Mechanical Ventilation Explained Clearly by MedCram.com | 4 of 5
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- čas přidán 10. 12. 2014
- Dr. Roger Seheult of www.medcram.com/?Y...
illustrates ventilator settings related to various clinical scenarios in video 4 of 5 on mechanical ventilation. Examples include managing COPD (chronic obstructive pulmonary disease) and ARDS (acute respiratory distress syndrome).
Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
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.
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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 educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.
Dr. Roger Seheult, explanations are even better than kaplan/uworld lectures. I finished my boards and now am reviewing concepts for residency with you.
AMAZING!!!!
I'm a Critical Care Nurse this is a Godsend. Thanks
I am a surgeon practising since 16 yrs in a tertiary care set up. For once I have started understanding Mechanical ventilation. Previous attempts to understand it was too confusing. Awesome way of explaining. Fantastic Dr Seheult. I will recommend it for my post graduate students
+Saji Varghese great news to hear! Thank you!
Im a non-practicing RT for almost a decade as i am a sleep technologist for awhile and i find this very helpful with my upcoming RT board. Thanks for this great video lecture.
Currently studying for my CCRN exam (CVICU nurse) and this series was SO helpful! Wish I would've watched these a year ago when I started in the ICU. Thank you so much!!
Great to hear that it was helpful!
very useful videos. I am a surgery resident in India.this is the best vent lecture I 've come across
+Zeeshan Ahmed Thank you for the feedback- hope things go well with your residency
NO, this isn't 'a good basic introduction' but an excellent set of lectures that will help anyone with a good idea of the pathophysiology of diseases needing assisted ventilation as part of their treatment. Recently started my rotations in the ICU of a German hospital, and found that I was not as spontaneous and flexible with mechanical ventilation as I would have wanted. These 5 videos have totally cleared the air. Now I can't wait to get to work tomorrow... Woooohooo!! Thank you, your videos are world class!
Thank you for the great feedback and best wishes with your ICU rotation!
Excellent series on mechanical ventilation. I just watched them all. I have been a respiratory therapist for many years, but I still felt some basics were missing. Also, I am about to take my registry exam and needed to brush up on some things. Before making any requests, I will look at other videos you have already posted. Thanks so much.
I'm studying for the CRNA recert exam, came across these, and have found them pretty helpful. Some presenters seem to be "into" making this material very complicated, your presentation approach/style makes it sound just all pretty logical and straightforward. The presentations are in nice little chunks of time, and, being a visual learner, I like your use of color. The diagrams start out very basic, and more layers are added, so the interconnectedness of it all is easier to appreciate.
seasoned nurse who is looking going back to ICU, great, easy to follow and brush up knowledge. TY
Great update for someone out of the ICU for 15 years.
Dear Dr Seheult, I'm training on line as covid19 leads to expansion of the role of the neurologist...this is marvelously clear, Thank you
As a neurologist, will you be expected to manage ventilators in COVID patients?
@@shelleyinthecityYes there are not enough intensivists in the US for the expected case load from COVID-19. We will have more ventilators than trained personnel to use them, and proposals to stretch the number of trained personnel include the use of non ICU-privileged physicians in the management of ventilated patients. This doesn't mean that we should panic, as these are board certified physicians that can be brought up to speed quickly for this purpose.
Same here.... I’m a ENT
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
Absolutely amazing! So easy to follow most of it and you explain it so well and then tie it together. Thank you!
Great series. Very good job. Watching this 2-3x will get you pretty comfortable with understanding a vent.
Excellent tutorial. Very calm encouraging voice that makes learning even easier. Thank you.
Thank-you so much for these videos! As an ER nurse, I have become dependent on my Respiratory Therapists to deal with our intubated pt's. When I would ask them about what and why they were making changes, my eyes would glaze over & I could almost feel the drool pooling. Your videos have given me a much cleared understanding. Again I thank you!
Good to hear! Thank you for the comment
U R THE MASTER OF VENTILATION TEACHING SIR.....GREAT JOB
Charan thej reddy thank you for the comment
Before I review for my state boards, I wanted to go back and review basic info. I found your channel and its been very helpful. Thanks!
very easy to understand. I learned more from these videos than from my professors. Thanks.
It makes my heart and intellectual being happy every time I find one of your lectures that helps me understand what we are learning in class!! THANK YOU! you have no idea the impact you have had on my education! Thank you for taking the time and sharing your precious knowledge with the rest of us!
+Lily Simle Thanks so much for the feedback. Glad to hear the videos help augment your education
Thank you so much for posting these videos, they are super helpful and you explain them so well. I'm a nursing student, and have been struggling with some of these concepts, such as ventilators. Now I have a much better understanding!! Please post more if possible! Would love to see a lecture on ECG interpretation and arrhythmias :)
Thanks you for this ! I can’t say how many times I have walked into a COPD exacerbation pt’s room and seen generic vent settings
Amazing videos , you are really good in this job and saving lives with it , thank you and thank you very much
+Javier castillo guerra Good to hear- thank you for the feedback!
Thank you so much for these videos. Starting my ICU rotation tomorrow. These videos are gold in rotation prep!
These classes are great! Loving the playlist :)
As a nurse recently returning to the beside in the ICU/CCU your ventilation videos really clarified things for me! Thank you so much :)
Courtney Eledge Glad the vent videos have been helpful- thank you for the comment
thank you....this video and all your other videos on mech. vent. are super helpful for an RN like me who is new in ICU. They are so easy to understand...
Now I'm ready for the ICU!
+Danly Omil . You show them Danly!
What an amazing lecture. I can't thank you enough. I needed this quick review . Loved every minute of the series.
WOW!! Wonderful Teaching! Thank You! I'm now a lot more comfortable with the idea of taking on a F/T vent patient.
Thank you. I've recently acquired a SCU job in a small hospital and shamefully I have always counted on respiratory people to take care of all the problems. Now, I'm responsible. Although I am clearly not an expert, I do feel a little better with your education.
You make these difficult concepts so easy to understand!! Thank you!!
This was such a great help!!! Thank you!
Great videos, great lecture and great explanation!! I finally understand PEEP and it's not even that complicated. Thank you so much!!!
you are amazing Doctor... THIS HELPING ALOT !❤
That was an amazing lecture! Thank you and congrats! Please keep posting such incredible videos!
Excellent lecture. Your delivery is concise and spot on. Many many thanks
What an excellent teacher u are. Thanks, now I have some basic understanding on the ventilator
Thank you very much for this AMAZING videos! They are really helpful! Keep on creating this lectures!!! Best whishes from Germany!
I’m so thankful I found this video and your channel 🙏
One of the best explanation of Auto-Peep. By the way do you have a brother who is a hospitalist? I think I work with him briefly before.
I will introduce your lecture series on vent to my PGY 1-2 or maybe even 3. I found it is very helpful and well done. Thank you.
Great video series! Just a question is setting the I:E ratio the same as changing the flow rate? If I change the ratio to 1:4 instead of 1:3 wouldn't that automatically increase the flow rate or inspiratory rate?
i just started CCT nursing...and scared to hell to transport vent pts. THANK YOU for your excellent teaching and allowing me to become a little more comfortable and confident with the vent.
You are so good, thorough and knowledgeable it is unbelievable
GREAT educational video. Great lecture!!! 5 stars
Wow! Very helpful videos! Thanks!
Thank you for the clear explanations and making things easier to understand.
Thanks Dr. Roger Seheult!! any recommendation about what to read for a residency level starting with basics?
thanq soo much!this has made my understanding about ventilators sensible and easy
Great delivery to complex information 👍
Thanks! This is an awesome refresher!
Thanks very much,very informative,easy to understand, explained well, I liked it and I will see it again. .
Thank you, this series is so helpful.
Excellent....I am a Electronics Engineer...I understood most of the basic.
Great
Quality instruction here, great :)
You are indeed in a league of your own. Thank you
Hi Doc, I'm a C2 quad of 38 years, I've been very active and have invented many new products and breathing circuits for active people on vents. I would like to is us collaborating on advanced users for your/my audience. No/Ex vent circuits, stacking breaths, actual lung capacity, GPB, Neck breathing, Bronchospasm spasm, controlling Bronchospasm spams, etc. I appreciate what you've one, but professionals could learn so much more! Ty
Thanks for the review, wonderful
wonderful explanation of common case scenarios
Give this guy a medal
So much helpful,,thank you> please dont stop making videos
Great explanation of an important medical topic!
Amazing job in this videos. Thanks for making these easy to understand for us. Keep up the good work.
Great to hear! Thank you for watching.
this video us excellent
i am now in pulmonary rorations and those vent in RICU just confuse me. with this lecture, it is much easier to learn more with some textbooks
Great vídeo! it's really easy to understand! thak you very much!
I had this one patient in severe ARDS, nothing seemed to help, so the Intensivist decided to use the ARPV (Airway Pressure Release Ventilation) mode, it uses the same concept of a high peep, low tidal volume and reversal of inspiration/expiration ratio for better oxygenation. Patient had ARDS secondary to pancreatitis and was in a Rotoprone bed
Superb explanations! Thanx!
Meaningful physics, relatable to anatomy and physiology, thankyou!
Ayy...thanks for the great explanations! I feel more confident for my ICU rotation ;)
I have never understood this so clearly. Thank you.
Thanks for the feedback
I’ve understand now the I:E concept on COPD, can you please discuss about inverse I:E used in ARDS, please?
excellent teaching...
Thank you for this vedios ... really you are the best. i hope you deliver more series. thx again
Hi you have explained it very well, it's very helpful.... could you please explain the AC mode in depth. I have seen Ramp, Rate, insp time, sigh by, sigh rate, high RR, pip R tot bpm om the ventilator... please I need your help ASAP
very easy to understand please keep doing these videos
Very helpful videos and explanation, thanx a lot.keep making lectures pls
It's been very useful.
Thanks a lot...
Thank for the videos! God bless.. ☺
Hello Dr. Seheult! Great lecture indeed! Very clearly and easily explained. Thank you a lot. But one thing I want to point out is, @13:24, I believe in the subtitle, it should be 'which is going to decrease cardiac output'.
I have enjoyed the lecture, its nice keep it up
Thank u soooooo much , really helpful
Great review for many of us as we prep to possibly augment ICU services during this excelerating pandemic.
thank you ..it was of great help
A million times thank you! You have helped me understand a million times faster then anybody could have done in my ICU studies.
excellent explanation, made ventilators easy
+shameem habib good to hear- thank you for the comment
thank you
Exceptional!
iam a peditric icu resident and i owe you a lot.....thanks
Very informative thanks
THANK YOU🙏🙏🙏🙏
amazing explanation...........thanks
Thanks!
thank you so much for these lessons!!! question , when you say marginal blood pressure, you mean low?
thank you very very much
great videos,shorten's that curve
Excellent sir.. thanq
Fantastic video, I'm an engineer who is interested in what a ventilator is, situation of use , etc. Thank you
really good jop excellent all video are very usefuul
I really enjoy your videos and find them very useful. I have one quick question for clarification. When you mention that increasing the PEEP in a "CHF" patient might be a good thing for the reasons you listed are you referring to left-sided heart failure patient specifically? The reasons you listed seem to fit a patient with left-sided heart failure and not right-sided. Would increasing the PEEP effect left and right sided heart failure differently? I would just like to get a little deeper understanding so I can more firmly grasp the point you were making regarding PEEP and CHF.
+Chris Rogers Yes - Left sided heart failure especially!