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@Respiratoryguy
United States
Registrace 11. 01. 2020
Respiratory Therapy Focused Content
Pulse Oximetry, tips and tricks for care providers
Don't take this technology for granted! Tools to better understand and use Pulse Oximetry!
zhlédnutí: 25
Video
Intrapulmonary Percussive Ventilation. IPV
zhlédnutí 5KPřed 4 lety
Intrapulmonary Percussive Ventilation. IPV
Currently under EMT training and these kinds of tutorials help tremendously. Awesome work!
Outstanding, best of luck with your training!!
Thanks a lot! I am still student and I have to do a paper about this.
Best of luck with your paper!!
Excellent presentation and information! I never knew there was a pediatric pulse ox! I will look for it and get it stocked. Thank you!! 😊
Hello, how would you continue the therapy if the patient needs to go on a transport?
Hello, that's a great question. Most ambulances and helicopters have a reasonable amount of O2 on board. A full E tank could be used to move to the ambulance, and then connect to the gas system on board. Use a mini heart neb, it can run on less than 10 liters right from the tank to transport to the ambulance. Be sure to calculate the tank duration to ensure enough O2 for the time required for the transport outside, and to the receiving hospital (Ambulance tank). Once inside the ambulance, connect to a larger continuous neb like the Hope nebulizer for longer transports. Always check the tank pressure yourself! Helicopters are faster and decrease the time to the receiving hospital, but they are expensive. Hope that helps!!
@@Respiratoryguy Hey! Thanks for the reply. Just to clarify, you cannot use the HOPE to transport then? Adapt it in a way to operate off of a E tank? I know you could connect the Thorpe tube flowmeter to the tank but that seems cumbersome. MiniHEART is the way to go then?
@@logancarothers4526 Hello, mini Hearts are great, they can connect to the regulator on an e tank with connecting tubing, the neb is near the patient with a mask. They hold a smaller about of medicine. A hope or heart neb can be used in the ambulance because they have regular flow meter connections and room. Many e tanks just have a Christmas tree connector (EZOX). Hope that helps
@@Respiratoryguy Ideally my staff was not switching back and forth from the HOPE and the MiniHEART. Were thinking of having the HOPE in the ED and continuing in the ICU if/when needed. Later to transfer over to the Aerogen via High Flow. Thanks for the help, I think we figured out a work around for the E WOB tanks we have and the gurney.
Excellent presentation!! Learned a lot about SVN's. Hope you will produce more instructional videos please! Your presentation makes sense! Thank you. 😊
Thank you very much
Thank you
Great video, thank you!
You're Welcome!!
You’re awesome! Post videos that you think are lacking in the online RT space.
Thank You!!
Aren’t you losing medication thru the other end of the breathing tube?
Yes, however only 10-30% of the aerosol is needed to provide a good treatment and improve symptoms. Good Question!!
I can't open mine, either, to clean
I just started using my nebulizer today for COPD flares. There is no mist coming out. It that normal.
No, something may be wrong with the Nebulizer. Call your medical dealer for another one. I think you can buy them on Amazon. I hope you get feeling better soon.
Thank youuuuuu
great great thank youuuuuu❤️❤️❤️❤️❤️❤️
Ty😊
Thank you😊
Thank you so much 😊 It was really informative 😊
4:22
Can you use an oxygen concentrator
Yes, however you would need a flow rate of at least 4-5 LPM to provide enough expiratory resistance.
DO NOT use cool mist for a trach patient!!! IT IS NOT PROPPER HUMIDIFICATION!!!! It's full of bacteria. It's constricting to the airways. Trach patients DESERVE WARM high flow humidity. I think Cool mist needs to go OUTOF USE COMPLETELY!!!! It is FULL OF BACTERIA!!!!! It's a breeding ground for that bacteria! Why do you think they stopped using those archaic croup tents? It's simple! They were a BREEDING GROUND FOR BACTERIA!!!! For those poor home care patients on a cool mist based trach collar, those things are LOUD!!!! They are controlled by a gauge, they're not digital. They heat up the room. They are a real mess. If you have a trach patient, GIVE THEM SOMETHING THEY"RE GOING TO BE COMFORTABLE WITH! Warm humidification!
It's impossible to open
Is this treatment give with the cuff deflated all the time or inflated on a trach patient or intubated one?
The cuff is partially deflated...
In most cases, the cuff is deflated.
Thank you for sharing this! I learned a lot!!
How do you feel about hydrogen peroxide nebulizer treatment?
Not much. Don't do it!!!
When are you gonna post more its been 2 years ?
Hope you are doing well!!
@@Respiratoryguy ill be coming back soon
Thanks, very informative video 👍
You are welcome!!
Hey Chris was wondering..sometimes pt on inhalation have loose lips but tighten their lips on exhalation. Is there therapeutics in keeping lips tight on inhalation.
Hi Kathy, the benefits are on exhalation. Exhaling against the "Back pressure" helps expand the lungs. It also increases Functional Residue Capacity (FRC). I hope that helps.
With this device, its all about expiratory resistance. Inspiration give the patient the volume needed to produce a sufficient expiratory breath. Good Question!!
How can I open this device?
Thank you very much! This video was very helpful for me and will allow me to help demonstrate to my peers.
GREAT INFO
The IPV machine, and This machine are ideal for AirwayClearance. Especially for a patient who's on a ventilator. They have a device called the Volara, which is an At Home MetaNeb. I couldn't get IPV at home, and tried to get this machine too. That didn't happen either. I'm a tracheostomy, and ventilator dependent.
These things are really nice, and help a lot of patients from what I have heard. Ideally, for a patient who requires one of those, you should perform IPV prior to the cough assist, and then use the cough assist. I don't do well tolerating the cough assist. I have one, but It's been placed out of service due to intolerance. I have a trach, and am ventilator dependent!
IPV is a GREAT modality for airway clearance. The intubated patient really really bennifits from this! It's such a shame that whilst Percussionair has AT HOME versions but they're impossible to get for patients who are on medicare. Not everybody is going to tolerate the vest or the cough assist. I use a vest. I also have a cough assist. Both the vest and the cough assist are hard on me, I have trouble tolerating them both, but being that IPV is just not happenin, It's all I have. I was taking Muccomyst, but that was recently stopped due to intolerance. I'm unable to get Pulmozyme because only Cystic Fibrosis patients can get that.
I believe that for an ICU patient, you should not be using the vest for HFCWO! HFCWO should not be used for the intubated patient. Now for the trach patient who's on the vent long term, HFCWO os PERFECT! I have a trach, and am vent dependent, and I use the vest, because getting IPV at home is impossible with Medicare. But for an intubated patient, you should be using IPV, AND instead of the vest, you should be letting the ICU critical care bed Perform the Vibration. Beds like the Stryker inTouch bed, and the Hill-Rom TotalCare bed perform these functions using the air bladders in the air mattress. I think they do much MUCh better than the vest!
Peter, I have a Bronchiectasis and am trying to find a phone number of someone who can answer a couple of questions for me. Like, for instance...do I need prescription from my doctor to get a Vest, and will Medicare cover any part of the expense. Please help me if you can. Thank you, Max
Great informative video. Thanks Mr Houston 👍