What is a NEONATAL HIGH FREQUENCY jet ventilator??//QUICK AND EASY!!

Do JETS confuse you?!!!!! Finally understand the necessary basics- as explained by a neonatologist! /// Bunnell gave us great images and videos for this one! So LEARN: How does the jet function?? What does the jet PIP affect? What gives you the 'jiggle'? Should you always use the jet with a conventional ventilator? What buttons affect ventilation and Oxygenation? When do you use sigh breaths? How can you 'pop' open the lung with atelectasis? What is the relevance of the I-time? What sort of rates are babies on? What pressures (PIP? PEEP?) determine lung expansion?
A massive THANKS to Bunnell (bunl.com/) for helping us with so many educational materials for this video (and especially to Kari Neville BSRC, RRT-NPS, FAARC who couldn't have been more responsive and helpful!)
This video was NOT sponsored.
Sign up for our newsletter and receive 50 neonatal multiple choice questions immediately! We also include a PDF summary of our most recent video! Join us here: talatalksnicu....
---------------------------------------------------------------------
Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
---------------------------------------------------------------------
Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
----------------------------------------------------------------------
References:
bunl.com (Bunnell educational catalogue)
Miller AG, Bartle RM, Rehder KJ. High-Frequency Jet Ventilation in Neonatal and Pediatric Subjects: A Narrative Review. Respir Care. 2021 May;66(5):845-856. doi: 10.4187/respcare.08691. PMID: 33931517.
Rallis D, Ben-David D, Woo K, Robinson J, Beadles D, Bernardini L, Abdulhayoglu E, Flanigan E, Christou H. Single center experience with first-intention high-frequency jet vs. volume-targeted ventilation in extremely preterm neonates. Front Pediatr. 2024 Jan 4;11:1326668. doi: 10.3389/fped.2023.1326668. PMID: 38239592; PMCID: PMC10794594.
bc.ctvnews.ca/...
By Kapwatt at English Wikipedia, CC BY-SA 3.0, commons.wikime...
www.learnpicu....
In-vivo dynamic 3D phase-contrast microscopy : a novel tool to investigate the mechanisms of ventilator induced lung injury - Scientific Figure on ResearchGate. Available from: www.researchga...
----------------------------------------------------------------------------
*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

[@anneshields8188]

This was a phenomenal video! I loved the graphics (thank you Bunnell). I have worked with a jet for years, but this raised my understanding to a new level! I love the jet because it makes it much easier to do skin to skin therapy . Thank you. Now to send this link to all my new grads!

[@TalaTalksNICU]

I’m so happy you liked it! Was going to contact you that it was out and then decided maybe that was creepy?! Ha! We spent way too long on it and as we were editing I was still thinking of things I wish I added or said differently! Ha! Thanks so much Anne! Hope you’re well!

[@meredithbarrientez6322]

I'm a new neo fellow. Thank you for all your videos- especially the vent videos!

[@TalaTalksNICU]

So glad you find them helpful- getting to Cpap and actual vent videos on the vent soon!

[@cherylrajewski3390]

Yes it was a lot! I came across a jet in the NICU as a RT student first night at the hospital and it was very intimidating. My preceptor had forgotten how it all worked since he was not usually assigned to the NICU. How I wish I had been able to view your video before that experience! I would have felt so confident knowing why there is a conventional vent attached to the Jet and what they each contributed to the overall picture. Thank you so much for taking on this complicated subject.

[@TalaTalksNICU]

Oh what a lovely comment Cheryl- thanks! We're SO happy that this video gives anyone any confidence! Such a great compliment! Hope you're loving your time as an RT- and hopefully you get to spend some more time in the NICU :)

[@nadevi92]

watching from MD, USA. Wow! Thank you for explaining this so effortlesly Dr. Tala, Amazing video!!

[@TalaTalksNICU]

I love your comment so much because anytime anything seems effortless it definitely isn’t!!! Arianna and I probably spent longer on this video than anything else!!! So thank you thank you thank you!!! I read your comment many days ago- and I’m sorry I’m only getting to it now because I’ve thought about it a lot!!!! Thank you Maryland!!

[@nikijohnson3145]

Watching from Las Vegas, NV-USA. Thank you for the great explanation. 😊

[@TalaTalksNICU]

So glad you liked it- thanks for taking time to write! Fun that you live in Vegas!

[@dainaswamy3321]

Can I just tell you that I love all your videos! I am in NNP school and anytime I have a question I come here and find the most helpful videos! NICUs all seem to do things slightly differently and sometimes people who have only been working at one place can't explain why their policies and procedures are the way they are. I love your broader scope of the issues and the depth of understanding you display in these videos. I am always thinking you are going to realize your worth and sell this package of videos for thousands of dollars! Because we would buy! Thank you so much for what you do!

[@TalaTalksNICU]

Can I just tell you how happy your comment made me!!! I'm presenting at a conference this week- lots going on- wondering how to balance everything- and kept coming back to this comment- thinking 'everything will be just fine'. So thank you- for being here and for writing it. Means more than you'd think. Ridiculously, I've changed jobs 5 times since fellowship (16 years ago). This sounds like I have a personality problem- ha!- but really it was all logistics/ family stuff. I am now in my forever job- and hopefully never leaving. But what this moving has taught me- is every unit does things slightly differently- but lots of units have great outcomes (and great nurses and NNPs and docs and RTs and speech therapists etc etc). So I think it has made me quite flexible with what we should be doing- as long as we're all on the same page. Thank you again so much- I hope you're enjoying your role!!

[@marti3557]

Thank you for breaking this down so that the concepts are easy to understand. The videos shared by Bunnell were an incredible help.

[@TalaTalksNICU]

Thank you so much for watching and for recognizing the tremendous help we got from Bunnell! Really appreciate you being here :)

[@samanthahewitt9893]

Fantastic summation of the JET, will share this with all our nurses! The videos with the lung in the water bath was an excellent visual tool. Keep the great content flowing!

[@TalaTalksNICU]

Thank you so much Samantha- so lovely that Bunnell shared all their images and material with us- made it all so much for doable. Thanks for subscribing too :)

[@ElayneDownie]

Fantastic information! Listening in from Perth Western Australia… Scotland never had Jet ventilators so was a whole new concept for me when I first started using them. This video really helped me understand fully how to work with it. Thank you!

[@TalaTalksNICU]

Oh I’m so glad you found it helpful!!! It’s funny- we didn’t used them in fellowship and then I started my first job and we used them and I went through same thing! Feels quite overwhelming at first but they’re such a great machine!!!! Hope you enjoy your new role (how fun!)- thanks so much for taking the time to write to us :)

[@madanat1000]

can't wait for the up coming video

[@TalaTalksNICU]

THANK YOU! a couple of weeks :)

[@docvaruna]

Phenomenal transformation from examination of newborn to jet ventilation. Superb. I have not seen a jet ventilator. But I am confident to operate one after this video.

[@docvaruna]

We are having Shophie HFOVentilator. But rarely used that mode. Single machine delivers conventional or high frequency

[@TalaTalksNICU]

Oh wow- thank you- so happy that this gets anyone over the intimidation factor! Thanks for being here!

[@TalaTalksNICU]

It's fun to have different modes available - sometimes a baby just prefers one mode of another!!

[@Banksy830]

Watching from a NICU in Virginia 🥰 thank you!

[@TalaTalksNICU]

Love your screen name! Thanks so much for being here!!

[@RealTrueth]

Truely speaking you are changing word wide community. Please prepare renal problems ( especially nephrology first then you may add urology or you can do it gour way). Thanks for your life long retaining and practically helpful teaching. I feel confident and then read more fast after I learn any thing from you. I don't care wether my professors teach me good or not once I get clue from you the rest is just broading things right. Thank you sincerly!

[@TalaTalksNICU]

This was the best comment!!! Thank you so much for taking the time to write to us- such kind words too. We NEED to get to renal and urology issues- we'll plan on it soon. Thank you again!

[@docvaruna]

Excellent video clips. Given free of cost. Tala, you are also doing extraordinary service to nicu people.

[@TalaTalksNICU]

Oh thank you so much- and thank you for recognizing how much work this one was!!Lovely comments like this make it all worth it so thank you so much!

[@madanat1000]

Wonderful . Thank you for the time, and effort in doing this video .

[@TalaTalksNICU]

Thank YOU for recognizing how much time and effort it took- it was the end of me and Arianna! ha! Really appreciate you being here :)

[@hawasisay1942]

I am watching you Denton, TX

[@TalaTalksNICU]

Hi Neighbour! Thanks for watching!

[@taylorrenee9325]

This was awesome !! Deciding to use the oscillator over the jet clinically has been hard for me to distinguish as an NNP student but this video helps .. tuning in btw from metro Detroit!

[@TalaTalksNICU]

Hello!! So happy you're watching from Michigan (hadn't colored that in on our map yet!!). So glad that this was in any way helpful- we're trying really hard to make the videos we wish we had a few years ago so thank you so much for your lovely comment :)

[@user-ub6cy9kw7v]

Nice, informative video for neonatal HFJV

[@TalaTalksNICU]

So glad you found it so- thank you!

[@Marilynefc]

Always making wonderful videos! Thank you 😊

[@TalaTalksNICU]

Oh thank you so much- appreciate you being here so much!

[@macha3119]

The Jet was extremely intimidating to me. Servo Pressure🤔😡 I was very lucky to come across an article that covered the Jet in details way, way before I discovered the Bunnell website. It is actually easy to work with. I liked it and became very comfortable with it. Did iNO, Heliox, measured actual PIP once on the oscillator with the Jet

[@TalaTalksNICU]

Oh love it when it clicks like that! Good for you! Do you mind sharing article? Thanks!!!

[@macha3119]

@@TalaTalksNICU Will look for it. It was over 10 years ago. I know I still have it. Will post when I find it. That’s how I understood that the Jet, the Life Pulse, uses transitional flow which was eye opening for me

[@RPortugal06]

Amazing videos. But I’m curious about the role of the RT. I’ve worked at some places, community hospitals, where some NICU RT’s ran codes, intubated, set up and managed the vents. I know it’s not like that everywhere but as a clinician that was around some really good, veteran NiCU Rt’s, I was hoping if you can please go over on how to set it up and it’s application. Thank you

[@TalaTalksNICU]

Hello! agreed there are lots of really great RTs around! If everything depended on it I could probably set up a jet (unless some piece wasn’t exactly right!) but I am definitely nowhere near an expert in the set up. I’ll need to find an RT for that (and have a great one in mind). We are going through more applications in the next jet video- out in a couple of weeks :)

[@bayleemiddlebrook6339]

Have you ever heard of NICU using Aquadex? If so, I would love for you to do a video with a brief explanation of the process. 🥰

[@TalaTalksNICU]

Hello! Great question! Heard of aquadex but haven’t used any time of CRRT for some time and never that one. I will try to find an expert to chat about it and maybe PD etc too. Thanks for being here!!!

[@lanceconnerfoster3909]

Tallahassee Memorial Hospital. My hospital for life.😊

[@TalaTalksNICU]

Love that! It’s a great feeling when you know this is it! Btw my husband went to FSU so have a special place in heart for Tallahassee!

[@katielashyro1136]

Duluth MN nicu 🎉 thanks tala!

[@TalaTalksNICU]

Oh amazing! Thanks so much for being here :)

[@ismailabdat6122]

Thank you

[@TalaTalksNICU]

Thank you so much for being here!

[@abdulhikmat6599]

This was a great video because there was no senseless stupid loud music as you had in the video that you have explained x-rays x-ray reading. You do not need a Music and stupid music for the video to be rated good. We need you are wonderful knowledge not the stupid music. Please never make a video with that ugly music.

[@TalaTalksNICU]

I wish we had this advice a couple of years ago!!! you're right the music is totally distracting! We're just learning this all- trying to make it slightly better each time. Thanks for your constructive criticism!