Respiratory Therapy - Identifying Modes of Ventilation with Waveforms

[@milosnovovic7703]

Hi Respiratory coach. You are contagiously inspirational. I'm an anesthesiologist and currently I'm revising mechanical ventilation. Everything you have been explaining is tremendously useful. I am delighted with your great enthusiasm. Greeting from Serbia.

[@RespiratoryCoach]

Very cool! Thank you for commenting and watching the content. Let me know if I can ever help you further. [e-mail]

[@holy3833]

Dearest Respiratory Coach, My whole class just aced our "Oral Vent Mode Practical Exam" in our Critical Care I class and we dubbed you SAINT JOE!!! Your videos have helped us immensely. Can't thank you enough for being such a great teacher! ❤❤❤

[@ellafeng6087]

Super clear and explicit explanation! The best RT ever ! I really appreciate your efforts in making the videos.

[@tiffanyperez7654]

Junior RT student here! Thank you for your videos, very thorough and helpful!

[@heathermgabbert]

I'm new to flight nursing and was struggling with vent theory! This channel has been my saving grace! Thank you so much!! If you have anything specific to transport ventilation it would be much appreciated! I have already recommended your channel to my colleagues. Thanks for all you do!

[@brendahinson2362]

I’m a icu nurse. You are so thorough and detail when it comes to all the explanation. Thank you so much for making these videos. Keep up your good work!! Love and support all our RTs!!

[@RespiratoryCoach]

You are so welcome! Thanks for watching and commenting!

[@tarawatt6778]

Thank you for your passion and wonderful ways of explaining things. I struggle in class because I understand better when I know why things happen instead of memorizing. My teachers get upset when I ask questions that they can't immediately explain, I wish they would say "I'll look into that" or something besides ignoring my question or getting upset.

[@starstarling2932]

I am a senior respiratory therapist student, and I have come across a lot of respiratory videos. I must say I love your videos !!!!

[@RespiratoryCoach]

Well, I must say I thank you for watching and for leaving such a nice comment! Congrats on making it to a senior respiratory therapist level!

[@shanshan8113]

Have a final tomorrow on this, soooo needed thank you!!!!

[@summercasey4904]

Seriously you are so awesome at teaching. You really help me break the graphs down, which. Thank you!

[@RespiratoryCoach]

Thank you, Summer, for those kind words. Thank you also for watching! I appreciate it.

[@tarawatt6778]

You are blowing my mind, but thank you for your challenging but explanatory questions! (I will be a second year, if I pass my 8 week summer vent class) 🙏🤞

[@bibanyc5514]

Thank u so much! You don’t know how much this video helped me to understand the waveform in different modes before the exam 👏🏻👏🏻

[@ahdel-fatih447]

Hi coach, I thank you very much for the vidoes you're doing. It's a big help especially in these difficult times. Your dedication and effort are admirable. I had a hard time understanding the concepts of mechanical ventilation even through searching in KZbin you're the only one who could explain it in a practical way that made sense. Wish you all the best.

[@RespiratoryCoach]

Hi! Thank you for sharing these kind words. I appreciate you watching and am just glad that you find the channel helpful!

[@cindyh.8541]

You are absolutely amazing! Everything makes sense when you teach. Thank you!

[@RespiratoryCoach]

Wow, thank you! I appreciate your kind words, Cindy. Thank you for watching!!

[@dr.swadeshmohanty1925]

Your are simply genius.......thankyou for beautiful explanation

[@jagadeeswararao4996]

Wonderful knowledge and exceptional teaching sir.Big fan of your classes.

[@RespiratoryCoach]

Thank you for watching and for kindly commenting. I appreciate you!

[@justacouplapaninis4986]

Great video, very helpful!!

[@RespiratoryCoach]

Glad you think so, and thanks for watching!

[@johnwesterh3313]

I wish there were these you tube videos 30 years ago!

[@leticiadavidson190]

THANK you for breaking it down like this!! I have ADHD and no matter how I study or take notes, I still don't get it. Half hour of your video and I HAVE IT!!! :)

[@elisabetejardim9446]

You are great,! I could understand it much better now! You are a very didactic teacher! Thank you so much! 👏🏼👏🏼👏🏼

[@rebeccagray5463]

Wow!! This video was incredibly helpful!! Thank you so much. I am in vent class and the graphics chapter has been so wordy and difficult to understand (especially because we are still learning online and don't have many videos/ pictures except for what is in our book. This was awesome! I've shared with all of my classmates.

[@shahdjamal9098]

Thank you very much, I am a student in second year respiratory therapist and I have exam in MV, really it’s clear and helpful. 💪🏻❤️❤️

[@RespiratoryCoach]

Awesome! You're very welcome. Let us know how your exam goes.

[@colomsilva8596]

Thank you couch, your are the best..!

[@countermeasuresecurityengi9719]

you earned a sub . you talk wierd! LOL Come on now , it's a north /south thang joe! NVM that - I was retired , have my RRT - going to run into the fire so I'm getting my state license so I got to sit for the NBRC again! hehe, ID vent waveforms - this was the bug in my craw. its no bug no mo! I got this thx to you, Waveforms are here to stay like ipads so thanks a ton man - for setting it all straight n simple brotha! vent screens all digital - I'm down for all this automated stuff - now I got waveforms licked - y'all done good by me Joe!

[@RespiratoryCoach]

Glad you enjoyed it, other than the weird talking. Lol.

[@dr.junaid189]

Ur videos r extremely helpful Proper sorting of videos needed sir

[@maxpla168]

going to have to watch it a few more times, currently studying waveforms Joe

[@RespiratoryCoach]

Hey Max! Let me know if you have further questions!

[@maxpla168]

@@RespiratoryCoach So Prof is talking about identifying waveforms with a ramp formula. Do you know what he is talking about, because your video makes more sense to me

[@krystleakerley660]

queso (black coffee) also hate waveforms but thanks for explaining makes more sense

[@greensahuaro2834]

Thanks, that's awesome!

[@RespiratoryCoach]

Hey Carlos, I appreciate you watching the various videos.

[@greensahuaro2834]

@@RespiratoryCoach I am sure all of us appreciate you teaching! Many thanks!

[@sydneypursell5864]

Couple things. I want you to know I LOVE your cut and dry way of teaching things. I have used your videos SO MUCH to understand and then in return help my classmates. THANK YOU for that! But now I have a question, I have taken notes on this whole video and I am curious....I understand SIMV-PS, but what about just regular old SIMV-VC or SIMV-PC? I am a little confused what that would look like. Thank you!!

[@ashleyharmon7160]

I am part of this class and we love your videos! They have helped us all so much learning mechanical ventilation! I would also like to know if you can do a video of pre and post bronchodilator response, how that looks on the on the scalar graphics and loops.

[@mahienaslewegena1292]

Great video,,, please the square wave forms ? Are they PC or VC ?

[@ashleighpropes9029]

In my summer semester of the RT program, we are in mechanical ventilation now, and I didn't know how to break the waveforms down. Nor did I know how to interpret them, now I do. It isn't as difficult now.

[@RespiratoryCoach]

Glad it helped! Enjoy your journey to RRT!

[@samanthaeversole6508]

This was so so helpful. We didn’t spend a huge amount of time on waveforms and I start my critical care rotation in the fall. Thank you!

[@RespiratoryCoach]

Cool, Samantha! Glad it helped. I hope you love your critical care rotations. Keep us posted. Thank you for watching and commenting!

[@thatthiskitchen8193]

Awesome job! You break it down really well. Could you please explain the difference between the two modes SIMV and MMV please?

[@RespiratoryCoach]

Hello, Nandasiri! Absolutely, SIMV and MMV are very similar in the fact they both function off a mechanical ventilation strategy which allows the patient to breathe spontaneously, and mechanical breaths are time triggered and sometimes synchronized with spontaneous efforts. The difference is that MMV only gives time triggered mechanical breaths if the patient isn't generating the minimum minute volume (set by the machine RR and Vt). If the patient is unable to sustain the minimum minute volume, then in MMV, the vent will give one, two, three, however many breaths it needs to, up to the set RR, to make up the difference in the deficit between the patient's spontaneous minute volume and the set minimum minute volume. This makes MMV a closed loop ventilation strategy. Input from the patient influences what the ventilator does. SIMV doesn't care what the patient is doing from a spontaneous standpoint. SIMV will deliver the set Vt at the set RR regardless of the patient's spontaneous minute volume. Does that make sense? Let me know if not. Thanks for watching and asking your question.

[@marilyntorresrrt6763]

:) thank you....9 months to go for me..excited. would love some videos on Neopeds,,,thats my next rotation...would love to get ahead a bit

[@RespiratoryCoach]

I'm working on getting my neo/pedi expert to join me on some videos. Stay tuned!

[@507Eldoctor]

Can you explain the (PAV) proportional assists ventilation

[@RespiratoryCoach]

Hello! Yes I can! Revamping a mechanical ventilation series now, which will include PAV. Thank you for asking and for watching!

[@cyriljum5182]

Thank you it helps a lot!

[@RespiratoryCoach]

Thank you for watching, Cyril. Glad you found it helpful!

[@osamamkaeeil2295]

Thank you

[@RespiratoryCoach]

You're so welcome! Thank you for watching!

[@johnb3057]

Trying to get ahead!

[@Suzi_P]

Thank you so much, i really need this

[@RespiratoryCoach]

Hey Suzy! You're very welcome. Seems to be a sore spot for many students learning mechanical ventilation. Thanks for watching and for commenting! Best wishes!

[@akshaymk5762]

Can you please explain about hfnc

[@RespiratoryCoach]

Absolutely. Will put this on the list. Stay tuned and thanks for watching.

[@VXP888]

Can you do a video on how to fix patients I:E ration, auto peeping, ventilator dysnnchrony, min ventilation, etc with scenarios in different modes? I am taking my tmc and this is what I feel like I’ll have the most issues with. I feel as if I have a basic understanding of the modes and settings but actually taking those setting and applying them to the modes to fix an issue with the patient is where I struggle

[@RespiratoryCoach]

Hi Kimberly! I'll try to get that how asap! Thank you for watching, and best wishes on your TMC!

[@derekdixon2599]

For a pressure waveform will there always be a square waveform? I guess I’m asking to have a variety so that I can i will not be thrown off if that makes sense

[@yazanhani3735]

Thanks Coach Joe, I really have two stupid questions, first, I think In VC we have a set I time, because we already set the flow and Vt, am I wrong? Second, does the Pressure that I set in PSV mode limit the volume ? In other word, if I have a patient that is able to take more tidal volume spontaneously than I set, does I need to increase the PS ? Or is it fine he can take the volume despite what PS I set...

[@RespiratoryCoach]

Hey Yazan. Not stupid questions at all. Yes, in VC tidal volume and flow = I time, therefore some might say the I time is set too (and it actually is on some vents). So yes, it's a fixed variable based on the set variables, vt and flow, but it does not vary every breath. Only when Vt or flow changes does I time change. Or if you add an insp pause. Your second question, No. PS does not limit volume. Let's say you're in SIMV with a set tidal volume of 450 and PS of 10. The vent gives the time triggered breaths at 450, all spontaneous breaths are augmented by PS and those spontaneous tidal volumes could be 250, 450, 640 etc. The patient dictates the size of each breath without any other limits. Hope this makes sense!

[@yazanhani3735]

@@RespiratoryCoach Oh thanks, I honestly appreciate your response, So the pressure I set in PSV is just extra preussre over whatever tidal volume the patient takes, Then Can I know from the ventilator the both pressure he generated and the PS I set? Or I can't know except the PS because the spontaneous breath is negative not positive?

[@aliciaaguilera4513]

quick question, can you hyperventilate with a normal ph? if so how would you adjust the vent settings?

[@RespiratoryCoach]

Yes, pain, anxiety, fear, etc. can cause someone to hyperventilate. However, when this occurs the pH will not stay normal for long. I'm not sure if that's what you are asking or not. Is it?

[@km221ssd]

Wow loved it so much😍😍

[@RespiratoryCoach]

Thank you for watching and for the kind comment. Much appreciated! Best wishes!

[@Suzi_P]

I love ur videos so much

[@henriquelopes9596]

Thanks.

[@RespiratoryCoach]

You are very welcome! Thank you!

[@jotu1883]

Hi Resp Coach! Just want to clear this out, when in a Volume mode, the i Time can actually be set on the mechanical ventilator.... Im a bit confused. Help!

[@RespiratoryCoach]

I have a response. Stay tuned! And thanks for watching and posting this great comment.

[@RespiratoryCoach]

Here you go! Hope this helps to clarify. kzbin.info/www/bejne/g3ycZo1umcyff8k

[@griseldagonzalez5121]

Love your videos! Can you make one about time constant.

[@RespiratoryCoach]

Thanks for watching and for the kind comment. And yes, got it on the list!

[@RespiratoryCoach]

Not sure how helpful this will be but here you go. kzbin.info/www/bejne/m4Gbn3ueetllZsk

[@kitpesec1536]

Just brilliant)))

[@RespiratoryCoach]

Thank you, Kit. Thanks for watching and commenting!!!

[@kitpesec1536]

Respiratory Coach thank you so much)) I really enjoy your work and the way you deliver it)))👍🙏

[@pierrebeshara7577]

Thanks

[@natelowman9645]

Hi respiratory coach, just wanted to ask a career question: I’ve graduated 2012 worked for about 1yr before I had to leave the field (in 2013), I’m now finally mentally and physically ready and able to give it my all. I’m studying to sit for the TMC (Sept. 2019)...I’m just wondering in your experience are you familiar with RT’s gaining employment after a hiatus similar to mines and/or what challenges should I expect? Any information/suggestions you can provide would be most appreciated! Thank you again for all of your insight 🙏🏽 😉🤗

[@RespiratoryCoach]

I can. Are you on Instagram and do you follow me? I ask because I would like to IG live with you to answer this question. If not, no worries, I can make a video for you.

[@natelowman9645]

I do follow you on IG (taelo83) I’m working my part time gig at the moment but I would really appreciate a LIVE convo. Not sure what coast you’re on but I can chat later this evening, I’m EST time zone.

[@RespiratoryCoach]

@@natelowman9645 No worries. We can schedule it later this week. Maybe tomorrow or Thursday evening. I'm in Texas, so one hour earlier than you. Let me know your availability over the next few days.

[@natelowman9645]

Respiratory Coach sounds like a plan, I’m available Thursday at 6p my time (so 5p your time)...

[@natelowman9645]

Respiratory Coach Hello, wasn’t sure if you were going to call me or I call you. Not really sure how the LIVE work but I think you have to be on it first. Let me know, I’m in standby. Thank you again! 🙏🏽

[@NoobNoob-wm8nu]

How can mechanical ventilation benefit a patient with a fever ?

[@RespiratoryCoach]

Here ya go! Hope you enjoy! kzbin.info/www/bejne/eXXSeZKqp9Olp9E

[@hadidarvishikhezri814]

❤❤

[@rosevargas8961]

Queso!!

[@RespiratoryCoach]

I love queso!!!

[@lomaxlomax5915]

6 more months to go.

[@RespiratoryCoach]

Good for you!!! Finish strong!

[@ftrieu100]

queso