RT Clinic : Simple and Nonrebreather mask application

[@rachelnicole381]

thank you so much for your helpful videos. I am a nurse and didn't get to learn all of the respiratory topics in depth in school. so these are a lifesaver!

[@grettlowski]

You're the best. I am an EMT and find RT's to be super helpful every time we need them. Thank you for a thorough explanation

[@rtclinic]

Thank you! I really appreciate the compliment! RTs and EMTs are similar in so many ways.

[@hilenlen4994]

I am manufacture of oxygen mask and Non-rebreather oxygen mask with reservior bag, I am dare to say that you are very professional and kind !!!! Best Wishes for you !!!!

[@hilenlen4994]

We are manufacturer of non-rebreathing oxygen mask, I am dare to say you are right and professional !!!! Best wishes !!!!

[@greyer7031]

I am a EMT Student this has helped me understand a lot better thank you for helping me understand better.

[@atropyzombie]

As a nurse, you were 100% on point!

[@MsDiva96]

I've gone through six years of medical school not ACTUALLY knowing how these work properly - so simple, but never really explained clearly! This was great, thank you.

[@coltenkobe4511]

i know Im asking the wrong place but does someone know of a tool to log back into an Instagram account?? I was stupid lost my login password. I would love any help you can give me!

[@kannonbrixton9771]

@Colten Kobe instablaster :)

[@snowgurl21]

Same this was great explanation!

[@shanawatson8440]

Omg!!! You are one of the best instructors ever you provide rationales and address the gray areas plz do more videos

[@shantaldyer6430]

I am in Medical school right now. That was very helpful thank you So much...

[@silk.spectre6606]

These videos are so great! Thanks to your detailed explanations, my weekly "sign-offs" (practical stuff that's graded in class) go fantastically. You are a life saver!

[@rtclinic]

You are very welcome Aleksandra! We called the "check offs" in school and they were stressful!

[@silk.spectre6606]

@@rtclinic Oh my goodness; they really are! Please keep your fingers crossed on Tuesday! It's my final cumulative sign-off. :D

[@tonigreen9402]

Ran across your page because Im in grad school for RT and all I got to say is PLEASE KEEP MAKING VIDEOS. I understand because of your demonstrations

[@anthonyb5282]

Just ran a call for a Covid pt in res distress with the FD. Hadn’t seen one of the NRB in awhile and they had him on 10 LPM. Def helpful to get the refresh thanks.

[@davidrockefeller2007]

I’m using this for cluster headaches for the first time and it’s important that I get as much o2 as possible and this was very helpful.

[@rtclinic]

I've heard it can work well for headaches.

[@heatherdegruy3858]

Where were you when I need you sir while in EMT school.excellent teacher

[@xenomorphlover]

What about those tiny holes on the sides ? Mine are covered with something when I put the mask out of the bag

[@rtclinic]

Those holes are covered by a rubber cover to allow the patient to pull 100% oxygen from the inflated bag instead of from the air around them. The one way rubber covers increase the amount of delivered oxygen

[@xenomorphlover]

@@rtclinic thanks a lot 👍😀

[@rafaelreformado9370]

Thank you!!! I just finished my EMT training. I always get confused which one to use, whether a BVM or a NRB. Lol. Your explanation as to how NRB works makes so much sense now for me. Lmao.

[@tinatanner244]

Thank you so much for your great videos. I am first year RT student.

[@avinashkhiroya2891]

How do they breath out in such mask? I think they will breath the same high co2 content air again

[@rtclinic]

The flow is set high enough to flush the exhaled co2 put of the mask between breaths. If the flow is set below the recommended amount, some co2 may be rebreathed. It is important to know the recommended flow for every device.

[@WilliamLiles-db1bj]

have you posted a vidio about cpr

[@rtclinic]

I did ACLS but I should do CPR. Great suggestion. It is on my list for the next video

[@WilliamLiles-db1bj]

@@rtclinic your welcome😁

[@WilliamLiles-db1bj]

@@rtclinic when will it be relesed

[@rtclinic]

@@WilliamLiles-db1bj hopefully in the next month or so

[@WilliamLiles-db1bj]

@@rtclinic ok ☺

[@southcentralkystormchasere7396]

I just got out of OR/PACU as an EMS Instructor and during my first time i got (southern slang) to use a low high flow nasal cannula at 13 LPM. i was given Lorazepam 4mg + 4 (8) mg mixed with Midazolam 2mg x 4 (8mg), Ketamine 15mg over 10 min for nerve pain very slow IV push, post-op down to 9 lpm on methadone 10mg PO for pain with 12.5mg of Diphenhydramine IV. i was having Cystoscopy & Renal Biopsy, could not get spinal do to my severe kyphoscoliosis. 2 Ansthologist tried plus 2 ARNA tried. also i hate the NR/PR mask Oxymask can use 1/4 liter to 25 lpm

[@hindiakosipels]

How long max can u give this?

[@rtclinic]

As long as you need to keep oxygen saturations to an adequate level. Long periods of high Fio2 levels can cause release of free radicals and pneumocyte damage.

[@1234559310]

Would you put a humidifier on the non rebreather since the oxygen delivery is more than 4mL

[@rtclinic]

Thanks a great question Tahmina. I must have overlooked it 4 mths ago. 😄 You can add humidity in the form of a large volume nebulizer attached to a mask, but with air entrainment it will yield a lower Fio2. There are two reasons we do not use humidity on a non rebreather. 1. The moisture would cause the one way valves to stick and it will also accumulate moisture in the NRB bag. 2. The majority of NRB flow will be brought through the nose passively and heated/ humidified by the nasopharynx. Great question If you patient needs humidity in these cases, the best bet is a large volume nebulizer. I hope this helps

[@theresango7146]

o

[@amaranthinebeauty]

I’m in Emt school you have helped me so much. Ty

[@jamiehogg5272]

Fantastic you actually make this stuff simple. Thankyou.

[@rtclinic]

Thanks Jamie!!

[@ahmedegymed5853]

Thank you so much. I have a question if someone could help, When the patient is inhaling The air also come from the environment through these tiny holes on the sides and because the mask is not 100% tight so does this decrease the fio2 delivered to the patient?

[@rtclinic]

Yes. That is why you can't truly deliver 100%... it's about 80ish %

[@ahmedegymed5853]

@rtclinic thank you 🙏

[@phillyb4588]

does the non rebreather have 2 valves and a partial with one valve???

[@rtclinic]

A non-rebreather has three one-way valves. A partial rebreather has two one-way valves on the mask, but the opening between the mask and reservoir does not have a one-way valve. The fiO2 delivered is greater with a non-rebreather, but the clinical effects are not usually significant. A very good question Philly B !

[@phillyb4588]

thats a negative for 3 right I see a empty side valve on it

[@ng6109]

So nicely explained

[@southcentralkystormchasere7396]

then we tried an experimental type of a mask United kingdom style even though this was down in southern US at 60% at 22 LPM around 60 lpm but i performed ok with the high flow non-heated high flow nasal cannula 7-15 lpm ; and my range was 10 - 13 liters. back to air entrainment mask at 60%, some of our PACU/ICU Flowmeters go up to 25 LPM before flush.

[@raviamani8727]

Hi sir I'm indian girl. Your video is very useful and superb sir

[@melissamorgan6257]

would this be ok to use at home for my mom when she gets a bad copd attack she is on a constant 2 liters of o2 now up her nose but sometimes when she gets up and moves around she gets out of breath thought about buying one of these from Amazon to help her get over the attack? thanks for any info .

[@IshwariChandran]

This is amazing! Thank you so much for creating these videos!

[@Agent-vj3ns]

What happens if you hook a non-rebreather bag to a helium tank?

[@rtclinic]

We attach them to a heliox. 70% helium, 30% o2. It doesn't affect the function of the device.

[@igorbogdanoff4517]

Thankyou. This will be very helpful for those who are administering care to their loved ones using a oxygen concentrator at home during this Coronavirus outbreak.

[@PeterA__]

I was put on a non rebreather mask last week and they had it set at 25lpm. Was that too much? It was on the portable oxygen not a wall mounted one.

[@rtclinic]

You really can't put 'too much' on a non-rebreather. The only problem with 25 lpm is how quickly you'll burn through an e-cylinder. It would probably last about 20 mins if it was started at 2200 psi. 15 lpm is best (will last 44 mins), but the key is to keep the reservoir bag inflated during the inspiratory cycle. Thanks for the question!!!

[@Cristianandtupac]

Why were you put on one? We’re you sick ?

[@PeterA__]

Cristianandtupac cluster headaches

[@bnoyb4621]

I really like your videos, very educational and practical in the clinical setting.

[@rtclinic]

Thank you B NOYB !

[@JustMe-qq3rc]

Do you have a great way to connect a non rebreather with a neb treatment? Normally I just plug one end and slide the mouthpiece into the side of the mask.

[@rtclinic]

I use the same method as you. I should experiment with fio2 concentrations with other configurations...🤔

[@kinsleycayden6637]

Thought a non rebreather was 10 to 15 lmp?

[@rtclinic]

Technically you set it at the flow required to keep the bag inflated during the inspiratory and expiratory cycles. 15 LPM is the best setting to keep it easy.

[@user-wl1lr2go9o]

Question: are we supposed to remove the covers of the exhalation ports?

[@rtclinic]

I do, but you do not have to. It is more of a safety measure for me. Sometimes there are two of them, just remove one. 😁

[@hafisr7875]

This thing is non sterile, how do you ensure that it is clean without spores, fungi or any foreign mat b4 use it.

[@rtclinic]

I've never checked the package for sterility before. We just make sure the package is unbroken before applying it.

[@zapyawhereithurts]

Ty for the video. I loved my RT rotation in nursing school. I rarely use it now working in an office so it was a quick refresher :)

[@petejimenez1544]

Great video,concise. Topics on appropriate use often go overlooked. Thanks.

[@rhonrocktv7895]

Is it mandatory not to use bottle humidifier in oxygen when using a non rebreather mask?

[@rtclinic]

It isn't mandatory and many bottles can't handle the flow rate of a non rebreather. The pop off valve will be activated on the bottle if you turn the flowmeter up to 15 LPM.

[@JohnnyWishbone85]

Non-rebreathers are probably the most misused piece of respiratory equipment there is. I can't tell you how many times I've seen the bag not inflated or had to pick up a patient who had been on one for way too long without any kind of definitive treatment.

[@rtclinic]

It is also one of my most watched videos 😀

[@TinaThomas-s5n]

Am glad I saw this. Very informational.

[@PreludeInZ]

This has been so beneficial for writing research. Will you ever do a video on Rapid Sequence Intubation?

[@sureduwadansuppan4980]

ßa n.

[@kanwalpannu5050]

Why some times that bg us not inflated?

[@rtclinic]

The flow is not set high enough

[@kbarnie]

Can you switch a NRB for OXYMIZER after a while,,, on a regular floor?

[@rtclinic]

Yes. We have alternated these two devices before. The FiO2 will be slightly lower on an oxidizer, but I would recommend turning it up to 15 lpm and watching their SpO2 for 5 mins.

[@smariegonzalez8617]

Awesome video! Thank you for the information!!

[@michaeledwards2146]

Excellent video doctor. Thank you very much.

[@bnoyb4621]

I love your channel ❤

[@littlepeky]

Thank you. Some stuff are so simple but when you read about it. You go 😵😵😵😵

[@hearttrice2315]

Awesome Video!!! Thank you so much for explaining the difference This is one of the best videos I've seen so far on this topic. :)

[@rtclinic]

Thank you!

[@sachamagder1380]

Great video! Super clear and well explained. Thank a mil!

[@sakshitiwari253]

Awesome explanation thnx

[@plaksaleaf]

Nicely explained. Thanks. 😊

[@kieranliu4778]

Can I use it for the education purpose

[@rtclinic]

Yes! Please do😁. Thanks for asking.

[@sahily3]

Great video! Thanks for sharing

[@obriola6111]

Thank you...wife was putting in the tube upside down

[@rtclinic]

:)...

[@SanjayKumar-ci9ts]

Thank u so helpful to understand different

[@ريان-ي9ض9ص]

Thank you from the middle East❤️🙂

[@robertnwankwo3920]

Very helpful... Thank you sir!

[@donnajacinto354]

Thank you Sir for another excellent video..so much appreciated..You’re awesome..

[@rtclinic]

You are welcome Donna!

[@nurseverything]

Solid! Thank you 😊

[@mohsinmushtaq3519]

thank you so much you are very halpfull

[@AmirAbuleil92]

Thanks Man ,, very helpful

[@sxyngel]

wow thankssssss! didnt get taught this in nursing school.so helpful

[@sameepthakuri9550]

quick and simple! loving these bitesize vidsss

[@KingTiger10588]

you're awesome thank you!

[@trueindian820]

Can anyone tell it's price

[@rtclinic]

About $3 each. www.amazon.com/dp/B07DTNMB4K/ref=cm_sw_r_cp_apa_glt_fabc_HE32B3FXCE2K270BP8VX

[@kawthar8778]

Perfect ⚡️

[@ash4160]

Very helpful, thanks

[@pangnwehtita2532]

Thanks a lot for this video, it's very easy to understand

[@phillyb4588]

my book say 12liters

[@rtclinic]

Philly B : 12 liters for a simple mask should deliver close to 0.60 FiO2. A 12 liter NRB would also work, but clinically 15 LPM is more common. Thanks for the question!

[@jessicamontenegro9217]

This was a great demonstration thank you. I’m in nursing school and tomorrow I have an exam and it includes respiratory and has oxygen delivery systems on it. Watching videos is easier to understand than solely reading it from the book 🥲 thank you

[@rtclinic]

I'm so glad it help. I hope your exam goes well

[@jessefranco6453]

Thank You, very helpful!

[@margalitah.6955]

Thank you very much!

[@organizationalcommunicatio2957]

Thank you

[@punmagar20]

Nice

[@MusicforYoungViolinists]

So helpful - great concise video thanks!

[@chelsealefler2168]

thank you SO Much

[@benhatwell9489]

Thank you ✔

[@solmarymedina3546]

Thank you!

[@Chelsea1788]

thank you!!!

[@basundharamondal2262]

👍

[@caveman4659]

Dude, shut that oxygen tank nozzle, its really annoying with all that noise.

[@angelapaez8000]

very informative at not at all yawn yawn !!!!

[@raviamani8727]

Hi sir I'm indian girl. Your video is very useful and superb sir

[@aquillnice6822]

Thank you