What is Peak and Plateau Pressure in Mechanical Ventilation?

[@akinert1913]

This was such a clear, quick, and helpful explanation! Thank you!!

[@TheCriticalCarePractitioner]

I am glad you found it useful.

[@D1G1TALSYNAPS3]

@02:00 you said occluding at the end of expiration, I believe you meant to say inspiration. Maybe toss up a caption in the video for the audience. Great video.

[@howardh8746]

Agreed. Can you please make a note with a bubble to correct it??? Thanks for the video. Good stuff.

[@simplyyourtube]

No bubble, but it is corrected now with captions.

[@kencannon1897]

I have a hard and fast rule about not commenting on KZbin videos. A rule that I am violating in response to the awesomeness of that explanation. Thank You, kind sir. You're the man!

[@kencannon1897]

I sit for boards tomorrow, and am looking to shore up any areas of potential confusion. This was definitely one of the big ones. Thank you again.

[@TheCriticalCarePractitioner]

That's very kind Ken, thank you.

[@kencannon1897]

You got it, brother. What I love most about your presentation style is that you very adeptly take complex material, simplify it, and remain laser focused during your unpacking of it without venturing into the extraneous. Not at all easy to do. Well done, Sir. I'll let you know how it goes tomorrow.

[@kencannon1897]

I passed , brother. Now on to the clin-sims. Thank you for all of your help.

[@jjlatinopedia]

That balloon example cleared up A LOT of initial questions. Thanks.

[@TheCriticalCarePractitioner]

My pleasure. Glad it helped.

[@drrajivjohn6542]

Exactly. Cleared all doubts after balloon example. Thank You Sir

[@hafizasidra1682]

Finally after wasting so much time i landed at the right place.... Thankyou for such an easy explanation ❤

[@samanthagonah8243]

The balloon analogy was great. Totally understood

[@123shainz]

Elegant , brief and yet comprehensible !

[@TheCriticalCarePractitioner]

Thank you- glad it was helpful

[@CaseyRoff]

Exactly what I needed to hear mate! Thanks for the video

[@asankasanjeewa9790]

Very simple and meaningful

[@carolinebaldwin3234]

This was a very helpful video! Concise but answered all of my questions. Thank you!

[@TheCriticalCarePractitioner]

My pleasure.

[@aungthurashwe3775]

TQ,sir . Clear explanation,save tons of books & time for me

[@joannaghobrial9497]

SO HELPFUL!!! Was struggling with this for weeks

[@TheCriticalCarePractitioner]

Glad it helped!

[@kerollosshaker3109]

Thank you, sir! Such a fantastic explanation for a confusing topic!

[@charlesasiedu8830]

Just had a lesson on acid base balance and it was really useful

[@ghiix2758]

Thanks so much i have a presentation about airway pressure and this was a quick, amazing, clear explanation of PIP and Pplat !!!! Keep going

[@TheCriticalCarePractitioner]

Glad it was helpful!

[@scottchiu1997]

Clear and easy understanding video, big thanks to you

[@TheCriticalCarePractitioner]

My pleasure

[@checkm8852]

Thanks. This was more helpful than reading a book with fancy words and 10 pages of dialogue explaining it.

[@major2heroes]

Very instructive video. @3:17 you explained that a difference greater than 5mmHg between Ppeak and Pplat is defined as an elevated Ppeak. Any reason why mmHg as a measurement and not cmH20 as most ventilator use this measurement? Many thanks

[@jonwhite8815]

Solid explanation. So is elevated peak pressure defined solely by its relation to plateau pressure? In other words, if elevated peak pressure is defined as >5 over plateau pressure, does this mean that if plateau pressure were to be increased (and peak pressure stayed the same), the peak pressure would no longer be considered elevated even though only the plateau pressure changed? And what about the definition of high/low plateau pressure. Is it also defined only by its relation to peak pressure?

[@ghiix2758]

If i get your question right, If the Plateau pressure increase with no change in the Peak pressure means that there is problem with the complaince”decreased” leads to increase the elestic pressure And if the Peak pressure changed or increase, it could be problem with the elastic or resestive or both, so in order to know we see the plateau pressure, if increased, means that there is problem with both(elastic+resistive pressures). On the other hand, if plateau do not changed, means that problem is from resistive pressure only. Edit: the peak pressure related to (Elastic pressure and Resistive pressure), the Plateau pressure related more to (Elastic pressure). So the Plateau pressure help us to know where is the problem more accurately of Peak pressure increased. Hope this helps.

[@ayeshaahmad2578]

This was great, Doctor ❤❤❤

[@patriotsplaya7]

Wow, so helpful. Thank you!

[@af4817]

This was BEYOND HELPFUL. Thank you!!!

[@TheCriticalCarePractitioner]

My pleasure. Glad it helped.

[@yassrrmalki4649]

Really very clear and you make it easy thank you so much 👍

[@TheCriticalCarePractitioner]

You’re welcome 😊

[@mrnerd73]

Thank you sir !! Clear and crisp❤️

[@TheCriticalCarePractitioner]

Most welcome!

[@mahshidsarrami5718]

Thank you so very much. I had such a hard time to find this info on Google. Could you please make some videos about the difference in ARDS and pulmonary HTN. I also am having problem with how to answer bored questions in regard to adjusting the vent in ARDS or pH. Much thanks.

[@rabiaakbar3754]

What a brilliant explanation

[@TheCriticalCarePractitioner]

Thank you- glad it made sense!

[@habumugishagerard-y2k]

Thank you

[@shreyasdas5984]

Thankyou sir

[@HZH121]

very clear explanation , thanks.

[@prolayranjandas2100]

It was a very nice expansion. But sir ur would have been much better if u could give some more ideas about the ranges of the peak as well as the plateau pressure..

[@hasbar81]

precise and simple

[@wetretto603]

very good

[@gabrielleju6845]

Subscribed. Thank you for the brief and very clear explanation. Like your accent btw :D

[@TheCriticalCarePractitioner]

No problem. Glad you like the accent!

[@pallavsingh5863]

Thanks

[@LaithAzzam-j9d]

So good!

[@mazharsoufi5270]

thank you sooooooooooooooooooooooooooooooooooooooooooooo much excellent and very helpful for residents

[@TheCriticalCarePractitioner]

Thank you. More mechanical ventilation videos coming

[@irfannaeem9214]

Thank you Sir. Respect for you..

[@tomcruise9317]

what is a normal platue pressure for us without ventilation what dose it tell ...is it intra alveolar pressure at inspiratory pause or trans pulmonary which is intraalveolar minus intraplural pressure

[@sneha2127]

this was soooo helpful. THANK YOU

[@fatir24]

Thank You Sir!

[@F91RPG]

Your are amazing! Thank you!

[@TheCriticalCarePractitioner]

Thank you too

[@IrfanShaikh-qf4wz]

Thank u a lot really lot confusion cleared regarding ventilator

[@bishopgorge3578]

Thanks a lot, sir

[@alimir1994]

Thanks for breaking it down. Extremely helpful.

[@tyeah4real]

This was really great!

[@TheCriticalCarePractitioner]

Thank you. More to come soon

[@leslieanne226]

i need this so much more dumbed down ugh :(

[@apurvagarwal1249]

Thank you!

[@markpecas102]

Gracias Jonathan

[@TheCriticalCarePractitioner]

Marco Pereira my pleasure. Was it useful?

[@markpecas102]

Jonathan really useful and clear. I am a critical care nurse in Chile. I graduated from the University of Concepcion in 1987

[@TheCriticalCarePractitioner]

That's good to know. Hoping to produce a whole series over time. Nice to 'meet' you Marco

[@markpecas102]

Nice to meet you too. See you later

[@rafiquechana7896]

Sir is there any normal ranges of peak and plateau pressure from we can measure that the pressure is high or low ?

[@nasseralbasier2465]

So Helpful,,, THANKS ALOT🌹

[@Jennifer-pb9nd]

Very helpful - thanks!!!

[@saroopkkallen2494]

Thank you sir

[@TheCriticalCarePractitioner]

Welcome

[@giovannamantica3332]

great video! thanks a lot!!

[@sumeenahmed9959]

GOD YOU MADE IT SO SIMPLE!!

[@TheCriticalCarePractitioner]

Glad you think so!

[@BMFITNESS2024]

Thank u sooooooo much sir.....

[@TheCriticalCarePractitioner]

Most welcome

[@sameeraariyarathna6820]

Excellent

[@TheCriticalCarePractitioner]

Thank You

[@sarapastrosa1957]

FINALLY I UNDERSTAND!!! THANK YOU SO MUCH .... WILL CHECK ALL THE VIDEOS SOON!!

[@TheCriticalCarePractitioner]

That's great. Glad it was helpful

[@ruemubarak1702]

Thaaank you alot ❤️❤️❤️❤️❤️

[@alpro8542]

1:59 Just wanted to clarify if he really means "end of EXPIRATION" and not INSPIRATION.

[@alabbad91]

Thank u deer

[@kalashankar6209]

My father's p plat was 50 and then doctors decided to put him on ECMO. Was that a correct decision?

[@TheCriticalCarePractitioner]

Hard to say with so little info but those pressures are very high

[@kalashankar6209]

@@TheCriticalCarePractitioner pO2 75.7 mm Hg pCO2 75.5 mm Hg and oxygen saturation was 90 at 60% support on ventilator. P plat was 50. Then doctors suggested ECMO and I said ok. Was that a right decision sir?

[@ivangrishin8547]

super!

[@TheCriticalCarePractitioner]

Thank you! Cheers!

[@dggarcia89]

I LIKE THIS

[@karaleedesilets7736]

The info was great although uncomfortable to listen to as kind of echoing throughout the entire vlog

[@TheCriticalCarePractitioner]

Thanks for the feedback. i have now changed how I make them so the echo is no longer a problem

[@amiirashamia4117]

Thanx finally i understand 😊😊

[@TheCriticalCarePractitioner]

Glad it was useful

[@christiangalles3115]

T H A N K UUUU

[@TheCriticalCarePractitioner]

My pleasure

[@adnanhajjar1856]

u world -_-

[@crushedusmlequestions7543]

thank you

[@TheCriticalCarePractitioner]

My pleasure. Hope it was useful.

[@saagar1105]

Excellent

[@TheCriticalCarePractitioner]

Thank you.

[@haneentoba8108]

thank you!

[@TheCriticalCarePractitioner]

My pleasure. Hope it helped.