Mechanical Ventilation Explained - Ventilator Settings & Modes (Respiratory Failure)

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  • Published on Dec 5, 2014
  • Professor Roger Seheult, MD gives a clear illustration of how mechanical ventilation works. Get CME for this video series: www.medcram.com/courses/mecha...
    Learn or review the different modes of ventilation and ventilator settings (based on volume, pressure, rate, flow, O2, CPAP) and other vent basics. This is video 1 of 5 on mechanical ventilation.
    Also, this video has been updated (and sped up) here: thexvid.com/video/i6hmGVBbIJk/video.html
    Speaker: Professor Roger Seheult, MD
    Clinical and Exam Preparation Instructor
    Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
    MedCram: Medical topics explained clearly including: Asthma, respiratory failure, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded.
    Subscribe: thexvid.com/user/subscription_...
    Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations.
    More from MedCram:
    Complete Video library: thexvid.com/user/medcram
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    Produced by Kyle Allred PA-C
    Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your health care provider.

Comments • 500

  • MedCram - Medical Lectures Explained CLEARLY

    Thanks for watching. Get CME for this video series,
    AND see Dr. Seheult's updated vent videos at our website:
    www.medcram.com/courses/mechanical-ventilation-explained-clearly

    • nazik alamin
      nazik alamin 2 years ago +2

      MedCram - Medical Lectures
      Explained CLEARLY

  • GREENPOWERSCIENCE
    GREENPOWERSCIENCE 2 years ago +8

    Good info to learn… Thank you….

  • mrfrizzle0782
    mrfrizzle0782 7 years ago +203

    I have used your lectures to help prepare myself for Nurse Anesthesia school interviews, and to obtain a better grasp of certain subjects. I have been accepted into the 2015 class and I want to take this time to thank you for all the great instruction you have given me through your lectures.

    • Bellefeu
      Bellefeu 2 years ago +2

      How did it go?

    • rdseheult
      rdseheult 5 years ago +1

      That's awesome! Never stop. So great to be part of your education!

    • Manny Hernandez
      Manny Hernandez 5 years ago +4

      CANAYAMD VC and PC are two different modes. They do have variations which add assist control for example ACVC+, ACPC, VOL/AF(seen on my anesthesia machine). But strict VC or PC have set values that do not assist a spontaneous breath. There is no pressure support setting on strict VC or PC. However you can assist with modes like SIMV, ACVC+, and of course pressure support. ACVC+ is essentially pressure regulated volume control, so you can deliver a set tidal volume with variable inspiratory pressure to account for changes in lung compliance thus hopefully minimizing your peak inspiratory pressures..hope I answered your question:)

    • CANAYAMD
      CANAYAMD 5 years ago +1

      mrfrizzle0782 I thought volume control and pressure control are modes of assist control. You are equating assist control to volume control. Know what I mean?

  • Iris Hernandez
    Iris Hernandez Year ago +6

    Great video, perfect for ICU nurses like me who still struggle with understanding vents. Very easy to understand!

  • Daryl Reece
    Daryl Reece 2 years ago +14

    I’m a mechanical engineer and I love your videos. They are very interesting and informative. Thanks!

  • Chelsea Berry
    Chelsea Berry 5 years ago +36

    Thank you for the videos, they are so helpful in understanding ventilators! It would be great to see a video on SIMV, and VC + (PRVC) in the future!

  • fiona52691
    fiona52691 2 years ago +6

    Dr, Segeult thank you for all your videos. I am a nurse educator currently working with covid19 patients. You are an unbelievable presenter and educator.

  • TVP Health
    TVP Health Year ago +2

    Thank you for sharing this educational resource! The creation of low-cost ventilators is incredibly crucial, now more than ever. Understanding how a ventilator works and why it is needed is a necessary step towards solving the global ventilator shortage.

  • Irene Traum
    Irene Traum 3 years ago +41

    I am leaving a huge "Thank you" here, I am working currently in Germany and this series of videos really help me to understand those differents modes of a ventilator! Congratulations for your nicely done and excellent work!

  • nurserobinson17
    nurserobinson17 3 years ago +41

    this was great! I'm a nurse new to critical care and vents have been confusing the hell out of me, this is making it more clear, thank you!

  • Jamie Barclay
    Jamie Barclay 2 years ago +2

    These are just brilliant. Excellent teacher, great level of detail. Thanks!

  • heikelphoto
    heikelphoto 3 years ago +3

    I really enjoy your videos, Roger. Thanks for sharing and making so many things easier to understand!

  • A Bar
    A Bar Year ago +5

    This was great. I wish I had this available back in the day. Thank you for your time. I started out as an Oxygen orderly back in 1973 after I was discharged from The Marine Corps in New York City. Wheeling H tanks on a dolly with an adjustable wrench to the patients bedside and changing them out when they reached 500 PSI. No piped in Oxygen back then and only open patient Wards. with 10 to 15 patients in a room separated by a draw curtain.Part of my arsenal was a No smoking sign. It was not uncommon. to see patients smoking while lying in their beds as well as a doctor examining a patient with a cigarette dangling from the sides of his mouth. Oh how we long for the good old days LOL. I eventually became a certified inhalation therapy tech. Via The AARC later it became the NBRC or vice Versa. I stopped practicing in 1999 when I came to Massachusetts only to discover Massachusetts was a commonwealth and reciprocity of my licenses were never granted. I like to believe, I was a respiratory therapist and have been around since the Infancy of our profession. That makes me the original OG of respiratory therapy. Back in the days. We ran to codes with a Bird Mark 5 or mark 8 pressure ventilators
    ( the little green Box ) attached to an E-cylinder of Oxygen. The ideal settings on the Bird were 15, 15, 15. It was actually a great little machine to run to codes with. Easy to maneuver through patients wards and great during transports. Back then the big fear with the Bird was the infrequent incidence of Barotrauma as well as all the negatives associated with Positive pressure ventilators. However, if you knew what you were doing, You were golden.
    later in my career I became a clinical instructor and that became part of my introduction to my students. I would introduce myself and begin with these words
    ( Keep in mind. I am a United States Marine ) I would begin, If you are here to press buttons and turn Knobs. This is not a class for you. I can teach a Monkey to do that.
    However, if you want to know what happens mechanically and physiologically after you have pressed that button and turned that knob. Please have a seat.
    ( By the way, my students had the highest passing rate on certs and registry ) Back to the past.
    Back then, we had Engstrom and Emerson Volume ventilators with a heating plate at the bottom and a steel pot similar to a pressure cooker that sat on atop of the heating plate. The tubing ( AKA Manifold) contained steel wool lining the inside of the tubing to increase and help maintain the humidity of a dry gas. It had a huge mechanical spirometer. It sat on top with a large needle that move per cycle of respiration .
    One day, the workhorse came onto the scene. We all gathered around and received an Inservice on the latest and the greatest. The Puritan Bennet MA-1. followed by the 7200, the bear respirator, Etc. I could go on forever, so I will end here with these two memories. When PEEP was in its Infancy. Hell, it felt like we invented it. We would take a large bottle filled with water, placed alongside the respirator on the floor. We would submerge the tubings of the manifold into the bottle below the water level we would adjust the amount of PEEP by adding more water to the bottle or elevating or decreasing the height of the submerged tubing into the water. This is how PEEP. started out. ( Positive End Expiratory Pressure. prolongs exhalation. Thereby allowing the Alveoli to remain open longer and allowing for a prolonged period of Diffusion along the Alveolar Capillary membrane ) Somethings you never forget LOL
    If you took the time to read this. Thank you for allowing me to share with you a trip down memory lane. Trust me there is a lot more to share as my career span was well over 35 years working in diverse clinical settings and adult critical care. To include having the honor of being part of Mount Sinai's School of medicine and working as a pulmonary research technician alongside Dr. Irving Sellikoff ( asbestosis and Sarcoidosis studies) Dr.Alvin Tierstien and Dr. L.K Brown. Traveling the country back in the 80's as part of a research team to predominately gay communities and seeing well over 100 patients a day and performing PFT's and Perfusion studies when patients at that time were expiring in NYC and the diagnosis at that time was " Fever Of Unknown Origin " ( AIDS) Going into the Tunnels of the NYC Subway system with a team to locate and perform sputum inductions on the homeless. At that time, we had a strain of drug resistant TB.
    Then I moved to Mass and my carrier came to an abrupt halt because of Bureaucracy. "Sie La Vie" . I am a U.S. Marine. We are trained to adapt and overcome.
    I fell back on the trades. In the Marine Corps, I was formally trained as a Lineman and electrician as well as an Avionics tech.( Aircraft electrician ) At Marine Corps engineer school. Courthouse Bay N.C.
    My mechanical aptitude I believe was why I was able to teach my students and reach them in a mechanical way. I would equate the human body in its purist form. A machine and in a mechanical way. The neuron pathways are no more than a glorified electrical conductor ( wire ) picture the wiring in your home. It has copper and the insulation that surrounds the copper coil is made of a rubber non conductive material.
    A neuron for all intents and purposes is a wire and it's insulation it is the Myelin sheath. The heart, a four chamber pump. Positive and negative pressure outputs with valves that open and close and seal etc.
    I miss my career, I miss my patients, I miss being able to have that feeling after all is said and done. Watching that patient and his family go home together.
    However, I was able to vicariously share with you a very small part of the evolution of Respiratory Therapy from a first hand eye witness.
    This is the OG of Respiratory therapy saying Thank you again and Semper Fi.

  • Teresa Williams
    Teresa Williams 4 years ago +6

    Thank you so much for this lecture. It raised my Competency in Mechanical Ventilation by 40%. In home health it's very important I not only know how but can explain the rationale

  • Brogan Hogan
    Brogan Hogan 4 months ago +1

    Amazing how impactful this is in the wake of Covid19 and seeing comments from practitioners years ago to present. Thank you, Dr !!

  • Amy Aksu
    Amy Aksu 2 years ago +4

    Thank you! I'm an ER nurse turned ICU nurse literally overnight. I know nothing about mechanical ventilation and tomorrow I get to work on the machines for the first time so this is a great series!! I couldn't find something like this in German (I work in Germany as well) but hearing it explained so clearly in my mother tongue helps me feel less nervous.

  • Nitin Chowdhary
    Nitin Chowdhary 2 years ago +1

    The concepts are explained so beautifully and in such simple terms! It takes a genius to explain such complex things to a layman so Medcram guys - you are geniuses! Else any medical technician/doctor can pepper the entire talk with jargon and screw up one's interest in learning the concepts.

  • Deena Foote
    Deena Foote 7 years ago +34

    I work in a home care setting and my client is on a ventilator (non-dependent). This series was very helpful to understanding the vent dynamics. Thank you!

  • Nicholas Whs08
    Nicholas Whs08 3 years ago +6

    This helped a lot. I took CCP in the summer and that was the hardest class I've ever taken so far. I still struggled to understand the basics of the vent and so far your video has helped cleared some cob webs lol.

  • 02ismyfriend
    02ismyfriend 4 years ago +7

    Great info. I'm gonna have to use you form of explaining (which is fantastic) when during MICU rounds for my medical students and new interns rotating through our service.

  • Akvilė
    Akvilė 2 years ago +20

    Thank you so much! Learned a lot, especially as a student, who is thinking to go to the anesthesiology residency and, at the same time, working in ICU, I understand much more with your help!

  • Eugene Nyarko
    Eugene Nyarko 2 years ago

    Clear and simple introduction to mechanical ventilator dynamics. Well done.

  • O t
    O t 2 years ago

    Nice and simple; thank you so much for making a difference in our practice and hence, the lives of many grateful patients!

  • Jim
    Jim 6 years ago +1

    Strong work guys! Love you lectures. Trying to get through them all!

  • Free Anaesthetic Tutorials

    Hi Medcram, I have throughly enjoyed listening to your videos on ventilation. I have an interest in producing educational videos and just wondered if you might be able to tell me which software you use to produce your handwritten videos? Any tips or further information you might be able to share about your creative process would be very gratefully received. Many thanks, FreeAnaestheticTutorials

  • Jessica Tamayo
    Jessica Tamayo 5 years ago +5

    Thank you for sharing your knowlegde in such a simple and concret matter, please continue to add on value on healthcare education. Keep it up !🤗👏👏👏

  • Nargiz Nargiz
    Nargiz Nargiz 2 years ago

    as always your lectures makes the subjects easy to understand and of course to remember.

  • John Kahts
    John Kahts 2 years ago

    I am a total layman re ventilators. Your calm and well paced explanation is down to earth and I am sure anyone in the field will understand this. Keep up the good work,

  • Patel Yasin
    Patel Yasin 3 years ago

    Very simple & nicely explained. Thank you.

  • Erjan Bayatli
    Erjan Bayatli 2 years ago +1

    I’m not in the medical field at all. Your videos are extremely well explained where an engineer can clearly understand the lesson that you are teaching.

  • Gary Johnson
    Gary Johnson 2 years ago

    I learned quite a bit. I was always curious what sealed the tube in your throat. The problem is getting oxygen in, and drawing CO2 out. I'm still curious about tilting the body, the way before iron lung.

  • Lil Crafty Nook
    Lil Crafty Nook 3 years ago

    This is really good!! Thank you!! Great teach for ventilator nurses!

  • JACOB TAYLOR
    JACOB TAYLOR 3 years ago +11

    i was a patient on this treatment, i would just like to thank all doctors and nurses, and cleaners, they all do a fantastic job, god bless you all.

  • Hosam Eldin Bebars
    Hosam Eldin Bebars 7 years ago +5

    very informative, i am starting my IM residency and these lectures made a great difference to my knowledge , thanks

  • Douglas Miles
    Douglas Miles 7 years ago

    First, thank you so much for sharing your knowledge and making it understandable to the novice. Although I can't put most of your instruction to practical use in my own job, I appreciate the insight it gives me into the challenges you face in the hospital setting. Quick question, am I missing something or did you not touch on SIMV mode? I watched all 5 parts and if you covered it, I must have zoned out. When you described AC, it sounded like SIMV with the patient triggering the breaths as opposed to CMV breaths being vent-triggered. I realize the videos are finalized, but could you explain (as you do so eloquently) the mechanical difference between SIMV and AC mode? Thank you!

    • Irate Wasp
      Irate Wasp 7 years ago +2

      AC mode will deliver a consistent volume when the patient triggers a spontaneous breath, hence the "Control" in Assist Control. SIMV will still give the patient a set number of controlled breaths, but the patient triggered breaths (spontaneous) will be as big or small as the patient makes them (not controlled). AC = vent controlled spontaneous breaths while SIMV = patient controlled spontaneous breaths.

  • MiniMedLessons
    MiniMedLessons 2 years ago +1

    Great video! I LOVE MedCram content! I've been making similar videos, inspired by you guys. Keep up the great work, MedCram!

  • Amanda Travis
    Amanda Travis 5 years ago +1

    Your a great teacher, thank you so much for the video's, I really appreciate them. :)

  • Granita Birg
    Granita Birg 2 years ago

    Thanks for the lecture. very detailed explained.💖

  • limeykl
    limeykl 4 years ago +1

    Great presentation! Simple explanation of a serious situation

  • Mingma Sherpa
    Mingma Sherpa 5 years ago +2

    Your videos are always helping me a lot to understand every kind of topic....thank you very much....

  • Paracutie
    Paracutie 6 years ago +1

    Thank you for the easy-down to basics demo!

  • Peter Abbate
    Peter Abbate Year ago +6

    I’m a respiratory therapy student so I’m definitely looking forward to this

  • URC St James's Newcastle hymns

    love the no nonsense terminology - as someone once said - the more you know about a subject the simpler you can make it sound

    • Cynthia Eugene
      Cynthia Eugene 2 years ago

      Sooooo accurate!!!

    • shimanku maheshwari
      shimanku maheshwari 2 years ago +2

      Golden words-The more you know about the subject, the simpler you can make it sound.

  • B B
    B B 2 years ago +2

    Thank you for these excellent and informative videos.

  • Dora O.A
    Dora O.A 3 years ago +1

    Great teaching. Very simple to understand. Thank you.

  • you2tooyou2too
    you2tooyou2too 2 years ago +1

    AC might be called Pt Initiated. Compliance is the inverse, or complement, of inflation Resistance(ie due to fibrosis, obesity, or fluid collection). The various alarms(vol, rate, pressure, pCO2-out, pO2-out, etc.) should always be set, & tailored for near normal respiration, in case the patient's respiratory performance changes for the worse.

  • SHADIAH NIAZ
    SHADIAH NIAZ Year ago +1

    wonderful.Simple and easy to understand.God Bless

  • Marisa Pinto
    Marisa Pinto 3 years ago +11

    Thank you very much for all of these videos doctor Roger Scheuld.I am an anesthesiologist and I am working in the Amazon Region (Roraima)..I am very thankful .

  • ANA CABO SANCHEZ
    ANA CABO SANCHEZ 3 years ago +6

    This was so helpful! I am taking my Anesthesiology final in a couple weeks :) Thanks again

  • Dr. K.P. Raman
    Dr. K.P. Raman 7 years ago +34

    Excellent especially for students and doctors from non English speaking countries. The usual video tutorials given by native English speakers is with heavy accent and difficult to comprehend and causes lots of stress trying to make out what the speaker is trying to say. But your accent is so clear, slow, English is so simple and you have done fantastic service to students from third world countries. Even a layman can understand your lectures. If the patient care improves because of your lectures,(I am sure that it will) the credit actually goes t o you.

    • Edwig Carol
      Edwig Carol Year ago

      Of course laypeople might understand. The child blowing up a balloon, how much pressure does it need to get it big, depending of the material the balloon is made of. No equation necessary.. in fact..

  • GrizzleyBruin
    GrizzleyBruin 7 years ago +1

    You guys are awesome! Very informative!

  • Kerry Knafo
    Kerry Knafo Year ago

    I have been watching your videos since the start of Covid, and now my mother has been placed on a ventilator for her COPD. She was diagnosed 10years ago when she started hallucinating and got very sick, she was not releasing carbon dioxide, from then she slept with a bipap, she recently got bronchitis and ended up on a ventilator, when they take her off her blood gasses show too much CO2. Now they want to put it in through her throat. Would she be able to come off the ventilator permanently in the future? From what I have read it seems like she won't survive this for long? I'm stuck in another country because of Covid and I am beside myself with worry. Do you know of patients that have recovered after going through this? Please help me, she is my whole world 🥺

  • Akhilan's lectures
    Akhilan's lectures 5 years ago +4

    As good and as simple as it gets!!

  • Ashleigh Nuñez
    Ashleigh Nuñez 2 years ago +1

    I’m a travel nurse, preparing to go to a hospital COVID unit. Definitely appreciate the info in these videos because it explains the ventilator system better than anything I’ve learned so far. Thank you! I feel more prepared now.

  • David Walker
    David Walker 2 years ago +11

    Excellent - just learning about ventilators as we are working on a new lower cost design for hospital / home use for patients just needing a little assist - physicist Dave

    • Ron Argamino
      Ron Argamino 2 years ago +1

      Im in wt you frm winnipeg

    • Kaan Kalem
      Kaan Kalem 2 years ago +2

      Are you planning to do it amateurly and how many people are there working with you ? I am also interested.

  • kasahun Benti Merga
    kasahun Benti Merga 5 years ago +4

    Thank you!
    you CLEARLY explained it, indeed!

  • Mahesh Jhunjhunwala
    Mahesh Jhunjhunwala 10 months ago

    Explained in a very simple comprehensible way to any beginner

  • Elisabeth Schindler Guetg

    Very well explainend, much appreciated!

  • javy888
    javy888 6 years ago

    Excellent presentation! Quick question: which program did you use to make the this lecture?

  • Johnson Swamy
    Johnson Swamy 7 years ago

    Awesome buddy...liked the simple methodology of teaching ..didn't cram it up like the docs do it while explaining the paramedics..thanx again...concept is crystal clear

  • Ahmad Shokry
    Ahmad Shokry 6 years ago

    Thank you very much for this wonderful illustration of such a complicated topic

  • John Edwards
    John Edwards 2 years ago +1

    I was told by a Doctor and many ICU nurses that putting a patient on a ventilator was fraught with many dangers especially for the elderly patient. Not that the equipment would fail to sustain homeostasis, but while ventilated it provides many a patient with a path way for a pseudomonas infection which usually requires both a gram positive antimicrobial and a gram negative antimicrobial, e.g. Imipenem and Amikacin given together in the right amounts. However, if they survive that; I was told the biggest hurdle was successfully getting them off the ventilator to sustain breathing on their own once off of the machine. I can recall where a family had to make the decision whether or not to ventilate their elderly Grandmother. Their Doctor who was also my Mother's Doctor was recommending that they don't do it and take their chances for the survival of their Grandmother without its use. However, they chose to ventilate her. At first after she got off the ventilator she appeared to be in good health and it looked as though she was going to make it. But without any warnings she took a sudden turn for the worse had very labored breathing and died. This happened about 36 hours after she had been taken off the ventilator. The family was stunned and was in shock. However, their Doctor reminded them he warned them not to ventilate her due to what he predicted could have a high percentage of occuring.
    So my question is why is the mortality rate so high for the elderly; subsequent to being removed from a ventilator?

    • Amy Kay
      Amy Kay 2 years ago

      Pulmonary flashback

  • Ann Carter
    Ann Carter 6 years ago +2

    Thanks! Clear and concise.

  • Nathalia
    Nathalia 4 years ago +2

    Nice video. Thank you for the good explanation!

  • Verna Reeder
    Verna Reeder Year ago

    Tell me you made it through covid.I have followed you for awhile now and I have found comfort in your courage and faith.God bless and keep you.

  • Tulsi's Surfboard
    Tulsi's Surfboard 2 years ago +1

    High quality instruction :)

  • annette fordyce
    annette fordyce 2 years ago +32

    I am an RN who may be called back to the hospital to care for patients...awesome to be able refresh on this while waiting for the call... it has been a lot of years since ICU for me. Thank you

    • OGUN
      OGUN 2 years ago +1

      @CyclePat
      No cpap would not work or be sufficient for ventilation because CPAP deals mostly with oxygenation issues not ventilation. Covid-19 pt usually develop ARDS so it would be hard to use cpap. The pressure from the CPAP machine is not the same as a pressure from the ventilators.
      An advanced BIPAP with backup rate, APRV or SIMV-volume regulated -pressure control on the ventilator would be better options. You cannot have oxygenation without ventilation.

    • Bernardo Fitzpatrick
      Bernardo Fitzpatrick 2 years ago +1

      @CyclePat good question

    • Jeremiah2911HOPE
      Jeremiah2911HOPE 2 years ago +3

      In Australia, we don't have a lot of respiratory therapists. Critical Care trained nurses are very capable in looking after ventilated patients :)

    • CyclePat
      CyclePat 2 years ago

      Just asking... would a CPAP Machine be sufficient ventilation (possibly) duirng this outbreak/pandemic?

  • dayananda v.k.
    dayananda v.k. Year ago +1

    Awesome explanation.Thanks a lot.

  • Mr Nullius Testikleez Eeasteez

    And sometimes there are even knobs on the non-patient-side of the machine :-) Very useful vid (as always)

  • Linda Ellis
    Linda Ellis 6 years ago +3

    Where have you been all of my nursing life! I work in a pediatric vent facility with amazing RT's who try their best to explain settings/modes/ functions to me, but since I have them, I never found it necessary to 'know it all'. Now that I care for a baby at home on mechanical ventilation, although my education/experience has taught me everything that I need to know care for him, I just want to 'know it all' !! You explained mechanical ventilation in such a way that, now, my RT's smile in amazement when we converse ;-) thank you so much!

  • Ethenios
    Ethenios 2 years ago

    Nice review! Just what I needed after not having written vent orders for 20 years. It's all still in my brain just a bit rusty. God forbid my ICU skills need to be used again. Makes me nervous just thinking about it, not the virus!

  • Min Hui
    Min Hui 3 years ago

    thank you for your detailed explanation!

  • Hanan Alshubbar
    Hanan Alshubbar 4 years ago +4

    That was really helpful, Thank you so much!

  • MathAKAdimi
    MathAKAdimi 3 years ago +1

    thanks a lot for these clear explanations

  • Matthew Kele
    Matthew Kele 6 years ago +13

    even after you helped me through PA school, I still watch videos like this as I practice.

  • Mustafa alzobaidy
    Mustafa alzobaidy 3 years ago +1

    thank you, very useful and easy to understand video, I came here looking for a video to explain to me CPAP PPV PEEP PIP and i hope i find it in the next parts or in other videos on this channel

  • Robert Berthiaume
    Robert Berthiaume 2 years ago +1

    Great explanation dr. Thanks

  • TOPV49
    TOPV49 4 years ago

    Great stuff, I am an ICU RN and am always learning new concepts, procedures and perspectives...still, the face pace to the ICU leaves me little time to quietly ponder and dissect all the information, and that's were these short videos really help me grasp the concepts fully. Bottom line, many thanks!

    • Apidra Iceboy
      Apidra Iceboy 4 years ago

      Hello there. I have question. If a patient with a mechanical ventilator crashes, do you switch to hand oxygen (ambubaging) or just let the respiratory therapist do some adjustments with the MV?

  • Stephane GAMIZELO
    Stephane GAMIZELO 2 years ago +1

    Very helpful as I am currently rotating in ICU.Thanks

  • Washim akram
    Washim akram 4 years ago +1

    doc..ur understanding of the science and the way u made me understand it.. is marvellous..bow down to u sir...

  • Grace Lorenzo
    Grace Lorenzo 5 months ago

    Great information well explained.

  • Gunn Cessna
    Gunn Cessna 2 years ago +1

    excellent presentation Doctor.

  • Rousdi Andraos
    Rousdi Andraos 2 years ago

    What do these machines give to the pacients? Pure air, pure oxigen, or a mixture of both? If the last, in what proportions?

  • Muhannad Bahrami
    Muhannad Bahrami 5 years ago

    thank you, it was very clever and simple

  • Le_Futuriste
    Le_Futuriste 2 years ago

    this is really well explained

  • Dang Cao
    Dang Cao Year ago

    Thank you for sharing your knowledge!

  • you2tooyou2too
    you2tooyou2too 2 years ago

    AC might be called Pt Initiated. Compliance is the inverse, or complement, of inflation Resistance(ie due to fibrosis, obesity, or fluid collection). The various alarms(vol, rate, pressure, pCO2-out, pO2-out, etc.) should always be set, & tailored for near normal respiration, in case the patient's respiratory performance changes for the worse.

  • Geo Indian
    Geo Indian 2 years ago +2

    I am here becoz of covid 19. Thank you doctor , immensely for the valuable video.

  • Macht
    Macht 2 years ago

    From what I understand.. Ventilators themselves are quite easy to build, it's the operation of said ventilator that is complicated, there has been mechanical hand powered ventilators since the early 1900s. An engineering student made a 3d printable open source ventilator that can be easily mass produced. The issue is creating code and a device that can figure out a patient's correct natural breath cadence and then being able to tell the ventilator to match it and maintain it.. and then of course a monitor to display said data.. What I don't get is why they aren't mass producing hand powered ventilators like that 3d printable one.. that way at minimum instead of someone going on ZERO ventilators and dying, they can at least hand pump them or use some servos and basic coding to make it pump in and out at the average pace.
    . I could make one of those in my garage in 24 hours.

  • Glaiza Neuhaus
    Glaiza Neuhaus 7 years ago +3

    very helpful, thank you!

  • Rod Hoover
    Rod Hoover 10 months ago

    Another outstanding period of instruction.

  • Abdurahman Andijani
    Abdurahman Andijani 3 years ago +1

    Your way of explaining difficult things with simple words is really gorgeous .. I love it ..

  • Ghada Tawfiq
    Ghada Tawfiq 6 years ago +6

    thank you, your videos are really helpful

  • Melo Yellow
    Melo Yellow 6 years ago +2

    Best video on TheXvid !!! Very informative

  • Steve Cole
    Steve Cole 5 years ago +1

    Excellent series!

  • Fin Tech
    Fin Tech 2 years ago

    Hi doctor, my country Indonesia has shortage of hospital beds for COVID-19 like anywhere in the world. Do you think I should stock up oxygen tank for home treatment? At least that is the best thing one can do? Do you have materials on how to operate oxygen tank at home?

  • H REVYAGA
    H REVYAGA 2 years ago +16

    Surely a CPAP home machine can be used in certain instances when a hospital-grade ventilator is not needed. Nasa engineers can design a a dapter for a CPAP to endotracheal tube ETT. They did save the Appolo 13 astronauts with a makeshift filter put together from duct tape and a few other materials in the lunar module in the early seventies.

    • Charles Kirby
      Charles Kirby 2 years ago

      Home CPAP machines create only pressure, no tidal volumes. In order to "ventilate" someone you need tidal volume as pressure only helps oxygenation.

    • Jennifer Calvo
      Jennifer Calvo 2 years ago +1

      CPAP machine doesn't have ventilator settings on it. Someone on a home CPAP machine is able to breathe on their own. An intubated patient may or may not initiate breaths themselves.

    • No Under 50%
      No Under 50% 2 years ago +5

      Dyson have designed their own ventilator for the UK and they are being made.

  • Andy Bai
    Andy Bai 6 years ago +1

    Love this lecture. Very clear and it really corrects my wrong perception about ventilation mode. Keep it up!

    • Aleksa Sona
      Aleksa Sona 6 years ago +1

      +Andy Bai
      There are a few factors in sleep apnea treatment. One place I discovered which succeeds in merging these is the Stans Slumber Method (google it if you're interested) without a doubt the most useful resource that I've seen.Check out all the amazing info .

    • MedCram - Medical Lectures Explained CLEARLY
      MedCram - Medical Lectures Explained CLEARLY  6 years ago

      +Andy Bai Thanks for the feedback!

  • Pankaj Goyal
    Pankaj Goyal 7 years ago +2

    Thank you! It's very helpful.

  • Kateryna Manu
    Kateryna Manu 2 years ago +1

    Thank you! This is so helpful!