so lost right now.

[@F22_Raptors]

Was waiting for this video, real basics first. Awesome thanks.

[@RespiratoryCoach]

Very welcome! Glad you enjoyed it. Thank you for watching!!

[@akramahmedmohammedbahakeem4808]

Perfict simplified explanation

[@missangelkake2951]

Thanks so much for this video! Really helped me to understand. So grateful and thankful that are are doing these videos. The way you teach really helps make the information stick for me. Look forward to learning more about the different modes and other parts of this new series.

[@RespiratoryCoach]

Glad you found them, Miss Angela. Thank you for sharing your kind words and for watching!!!

[@steves8860]

Question about auto PEEP and which trigger sensitivity to use. If a patient develops auto PEEP and is on pressure trigger, then the patient must pull past the auto PEEP first before getting to the trigger setting. So if they have a brief period, even one quick breath, of auto PEEP, then they can get thrown off their ability to trigger. With flow trigger it is my understanding that their ability to trigger is not going to be more difficult. So I prefer flow trigger. But someone told me that I'm not correct with my thoughts on this. So I thought I'd throw it out here.

[@RespiratoryCoach]

I'm not sure about having to pull pass the auto-peep, but I definitely see what you are saying and it makes sense. And yes, flow trigger is easier and definitely not affected by auto-peep. Let me look into this a bit more. I'm not sure if a pressure trigger of -2 equates to -2 presssure decrease from set baseline or from actual baseline. This may actually be something that varies across ventilators. Very interesting!!! Thanks for watching and throwing your thoughts out there.

[@maryfernandez3215]

Thank you so much for this! you explained it very well,.. looking forward for the next video ,.

[@RespiratoryCoach]

You're very welcome! Stay tuned...next video coming soon. Thank you for watching and kindly commenting!!!

[@karenmitchell6654]

Thank you Respiratory Coach!

[@RespiratoryCoach]

Hi, Karen!! You're always welcome and appreciated!!!

[@bonnytoufic2936]

you made so easy to understand!! really appreciate your effort to help students.

[@leighannallen4699]

Thank you for doing this. Very helpful review for me.

[@RespiratoryCoach]

Cool, Leigh Ann! Thank you for watching and commenting!

[@hadiafadolalmoula9946]

It was so nice and helpfull for me.

[@RespiratoryCoach]

Awesome! Thanks for watching and commenting!

[@user-ol2ci9xf4w]

Thank you sir. Excellent video

[@RespiratoryCoach]

You're very welcome, R. Thank you for watching and commenting!!

[@olivebada1964]

Exceptional. Thank you so much

[@AndrewWOOT]

Thank you for this video because it’s so helpful! It was just hard this past semester learning online about mechanical vents. I was wondering what would be the best order to watch those videos? We briefly ended our semester with mechanical vent but I want to be prepared for the upcoming semester when we go more in depth with ventilators. Especially since summer break is the best time to get ahead of these concepts. Thank you again!

[@RespiratoryCoach]

Hey Andrew! I will group and label this upcoming mechanical ventilation series together in order. And yes, mechanical ventilation isn't easy, especially online. Thank you for watching and commenting. Keep up the strong work!

[@jaidennicholas7089]

you all prolly dont care at all but does anybody know of a way to log back into an Instagram account..? I was stupid lost the account password. I appreciate any tricks you can give me!

[@chrisjaiden1405]

@Jaiden Nicholas instablaster :)

[@jaidennicholas7089]

@Chris Jaiden thanks for your reply. I got to the site through google and I'm waiting for the hacking stuff atm. Takes a while so I will get back to you later when my account password hopefully is recovered.

[@jaidennicholas7089]

@Chris Jaiden it did the trick and I actually got access to my account again. I'm so happy:D Thank you so much, you saved my ass !

[@DrRastogiAnuj]

It is very well explained …👏🏻

[@RespiratoryCoach]

Thanks a lot 😊

[@nessensation1860]

what is the best way to do if patient has a higher RR (tachypneic) than the set RR in ventilator ( a/c mode).

[@natashamoore4086]

great question

[@raya6001]

Hello, an answer would be of great help as I've my finals tomorrow. What is the bias flow usually set at?

[@RespiratoryCoach]

Hey Raya! Bias flow in regards to flow triggering is typically set around 5 lpm with a flow trigger set 1-2 lpm, which means when the ventilator recognizes 1-2 lpm missing from the original bias flow of 5lpm then a patient triggered breath is recognized and inspiration begins. Your bias flow must be greater than your flow trigger to function. There are other various discussions related to bias flow, HFOV for example. Let me know if this is not the bias flow your were referencing. Best wishes on your final tomorrow!

[@raya6001]

@@RespiratoryCoach Yes, this is the one I was referring to. Thankyou so very much. Love following your videos! These videos are of great help in brushing up the concepts right before heading for the exam. Thanks a lot!

[@ajaytomy844]

Very helpful and informative session, thank you sir.

[@RespiratoryCoach]

You're very welcome! Thank you for watching.

[@akandela]

Wonderful teacher

[@heidnaldodasilva989]

Thank you so much, sir. This is the first time I understood this subject you made it so easy.

[@RespiratoryCoach]

You are most welcome! Thank you for watching and commenting!!!

[@khawlaalhoubail9942]

Thank you so much for effort 🇸🇦🇸🇦🇸🇦

[@SP00KY-HALLOWEEN]

Thank you so much

[@RespiratoryCoach]

Thank you for watching and kindly commenting!

[@ericarosales7727]

this was wonderful, thank you!!

[@ياسرالوالي-م9ظ]

You are great teacher

[@khoahocvadaotao]

It would be much easier if you number your lectures from 1,2,.. to n. Anyway, your explainations are great.

[@bachverdi714]

Thank you from Iraq

[@RespiratoryCoach]

Thank you from USA. I appreciate you watching and kindly commenting!

[@dr.ashishnegi1712]

Amazing

[@محمدعلي-خ9ص5ن]

Sir i have question/is pc mode cause volutruma

[@jomikequillope1150]

Hey Joe! New subsciber here. What would be a good type of trigger when the patient is in volume control? Pressure or Flow? Thanks in advance 😊

[@RespiratoryCoach]

Hello! Flow is easier and typically preferred, but there is nothing saying you can't use pressure trigger. There's also nothing that says you can't use flow trigger when in pressure control. Not sure where that common thought process began. So whichever your patient tolerates is the best.

[@physiomedicine]

If the pressure drops, is the resistance incrrase?

[@АнараАжикеева-ф1и]

Thanks very very much!

[@ياسرالوالي-م9ظ]

I have never seen volume trigger in most available mechanical ventilators in our city

[@zafinaseldom3127]

Thank you!

[@jotu1883]

Thank you!!!

[@RespiratoryCoach]

Hey Jo Tu, good to see your name again. Thank you for watching and commenting again!!!

[@littlejoy4]

Love from Pakistan ❤

[@coralocean6542]

Thank you

[@michaelziegler223]

Ok Joe. Now you need to start selling some clever merch.

[@RespiratoryCoach]

Haha, perhaps that's already in the works. Merch shelf coming soon!!! Glad to see you buddy.

[@Biomedicalcompass]

Thank u🥰

[@RespiratoryCoach]

You’re welcome 😊

[@mohamedhabibberhanu6553]

I love it

[@RespiratoryCoach]

Glad you loved it, Mohamed. Thank you for watching!!!

[@samguentherillustration]

Never heard of volume trigger in practice. Seems dangerous, especially if compliance is poor and the patient is completely sedated. Not exactly something I'd want to attempt.

[@RespiratoryCoach]

I've actually never seen it as an option, however Egan's references it on page 999 of the 11th edition. I don't know!

[@josheniajohnson252]

❤️🙏🏾❤️🙏🏾❤️🎊🎊🎊

[@RespiratoryCoach]

❤

[@sinclair657]

Thank you