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Tom PulmCritSleep
Registrace 5. 03. 2019
Doing my best to describe physiologic concepts in ways that are intuitive. Opinions are my own.
czcams.com/video/hJQ2KfpF2VU/video.html
czcams.com/video/hJQ2KfpF2VU/video.html
Orientation to Polysomnography
An introduction to polysomnography for healthcare practitioners in training.
zhlédnutí: 18 938
Video
ARDS and VILI (rushed for COVID-19)
zhlédnutí 2,9KPřed 4 lety
Pathophysiology of Acute Respiratory Distress Syndrome (ARDS) and Ventilator-Induced Lung Injury (VILI) and basic ventilator management of ARDS. Advanced modalities in the management of ARDS (e.g. proning, ECMO) are not covered here. Hopefully I can get to those at another time. Word around the campfire is that COVID-ARDS patients are very responsive to proning though! Some key references: The ...
Mechanical Ventilation - The Basics
zhlédnutí 4,2KPřed 4 lety
This video describes the interface of the mechanical ventilator, phase variables, and specific modes (Volume A/C, Pressure A/C, and Pressure Support).
Mechanics of Inspiration and Expiration
zhlédnutí 421Před 5 lety
An introductory video that focuses on how air physically enters and leaves the lungs for both normal breathing and with a mechanical ventilator.
Shock: Pathogenesis and Assessment
zhlédnutí 478Před 5 lety
This video lecture was designed to explain the pathophysiology of circulatory shock and its clinical classification with med students, interns, and residents in mind. Please leave any questions, comments, or feedback.
Thanks for info! CRT here going into polysomnography school soon-- I find sleep/ sleep medicine fascinating. Not tons of work in RT for sleep except DME unfortunately. The line between sleep & RT needs to be fine tuned. My RT school did not talk about Sleep medicine except maybe 1 hr tops-- Hopefully our professional board representatives and etc can get that figured out.
the hypoapnoea you show us does not present a desaturation of 3% but an arousal, that's why you classify it as hypoapnoea. But really it could also be considered a RERA, couldn't it? The thing is that the AASM 1A definition allows RERAs to be included as hypoapnoeas, right? But from a bibliographic source I read that not counting RERAs separately means underestimating the number of RERAs, is that true ? And how do you differentiate a RERA that would not be admitted as hypoapnoea under the AASM 1A definition? reference: www.ncbi.nlm.nih.gov/pmc/articles/PMC3459210/ it says "Of interest, if one uses a hypopnea definition based on desaturation or arousal there are relatively few RERA events" Sorry if this is a very strange question
This is a great overview thank you
That was very helpful Thank you <3
This was very well explained. I used it to understand my daughter's sleep study and I found it very easy to follow from a perspective of someone with little medical experience.
Just received my sleep test results 2 hours ago. Have to go in for another sleep study to figure out what CPAP option will be best. Not a Joe Rogan delivery but still very eye opening when your told you stop breathing on average 34 times an hr. Looking forward to having more energy
Underratted one sir ..... thank you
Great video! Hope you do more sleep study video. Like scoring.
Thank you so much!
I just had one done. Waste of time. Wired like a Christmas tree and expected to sleep. These studies use 80s technology. It sucks. Better off using a fitness tracker.😂 These docs look for reasons to prescribe cpap.
I suppose I would ask 2 questions: 1) What did you expect to get out of having a sleep study? 2) What did you actually get out of having a sleep study? Polysomnography is good at answering *some* sleep questions (e.g. does this patient have sleep apnea?), but not all sleep questions (e.g. why does this patient have insomnia?). It sounds like maybe PSG just wasn't the best way to answer the question you were asking? In general, fitness tracking devices have not been validated to answer most clinical sleep questions, though research into the use of "wearables" is ongoing. Continuous positive airway pressure (CPAP) therapy is helpful for some, and of unclear benefit in others. It is certainly not a panacea that can address every sleep complaint.
Find your self a dentist that does dental sleep. I'm the Dental Sleep coordinator for Sleep Well AZ in Phx , and we send you home with a ring that connects to an app on your phone. no wires, accurate results, and we prescribe oral sleep devices rather than CPAP right off the bat. CPAP is not an acceptable answer for everyone. Hope you have a better time getting the answers and help you are looking for.
@@realtorsontheroad Reasonable advice. I would only caution that sleep apnea is not the only disorder that can disturb sleep. While home testing devices are now pretty good at finding sleep apnea, they're not yet validated to detect other sources of sleep disturbance detectable on in-lab PSG.
@tompulmcritsleep8975 If fitness trackers had become validated, then that would probably have some adverse impact on the industry. Equipment needs to be updated. There is no reason for the cluster of wires in this day and age.
thank you so much. so helpful
Thank you so much well explained
This was fabulous
Thank you , can you suggest me any book/website or videos , where i can learn more about sleep studies ?
Hmmm, the American Academy of Sleep Medicine (AASM) is probably the most reliable source. Much of their content is behind a paywall, but they have a fair amount of free stuff, particularly on sleepeducation.org
Thank you this was very helpful
Thanks. Very helpful.
Thank you, very well explained!
What an excellent presentation it is.. Thanks a lot
Thank you. I am getting a study done and have no idea what to expect
perfect. very informative. Do you have any advanced lecture on mechanical ventilation? I like that.
Thank you! Yes, see here for mechanical ventilation: czcams.com/video/D5d4_sUbRew/video.html&lc=UgxFVCTjp3FN7lmJA2t4AaABAg&ab_channel=TomPulmCritSleep
sir very informative video one video neao mode
such a nice pictorial presentation.....thank you sir...
Thank you for conveying complex concepts with such ease; making them easy to understand.