Respiratory Therapy - What is Rapid Shallow Breathing Index (RSBI)

Here we breakdown the Rapid Shallow Breathing Index (aka RSBI). How do we apply the RSBI? How do we calculate the RSBI? Why do we assess RSBI? And a tip on how to quickly assess RSBI?
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BEST WISHES!!!

[@ICUAdvantage]

Mind = Blown with that quick little math trick with RSBI! So simple, but it's amazing. You can literally just look quickly and KNOW! Great job as usual.

[@RespiratoryCoach]

Hey Eddie! Thank you for watching and commenting as usual!!!! I appreciate you!!!

[@youthonly3988]

As always, fantastic eplanation, simple, easy to understand and it all makes sense! Please, keep posting new videos! And thank you for your time and sharing your knowledge!

[@RespiratoryCoach]

Thank you for watching!

[@maxpla168]

Thanks, Joe It's refreshing, getting ready to go back to clinical Tuesday. Keep up the great work you do for us all

[@RespiratoryCoach]

Will do Max!!! Thanks for the encouragement and support.

[@Aspen_RT]

I am so glad I stumbled onto your channel! This is so helpful for me in preparing for my TMC as well as just getting great information for when I start working in the RT field.

[@RespiratoryCoach]

Me too!!! Thank you for watching and commenting. Best wishes as you attack your TMC and get ready to enter the RT world!

[@eman5669]

Very nicely illustrated I am happy that I have discovered your channel

[@RespiratoryCoach]

Thank you, EMAN. I'm happy you've found the channel too. Feel free to post questions or contribute. Here to help!

[@ElaineAnourack]

thank you for that great shortcut!

[@RespiratoryCoach]

Hello again, you are very welcome!

[@MacoyCafe]

Awesome trick!

[@RespiratoryCoach]

Thanks Marcus! Appreciate you watching, as always!

[@henriquelopes9596]

Very helpful. Thank you!

[@RespiratoryCoach]

Glad it was helpful, and you are very welcome!

[@johnlewis381]

Thanks for this awesome video! Would you mind doing a video over tracheostomy tubes (cuffed versus uncuffed, fenestrated, ones that we can/can't mechanically ventilate a patient with, passy muir valves/ speaking valves, and troubleshooting)? I am having a hard time grasping this subject.

[@RespiratoryCoach]

I most definitely wouldn't mind. Stay tuned. Thanks for commenting and watching!!!!

[@maryaiasibarra4836]

Thankyou!

[@RespiratoryCoach]

Thank you for watching and kindly commenting! GO BE GREAT!

[@-mudassar9668]

great teacher

[@ventilator98]

I have really been enjoying your videos! I have a question! In your ICU, do you have those wonderful Stryker inTouch beds that play classical music, nature sounds, and Jazz music? I LOVE THOSE BEDS!!!!!!!

[@RespiratoryCoach]

Hey Peter! We don't have those. At least not that we utilize to play music. That sounds awesome. Would be much better than Jerry Springer on the TV.

[@Ricardo.Fuentes]

Hey joe, I’m an RT student and just want some clarification, if they can’t follow directions for a VC because they’re not neurologically there, can they still be extubated? Wouldn’t that affect their ability to protect their airway after extubation? Thank you!

[@mitchkrdr]

Hi coach! Thanks for this video! Quick question, why do docs ask if they can lift their heads off of the pillow? Is it just to assess if they can follow commands? I was never asked that but I assess all the other parameters prior to extubation. Thanks!

[@RespiratoryCoach]

Hi Mitch! Yes, it's a sign of alertness, ability to follow commands, aka mentation. I see it in some SBT protocols related to exclusion criteria.

[@mitchkrdr]

@RespiratoryCoach interesting! Thanks coach!

[@angelicaportillo5493]

Can you please make a video with a lot more case scenarios? Please and thank you!

[@RespiratoryCoach]

Got it!! Thank you Angelica for watching and commenting!!

[@jomikequillope1150]

Hey Joe! What would be a good device to measure Tidal Volume of the patient? Would i only use the ventilator? And where would i check it from the ventilator? Our Facility uses: RR² ÷ Minute Ventilation. Thanks in advance!

[@RespiratoryCoach]

In regards to assessing RSBI, dividing the resting minute ventilation by the resting RR will yield an average spontaneous tidal volume and provide you the most accurate RSBI.

[@hawasisay264]

Mehn, I love you!

[@RespiratoryCoach]

Thank you so much for this kind comment. ❤️

[@sbl5749]

another great video! just one question, though. can you elaborate/explain a little more about +cuff leak? and how does that eliminate pulmonary edema? I'm unfamiliar with that technique.

[@RespiratoryCoach]

Hey Alex. A positive cuff leak is anytime you have a cuff leak of greater than 15% when assessing prior to extubation. I'll have to rewatch the video regarding the pulmonary edema, because I can't think of a correlation between cuff leak and pulm edema. I'll get back with you.

[@RespiratoryCoach]

I think I see what you're referring to. At 16:19 I state, "You have a positive cuff leak, so airway edema is not a problem." The difference here is airway edema vs pulmonary edema. Two different things. A positive cuff leak is a good indicator that your patient's upper airway is not swollen around the ett. A negative cuff leak,

[@sbl5749]

@@RespiratoryCoach Thanks for the clarification! I misunderstood airway edema w/ pulmonary edema. Anyway, I've been practicing for a while and never knew about this technique, I now will definitely add this technique to my toolbox. Thanks again, you are awesome!

[@RespiratoryCoach]

@@sbl5749 Awesome, Alex. Keep up the strong work and keep building your toolbox!!! Go be great!

[@cynthiaw37]

what modes can this be calculated in?

[@breana6869]

can you do a video on Stress Index?

[@adamt3013]

Pretty poor predictor as ideal body weight/ Vt is not factored into the RSBI. There is a big difference between a 5 foot tall female and a 6 foot tall male with the same RR Vt and RSBI.