Respiratory Therapy - Modes of Mechanical Ventilation - CMV vs AC

[@mushygaming802]

Thank you good sir! You should build your own center, educate students/practitioners, even professionals who are already working. You make my life easier understanding everything about vent. I am able to share my learnings to my colleagues because of you.

[@ellafeng6087]

I wish I could see your video when I was a student, I am a critical care nurse, it really helps me understand the fundamental concepts and helping my patients in daily basis. I am really grateful for your time and effort. A big thank you !

[@brandonbird3079]

Dude, simply said you are awesome. Born to be a teacher and don't know it. Thank you so much for what you do! You help me be better everyday

[@munayuma7326]

You are an amazing teacher. I wish you did this video five years ago, when I was in school. I have been respiratory therapist for five years. I’m addicted to your lectures.you are so good at explaining throughly. Keep it up please. I’m updating myself with this lectures and I learn a lot from you Thank tut so much for doing this.

[@asc.k1865]

I've been an RT for eight years. Recently began working in NICU. I really need to keep reviewing the basics because at the end of the day, nobody remembers everything! I really appreciate this page

[@RespiratoryCoach]

Nice!! I love seeing experienced RTs refreshing on the basics. We start working and the first thing we forget about are the details of why we do what we do!! Strong work!! Thanks for watching!!

[@RebeccaBurcher]

Thank you for these! My program just finished summer session clinical and I'm so glad to have these lessons to watch & learn from between now and September!

[@RespiratoryCoach]

You're so welcome, Rebecca. I'm glad you find the channel helpful. Enjoy the rest of your student RT journey!! Thank you for watching and commenting!!!

[@RebeccaBurcher]

@@RespiratoryCoach This ventilation series is perfect timing. In the Fall we're starting cardiopulmonary A&P 🤯. I saw your playlist on that subject so I'll be all over that too! Keep posting, Coach!💪

[@hahalol3843]

You’re not an average coach. Very well explained thanks

[@RespiratoryCoach]

I try hard not to be! Thanks for sharing this kind message and for watching!!!

[@Patty-pm9to]

Dear Respiratory Coach you are amazing with your explanations. I've been taking much better accurate notes. Your students are so blessed to have you as their teacher. Thank you so much for all you do.

[@RespiratoryCoach]

Thank you Patty for this kind comment. I'm glad the channel is aiding you in your studies and comprehension. Thank you for watching!!!

[@kimms8610]

Hi Coach...thank you for making the subject matters so easy to grasp. I always leave with such clarity. 👍😊

[@RespiratoryCoach]

There's my green smiley face friend, Kim. Thank you again for watching and kindly commenting. Got your email about the shirt. Responding soon.

[@kimms8610]

@@RespiratoryCoach Awesome....thank you and you're welcome 😊. Have a fantastic day!!

[@elizabethquiroz9189]

Starting RRT this Spring semester 2021! I decided to get ahead and prepare...I am hooked on all your videos! Thank you so much for all the awesome lectures!

[@maryfernandez3215]

this is so timely! most doctors in our hospital often Ask us about the difference between Vent. modes this series will be a big help for me to explain it more deeply and accurately to them .. Hopefully you would also cover on Neonates and Pediatrics ventilator settings 😊 thank you Coach!

[@RespiratoryCoach]

Hello Mary Rose. I think it's awesome that physicians ask you RTs about vent modes. Very cool opportunity and value to bring to the bedside. Neo/pedi is outside of my area of expertise, but I will try to get one of my neo/pedi experts to join me for a video. Thanks for watching!!!

[@adzcastiri7911]

Hi coach...lot of your series I've missed.well explained. Stay safe and healthy coach.

[@RespiratoryCoach]

Hey, Adz. You do the same in staying safe. Thank you for watching and commenting!!!

[@mitchkrdr]

You are beyond wonderful! Thank you!!! How I wish you could have an access to an actual ventilator to add on your teaching tools. That would be amazing!

[@RespiratoryCoach]

Maybe one day! Thank you for sharing your kind words and watching!!

[@jiaofeng6639]

Awesome and awesome ! Don’t know what to say to appreciate your video !

[@MohammedBalla-x5e]

Amazing and simply giving the concepts

[@maxpla168]

Thanks for the refresher, starting orientation August 1st

[@RespiratoryCoach]

Awesome, Max! Go get it!!!

[@petu6inka]

Thank you, coach ! Excellent explanation.

[@RespiratoryCoach]

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

[@noonions1541]

Hey Coach, thank you for taking the time to make these videos! Could you make a video explaining how to find IBW for pediatric/neonates or if there’s a proper way to go about finding out what their proper volumes should be. Also any tips you may have for us regarding this situation. Thank you!!

[@RespiratoryCoach]

Hey Joseph! Thank you for taking the time to watch the videos and comment. Neo/pedi is my least area of expertise. I don't have an answer for you, but will talk with my neo/pedi experts and see what I can find out. I'm hoping to have one of them join me for an episode to make some neo/pedi content. Maybe one day soon!!!

[@noonions1541]

Respiratory Coach I appreciate you! Thanks for getting back to me

[@sapperpapi8249]

Just sent an email about the shirts! Awesome video!

[@RespiratoryCoach]

Thank you Jonathan! Shirts are heading out today!!! Thanks for watching and grabbing 2 shirts!!! I appreciate you!

[@Don-xj3uo]

@@RespiratoryCoach difference. Can You talk about p mean, average flow ,and peak flow.?

[@husseinaljasar7325]

OMG its cleeeear now ...thank you

[@RespiratoryCoach]

Awesome! Glad it made sense and thanks for watching!

[@nuriflor9415]

Hi coach, first thank you for the great information. I have some confusion regarding when patients over breathe their TV while on the vent. For example in a CMV or AC setting with a set TV of 500 when the vent detects the patient is over-breathing to a TV of lets say 800 ml does the vent mark that the patient is trying to over-breathe to a TV of 800 and only delivers a TV of 500 or does it give the full 800 ml TV? TIA.

[@pakvillagesecrets7440]

Cmv stand for continous mandatory ventilation or control mandatory ventilation ????

[@binapatel4054]

Thanks coach for such informative lecture. I request you to help me regarding how we can use and titrate HFNO device for COVID Patients?

[@RespiratoryCoach]

You're very welcome, Bina! Thank you for watching and commenting. You can imagine that I've received lots of requests regarding COVID, but the truth of the matter is that everyone is still trying to figure it out. I don't think there is a "best" practice truly identified at this time. At one time, the thought was if 6L NC isn't working, skip HFNC and go straight to mechanical ventilation. Now I understand that HFNC is being used to address oxygenation and work of breathing needs. What I would do is keep in mind that you're dealing with a virus. So I wouldn't get ultra aggressive in weaning any therapy that is working while the virus is running it's course. Sorry, I'm not more help in providing definitive answers in regards to COVID.

[@binapatel4054]

Respiratory Coach thank you

[@yazanhani3735]

Thanks Coach, you are amazing!!! I am working in NICU and we have drager 8000 plus that only has pressure contro, But it has a knob for inspiratory flow, how is that possible ?

[@RespiratoryCoach]

Hey Yazan. Definitely not a neo expert and have no experience with the drager 8000, but my "guess" is that it pertains to bias flow??? That's the best guess I have. I'll ask my neo expert and see what she says. As always, thanks for watching, Yazan!!!

[@yazanhani3735]

@@RespiratoryCoach honestly I'm so confused, doctors always tell me make it 8 L/Min

[@sinclair657]

Thank you

[@mohamedhabibberhanu6553]

Hi coach I really appreciate 👍👍

[@RespiratoryCoach]

Hey Mohammed! I really appreciate you watching and giving me two the thumbs up!! Thank you!!!

[@dodoeawakening4474]

❤❤❤ Thank you coach

[@333Aleshia]

Is it possible for you to make a video for RN's and what they need to pay attention to?

[@RespiratoryCoach]

Absolutely, I would love to! Will you give me a little bit of direction so that I don't go too deep or stay too basic. For example, are you looking for more info on alarms, pressures, minute ventilation, airways...maybe a little bit of all of that?

[@333Aleshia]

I just got my RN and want to work ICU. I asked a few ICU nurses what it is that they needed to know while caring for the pt.'s as far as what is it that they have to adjust on the monitors and what we are technically allowed to do. They said " Don't touch the monitors!" I guess i would like to know, if in a given emergency, what are we allowed to do? What do we watch for as far as alarms? Is there something that respiratory therapists want nurses to pay special attention to? I've noticed they do give 100% O2 when turning pt.'s sometime. I know its different protocols per hospital. I guess a little of all you mentioned above.

[@khashar09]

CMV abbreviation is continuous mandatory ventilation or controlled mandatory ventilation ?

[@RespiratoryCoach]

You are correct, and I stand corrected. CMV by definition stands continuous mandatory ventilation. Thank you for pointing that out!!!

[@Don-xj3uo]

Can you talk about pmean, average flow, and peak flow. What they are and the diffetence.

[@muhammadtariq2530]

Sir plz tell us about HFNC .it's readings and alarms thanks

[@robinbrodowsky9394]

This maybe a silly question but how to set flow for that exact person? You know like min ventilation should be 6-8 compared to weight, how do I set flow?

[@RespiratoryCoach]

Hi Robin. Flow is set to patient comfort and to establish a desirable I time. Typically 40-60 lpm is appropriate, but in the case of COPD or Asthma, you may need higher flows to allow for a greater exhalation time. Hope this helps!! Thanks for watching and posting your question!!!

[@mabotyin]

CMV is control mandatory ventilation? I thought it is Continuous mandatory ventilation

[@RespiratoryCoach]

It is continuous mandatory ventilation. Thanks for clarifying that and for watching!

[@mabotyin]

@@RespiratoryCoach it’s always a pleasure watching you. I have learned a lot from you.

[@mishrasourav1991sm]

Cant thank u enough sir

[@riritan798]

رائع وممتاز شكرا جزيلا

[@kevincrosley6235]

Hey Coach, How do we decide if a pressure or flow trigger is best for our patient? You're a huge help, all mechanical ventilation class has been online due to covid.

[@RespiratoryCoach]

Hello Kevin, The question to ask yourself is, is my patient able to trigger a breath with ease? Assess your waveforms for any missed trigger attempts. This may indicate that the trigger is not sensitive enough to detect patient efforts. On the other hand, keep an eye open for auto-triggering. In this case, you need to decrease the sensitivity. Both of these can happen in flow and pressure trigger. When set correctly, flow is known to be slightly easier to trigger than pressure, so I usually go with flow trigger unless I have a reason to switch to pressure. Hope that helps. Let me know if not. Best wishes!

[@Vancouversour]

APRV vid in the works!??

[@MohammedBalla-x5e]

❤