Respiratory Therapy - Shunt vs Deadspace

[@LCxx1]

SO impressed, you explain complex concepts in a way that is easy to understand, and breakdown the confusing parts...ICU nurse here, THANK YOU

[@RespiratoryCoach]

Thank you Luanne! I appreciate you watching and kindly commenting!

[@yaniraalvarado2645]

Thanks, a concept very hard to comprehend, finally I got it.

[@donnajacinto354]

You’re amazing,excellent and super helpful to everyone in the field of RT. Thank you so much Coach. Stay safe Sir..

[@RespiratoryCoach]

Thanks, you too!

[@charleneconstantino1618]

im in nurse anesthesia school and this is amazing!! thank you so much for breaking it down and explaining so well.. the more you understand, the less you have to memorize.

[@RespiratoryCoach]

That's so true, Charlene! You are so right! Understanding trumps memorizing everytime.

[@adriennemoore7317]

I have spent my more than half my 20yr RT career in the field, Home vents and COPD management. Thinking about contracting/travel after being out for 2yrs post cancer treatment and am going to sit for the TMC exam for my Registry this spring. Ive got the review books but not a lot of vids to be found that I could clearly say were helping in the recruitment of my atelectic brain cells and then AHHHH...Here you are!!!! Thank you so much for your awe inspiring instruction and dedication to the field, Coach. Definitely helping to increase my confidence🤗🤗

[@RespiratoryCoach]

Hi, Adrienne. Congrats on your successful cancer treatment! Thanks for watching and commenting. Let me know if u can ever help asking your journey getting back to work. Best wishes!

[@jeckellstallworth]

Thank you! You must have been a fly on the wall in our class this week, we discussed this very topic. I truly appreciate how you break down the “why” of a subject. You explaining the “why” is what helps us to truly understand. You are an excellent teacher. Makes so much sense! You are so right, sometimes we just don’t know what questions we should be asking. Thank you again.

[@RespiratoryCoach]

Yes sir! Glad this content aligned with your current studies. And yes, it's all about the WHY! WHY>HOW Thanks for watching and commenting, Jay!

[@mitchkrdr]

I value you, the work you put in, and your dedication to helping us! You are an amazing teacher!

[@JeedaSa]

You're an amazing teacher, this helped me understand it perfectly!!

[@Gumdrop743]

This was absolutely beautifully explained, thank you

[@barran62]

Joe, this is a Great explanation of this often confusing concept!

[@RespiratoryCoach]

Thanks Barry! I appreciate you watching and commenting!

[@MambaCool20]

Thank you Legend 🙏🏾

[@staceyevans7602]

Hey Joe! I scheduled my exam! Unfortunately, due to the virus, it's not until May 2nd (hopefully it won't get cancelled). So it looks like you will have to put up with me for another month. LOL. Thanks for everything Joe. WHEN I pass, it will be greatly due to you and your help. THANK YOU! You are amazing :)

[@RespiratoryCoach]

That's awesome, Stacey! Go knock it out the park. I'll be patiently awaiting to hear how it goes.

[@elhamsaeed3698]

Thank you very useful

[@RespiratoryCoach]

Cool! Thanks for watching and commenting!

[@jsolis19]

Fellow RT here, and now new subscriber. I’m sure glad I found your videos. Amazing job. It’s even better when you hear someone else explain a concept and you get that “aha” moment.

[@RespiratoryCoach]

Hey fellow RT! Thanks for subscribing and for the kind comment. I appreciate you watching as a licensed practitioner. Feel free to speak up and contribute.

[@eman5669]

thank you Respiratory coach this was excellent

[@RespiratoryCoach]

Glad you enjoyed it! Thanks for watching and kindly commenting!

[@mskrh640]

Thank you so much, God bless you!

[@RespiratoryCoach]

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

[@Sunshine-yu1do]

Explained very cleary. Thank you

[@RespiratoryCoach]

Thanks for watching and commenting!!

[@leighannallen4699]

Finally makes sense. Thank you!

[@RespiratoryCoach]

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

[@Iiiiiiiiiiiiiiiiiiii0l]

This was lovely explanation, I've enjoyed it very much, thank you!

[@navakitpm1365]

Thank you very much 😄 master! It helps me a lot 🙏🏻👍🏻👍🏻

[@RespiratoryCoach]

Lol..."master" ....You're very welcome, Navakit! Thanks for watching, commenting and for the laugh.

[@katc822000]

This is so helpful. Thanks for explaining this, I now have a working relationship of the VD equation :)

[@brindamohabir8432]

Amazing

[@randisipp7743]

Thank you for this. 😊

[@V1ntageheart]

that was amazing, wow! Thank you

[@sinclair657]

Than you

[@ginabraun8843]

Best explanation ever.

[@ilovedhaka]

Great

[@mariaholivella5058]

I’ve followed a few new grad RT’s that go up on FiO2 based off their morning ABG PaO2 readings. I’ve tried to explain the dissociation curve but obviously not doing a good job convincing them to titrate based off saturations. Will you make a video on this please. Your a much better teacher than I and have a way with wording things to simplify what seems to be complicated. Thank you!!

[@RespiratoryCoach]

Working on this now! Thanks again Maria for watching and commenting. How's the progression of your department coming along?

[@mariaholivella5058]

Things are well. Life is good. Thank you for making the video. Looking forward to watching it and sharing with others😁

[@fishingsouls4christceoofgi614]

I get it, Christ be the Glory! Lol…you always get me (looking at what is left of the video…ohh 2mins left, I am done…what’s the point of watching the last 2mins of it😆😅that’s what I am telling myself…but I always stay until the last second! The last minute that’s when you drop the golden ticket of excellence, not that it’s intentional that’s just your style. You give us all golden tickets through out the length of your videos and that is priceless because not only are we equipped with knowledge but now it’s clinical applicable and is no longer a foreign language as it was in the classroom. Hats down, mad respect Coach 🌻🐝

[@kamaljauoda9633]

Thank you

[@nardjissmaroua1480]

Hi I need to ask you a question please, why with shunt it is the oxygenation that is compromised and with dead space the ventilation is compromised, why aren't the two mechanisms compromised in both shunt and dead space??

[@mabotiyn]

Look up VQ mismatch

[@justmcclend25]

Could you do a video on how to ventilate a patient with Patent Foreman Ovale with a right to left shunt & a left to right shunt?

[@RespiratoryCoach]

You're pushing me outside of my realm and into the world of neonates and pediatrics. Definitely my weakest subject area! Maybe I can get one of my neo/peds experts to join me for this discussion. We'll see! Thank you for watching!

[@justmcclend25]

Respiratory Coach thank you for responding. I’ve recently had to take care of a vented patient with a PFO and I wasn’t able to find much info on how to manage the ventilation for these patients. You have really good content and info so I figured I’d ask lol.

[@farhanqadeer82]

Sir can you explain it to me ventilator buttons ?

[@RespiratoryCoach]

Just in general or in reference to a specific ventilator? Also, I'm assuming you're referencing the control panel buttons, not the settings controls, right?

[@sydneypursell5864]

I did not read the comments I’m listening to you on my way to clinicals 😆 so for shunt our role as RTs would be PPV to recruit alveoli…but what is our role in helping aide in the tx of deadspace ventilation in a case of a pulmonary embolism as you mentioned? What can we do as part of the team to help with deadspace ventilation?

[@naveenchenna1338]

Tqq so much my dear teacher

[@RespiratoryCoach]

Hey Naveen! Thank you!

[@nigel5009]

If we use the formula to calculate deadspace, what is the normal range for percent deadspace and what would be considered bad?

[@kaze123ckr]

Do increase A-a difference, decrease p/f ratio and a/A ratio also present in deadspace ? So that's the end tidal CO2 concentration that differentiate these two category ? Is there any misunderstand ? Thanks for your excellent educative video :)😄

[@user-pu9wh5de4b]

I love you

[@nigel5009]

Hey respiratory coach, could you explain what a physiological shunt is. Thanks.

[@RespiratoryCoach]

Hey Nigel! Try this link and tell me if it helps. kzbin.info/www/bejne/sGWVi3qZmJWdd9k

[@nigel5009]

@@RespiratoryCoach The link does a great job of explaining the difference between shunt and deadspace. But it doesn't speak about the different types of shunts.

[@awaisshafi6541]

What happen to dead space in shallow breathing and deep breathing?

[@awaisshafi6541]

?????

[@RespiratoryCoach]

Here's the answer provided on another video. Thank you for asking this question. Shallow doesn't change the amount of deadspace, but what does change is the percent of deadspace. For example, a patient with 120ml of deadspace, breathing a tidal volume of 500, equals a Vd/Vt of 120/500 = .24 or 24% deadspace. Alveolar tidal volume in this example is 380 mL. Now take the same patient, 120 mL of deadspace, breathing a tidal volume of 240, much smaller right? This patient's deadspace is the same amount as the previous example, but their Vd/Vt = 50%. This patient's alveolar tidal volume is 120 mL (240-120). So this illustrates that shallow breathing doesn't change the amount of deadspace, but it directly impacts Vd/Vt and alveolar tidal volume. Hope that makes sense and helps. Thanks for watching and asking your question.

[@awaisshafi6541]

@@RespiratoryCoach and what about deep breathing?

[@RespiratoryCoach]

@@awaisshafi6541 The exact opposite. Doesn't change amount of deadspace, but decreases Vd/Vt percent, and increases alveolar tidal volume.

[@awaisshafi6541]

@@RespiratoryCoach dead space does not change in ? Deep breathing Shallow breathing That was question in exam😥