Respiratory Therapy - Why Is V/Q Ratio Important?

[@ICUAdvantage]

Remembering the difference between shunt and deadspace used to drive me crazy!!

[@RespiratoryCoach]

SAME! So hard to keep straight as a student and new grad.

[@Made_in_VT]

Much appreciated...you've been so helpful the past year by making complicated lectures much easier to understand.

[@RespiratoryCoach]

Awesome! Love to hear that you find the channel helpful! Thank you so much for watching and kindly commenting.

[@FullTraderAlchemist]

Your channel is RESPIRATORY THERAPIST UNIVERSITY. I am watching your videos every single day.

[@RespiratoryCoach]

Great comment! Thank you very much for watching and perhaps naming my next project!

[@beckybarnett2066]

I just shared this video with two of my favorite critical care RN's (Abbey and Robert). They are studying for the CCRN exam. This information is part of the study material and practice exam. Thanks again, Joe! ❤ your videos.

[@RespiratoryCoach]

Thanks for sharing, Becky! I appreciate you!

[@adrianevans1507]

Bud, you are an absolute genius! I watched 4 other videos before finding yours, 1 of those videos I watched three time and didn’t get it. Your explanation is superb. Best videos on KZbin 👌

[@RespiratoryCoach]

Awesome! Glad it made sense! Thanks for watching and kindly commenting.

[@frankmaggio4328]

Thank you for making this and your other videos. I have 25 yrs invested in Nursing. Almost all in the ER, including travel contracts @ Level 1 & 2 trauma centers. I have to be honest , I was always taught "Bag and call RT" & "Let RT handle the vent, you handle the rest". Well that all changed when I took a travel contract in a small town in Northern NY. "What do you mean 'I' have to work the ventilator?" Well the luxury of having RT at my beckon call is over. Having RT in the building overnight it's not a thing here so I'm having to learn after these yrs. This video ROCKS!!!!!! Thanks for putting what I already know into an even better format. I'm definitely going to use your breakdown when I teach new Nurses.

[@waledkt0077]

When i am lost in respiratory knowledge i just dive into your channel to get some ventilation Thanks a lot

[@deborah18]

I haven't even watched this yet and I know it'll be good! You're a gem and deserve way more views. I'm an aspiring CRNA who has always struggled with ventilatory settings and the respiratory system. You have helped me greatly with understanding these concepts! Thank you!

[@bereketgde20]

Man! You simplified it to the simplest form! No longer a mismatch in my understanding of V/Q mismatch😁. Taken care of. Thank you genius🙏

[@RespiratoryCoach]

Awesome, Bereket! Glad it made sense and thank you for watching!!!

[@larisalaniak3312]

I have NEVER understood this concept until now....bless you!!!! :)

[@mitchkrdr]

You are my go-to person for all these confusing topics! My mind is blown away!

[@georgecamarena6329]

You make me understand everything so much better especially now through covid .. thanks man you’re making a difference

[@immii14]

Theeeeee best video out thereeeeee ….. cnt stress enuf .was sitting with ma material for an hr and he explained it soooooooooo beautifully. Thanks tou u for ur time. And effort

[@heatherlowe7764]

Thank you so much! V?Q mismatch and shunt vs deadspace It just clicked!! I had my AHA moment

[@mhairiboyd7712]

This was invaluable! Thank you for simplifying what can appear to be an over complicated topic. 👍🏻

[@RespiratoryCoach]

Glad you found it helpful! Thank you for watching and commenting!!!

[@heatherlowe7764]

as always fantastic breakdown of shunt vs dead space

[@bonnytoufic2936]

I always had problems with these two. Thanks for making it easy.

[@RespiratoryCoach]

Thank you for watching and commenting!

[@annettehall1569]

Where were you when I was a respiratory student? You're amazing!!!!

[@brindamohabir8432]

He makes every topic so easy

[@Miks2092]

Crystal clear explanations😊

[@fishingsouls4christceoofgi614]

My daily dose of growing! Thankyou Coach 🌻

[@angelandbryan]

This was brilliantly explained. Thank you!

[@RespiratoryCoach]

Thanks, Angel! Appreciate the feedback and you watching!

[@hoganel79]

I'm telling everyone in my class to watch your videos!

[@RespiratoryCoach]

Thank you! I appreciate the support! Thanks a ton for watching and kindly commenting!

[@karencorrales9810]

Thank YOU so much for this!! This was extremely helpful in understanding this topic. I was able to answer all the questions correctly!

[@morganice7816]

You are literally the only thing getting me through the next 9 days before my exit exam 😅 THANK YOU!

[@RespiratoryCoach]

9 days! Go be great, Morgan! THANK YOU for watching and commenting.

[@RespiratoryCoach]

And you are very welcome!

[@morganice7816]

Respiratory Coach doing my best! This COVID crisis in Bergen County NJ is making exams harder and harder but literally these videos are saving me and most of my respiratory therapy class. No joke. You are awesome 😂

[@pulmovista500guidedaprv2]

What an excellent way to explain it. Thanks. I'll use this way to explain it to students.

[@irenes3971]

Ur lecture is awesome! Hit the key points and easy to understand! Love them! Thank u very much!

[@rondelking6596]

Again, solid video. Makes so much sense from a practical standpoint. Can you make a video about how chest wall compliance/elastance can affect V/Q?

[@RespiratoryCoach]

On the list! Stay tuned! Thank you for watching!

[@rejinashahiregmi285]

Please do class on ventilations dyssynchrony....it would be so helpful....

[@taesarauw8374]

Thank you so much for all your knowledge and informative info on this channel! Such a tremendous great help! Can you please make a video on aerosols , humidifiers, vibrating mesh, ultrasonic neb, wick, HME. Questions would ask which one to use and it’s a bit confusing. THANKS!

[@RespiratoryCoach]

You're very welcome, and I sure can!! Coming soon!

[@sarahcollins8273]

This is so incredibly helpful, thank you!!

[@keyannacurtis9252]

Explanation was informative but funny at the same time, just the way you explain it. But, I got it now. Thanks! It may just be my sense of humor.

[@gihansaleh3721]

Very simplified and amazing explanation thank you so much for your effort

[@christinabrueggemann2829]

Very very helpful!! Thank you

[@jasonvega1057]

Thank you SO much for clearing this up for me!!!!!!!!!!!

[@amine3226]

Thank you so much!!! You literally made my day!

[@RespiratoryCoach]

Awe...you made my day with this comment! Thanks for watching!

[@beckybarnett2066]

Excellent presentation! Thank you.

[@kennethweiss9068]

Excellent again coach! Thank you!

[@Megan-uw9xj]

OMG...thank u for simplifying it!!!

[@lumbarspine4637]

thank you , this is so well explained

[@MrMusiq2]

Wow....you just helped me tremendously!

[@WebFort_Ishaq]

Thank you so much sir,, learned a lot from Respiratory coach❤

[@shmilyx007]

Thank you so much for the great explanations!

[@RespiratoryCoach]

You're very welcome!

[@petu6inka]

Thanks a lot ! Awesome explanation as always :)

[@RespiratoryCoach]

Glad you liked it!

[@vickyk.m9596]

As always you Rock!!!

[@RespiratoryCoach]

Thanks again, Vicky!!!

[@shaydelre1898]

I must be at that point in school when I'm about to be tested on this, so without missing a beat, here I am! I'm totally getting some merch also once I get my tax refund! Thank you again!! -Shay

[@itstisha9858]

Two videos I watched said that normal ventilation to perfusion ratio is 0.8 is that incorrect? Very great video by the way!

[@helenosawe6327]

Thank you so much, very helpful.

[@lizl.6874]

Totally make sense now for me. Will it make a difference if we knew it is shunting or dead space in managing patients particularly ventilated ones❓

[@RespiratoryCoach]

Absolutely! Shunting will require more PEEP to promote better oxygenation, while an increase in deadspace will require a larger minute ventilation to adequately remove CO2. Hope that helps. Thanks for watching and commenting, Liz.

[@nardjissmaroua1480]

Hi respiratory coach thanks a lot for this very helpful video I wanted to ask you what happens to co2 in the shunt , do we have hypercapnia along with hypoxemia?

[@danielt1812]

I'm really not understanding how COPD can be a condition typically characterised by high V/Q ratio. I've looked up sources that seem to label it with decreased V/Q ratios.

[@RespiratoryCoach]

Hey, Daniel. Thanks for watching and for sharing your thoughts. If you consider the alveolar destruction, which leads to airtrapping and hyperinflated alveoli, in conjunction with pulmonary vasoconstriction caused by the chronic hypoxemia, then the idea of ventilation being in excess of perfusion makes sense. This article might help. www.ncbi.nlm.nih.gov/books/NBK442016/

[@luzmaalcaraz]

Can we calculate V/Q ratio w/o a V/Q scan? For example, using pt's actual ventilator minute ventilation for the "V" and if hooked up to hemodynamics monitoring, using the Qt value for the "Q?"

[@mwa_911]

I think in COPD you have decreased V/Q ratio as there is mucus build up inside the alveoli which would hinder adequate ventilation.

[@yamlevaharon934]

A low V/Q will cause low PaO2 and normal PaCO2, what about high V/Q?

[@RespiratoryCoach]

High CO2 , low O2, but a normal A-a gradient. Interesting stuff! Thanks for asking and watching!

[@leejasamuel9526]

Excellent

[@danielkeleta2263]

thank you u are amazing .

[@RespiratoryCoach]

Hey, Daniel. You are very, very welcome. Thank you for watching and leaving the kind comment. ❤️

[@jkl1672]

Thank you sir.

[@RespiratoryCoach]

You welcome, sir. Thank you for watching and commenting!!!!

[@jomikequillope1150]

Hey coach! Can you PLEASE make a lecture about SWAN GANZ CATHETER and Hemodynamic Monitoring (CVP, PCWP, PAP)? Thanks in advance coach 😊

[@RespiratoryCoach]

kzbin.info/www/bejne/g2aUk36XiJZgecU

[@thetruthhowiseeitbeylife4492]

Thank you

[@catherinemartin494]

Hi I work in ED in Western Australia and have only just found your KZbin videos.I am obsessed, they are so informative.I am so gonna be an expert or at least have a much better understanding of respiratory therapy. Thank you Joe

[@shanshan8113]

Subscribed!

[@joefrost5415]

Small discrepancy at 17:11.... two is greater than one.... your greater than less than sign is backwards. REGARDLESS I AM GRATEFUL FOR YOU. Do you sell any TMC practice exams? Or should I just venmo you some cash???

[@RespiratoryCoach]

LOL...my venmo is always open! Send me an email to [e-mail]. I'll see what I can put together for you.

[@llanceend2970]

Wow super cool bro

[@RespiratoryCoach]

Glad you liked it, Llance!!!

[@hypertekptk]

Thanks

[@awaisshafi6541]

What will be V/Q ratio in pneumothorax and pleural effusion

[@RespiratoryCoach]

Both of those diseases create shunts, so your v/q ratio will decrease

[@awaisshafi6541]

Thanku 👌

[@awaisshafi6541]

And in pulmonary hypertension?

[@RespiratoryCoach]

@@awaisshafi6541 Decreased pulmonary blood flow = ventilation greater than perfusion = deadspace = increased V/Q ratio.

[@awaisshafi6541]

Thanku and last question if question says just hypertension? Not mentioning either pulmonary or systemic then general HTN effect will be same as Inc V/Q?

[@yawenli100]

Thank you for the videos!

[@tani361]

Why we count numbers in 5 what is the logic

[@RespiratoryCoach]

Hi Tanveer. In this video I used multiples of 5 to simplify the math for the sake of simplifying the concept. It's not always, actually rarely is it multiples of 5 with actual patient data, but the concept remains the same. Thanks for watching and asking this good question!

[@ginabraun8843]

Great explanation. I'm so distracted by your mannerisms....Are you under the influence of a drug or alcohol in this video? No judgment. Just curious. Lmao

[@RespiratoryCoach]

🤣 🤣 🤣 NEVER! Just very animated!

[@myrlwallace9012]

Thanks! Your presentation was amazing and simple. It made sense in an awesomely easy way to understand and remember.

[@RespiratoryCoach]

Cool! Thank you for watching!