Ventilator Pearls Explained Clearly
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- čas přidán 15. 06. 2015
- Dr. Seheult of www.medcram.com/?Y... illustrates several key concepts and potential pitfalls with mechanical ventilation. Includes important considerations for patients with sepsis, COPD, and metabolic acidosis.
Please review the series Mechanical Ventilation Explained Clearly for background information on vent settings if needed.
• Mechanical Ventilation...
This is video 5 of 6 on mechanical ventilation.
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.
![Mechanical Ventilation - Auto PEEP, Breath Stacking, Air Trapping [Explained Clearly]](/img/n.gif)
GIVE THIS MAN AN AWARD. THANK YOU SO MUCH
I do not know how to thank you for those lectures. I think I am ready for my ICU ROTATION this month .
Merci beaucoup!
Thank you very much Dr. Seheult. The ventilator lectures are amazing!! I am going to start my ICU rotations, and I feel confident after listening to your lectures.
I am an ITU nurse from Italy, thank you so much for these videos
Thank you for your series of lectures, you have helped me with my own lectures.
Thank you for all your lectures!!! Your presentation method creates an easy way to grasp ideas. Principles in the Critical Care Unit, details, rationales, all making a lot more sense learning from you!
Just watched all your ventilator videos. I understand more about ventilators now in an hour than I learned throughout medical school. Thanks!
+DiscoNesi Thank you for the comment- Great to hear the series was helpful!
wow you are amazing thank you so much I have been waiting for years for someone to break it down the way you have thank you so much
I'm preparing for my CCP & FP-C. This channel is awesome! The lectures are crystal clear.
Thank you very much for sharing. :) I absolutely love this video. I'm looking forward to listening to more of your videos.
Great education for many. Like me watching you every day and wishing I would have finished my nursing. But now I'm a mom who just loves to listen n learn.
So thank you so much
Stay safe
I got thru it with 3 kids under 8. It's doable. If you're voluntarily watching these videos - we need a nurse like you 👊
I’m a critical care specialist because of your help ty
You are an amazing teacher! Thank you so much for helping me understand this.
great lecture! easy to understand and so much clear!! thanks a lot!
Really easy to follow, you are a gifted teacher
These lectures have been a great review. Thanks!
+Mscoloraturakae Good to hear- thanks for the comment
Excellent lectures !!
Absolutely easy to understand concept. Thank you very much for the series.
Thank you for sharing preserve wisdom. This was very helpful. You made vent management manageable.
Thank-you Sir, for such informative video
Great vids, keep up the great work! :)
As all the other lectures this one helps in deeper understanding of the disease pathophysiology and therefore the management, based on the reversing of some of the mechanisms, makes sense. Comprehension of the material makes the learning process easier and allows to memorize more details. Every word here is a piece of gold, every scheme is an art for the brain. I really enjoy every lecture. Thank you.
Dmitry Levit Thank you for your great feedback
MEDCRAMvideos You deserve much more. I have never encounted before the most professional approach in teaching combined with a very deep knowledge. Thank you again for your dedication, enthusiasm and love to the subjects you cover in your invaluable lectures .
Thanks for great info. As for covid -19 I already had it after fly back from NYC, expect a cytokine storm, and wake up soaking for a couple time for a week
An awesome video explaining every details clearly
Excellent lectures!
Thank you!!! Great video as always!!
Great video!
I think I'm in love with you guys. You explain them in a way that actually makes me remember this crap!!!!
I'm gonna be sharing them with all my fellow interns.
BHGiant3 Thanks for the comment and for sharing with your interns!
Great video as always.
the best way I came across explaining ventilators along with important clinical cases ,thank you
+Eglal El Mahdy Glad the video was helpful- thanks for the feedback
Great addition to Parts 1 - 4 on Mechanical Ventilation. Ver helpful to the critical care transport Nurses and Paramedics desiring a better understanding. Have come to appreciate the ventilator is almost a murder weapon in the wrong hands. Thank you for time and dedication putting these out!
Dont forget about the transport respiratory therapist
your lecture is awesome and very informative especially the ventilator lectures
As usual excellent and concise! Thank You ........
Thank you for the quick and "dirty" review on vents
I'm a nurse. This was great. Keep the videos coming.
roofchees9 Good to hear- thanks for the feedback
thank you very much for your lectures
dude , you are awesome..
thank you ..
So informative and helpful. Thank you sir.
it helps me a lot..thank you for this wonderful video,clear and easy to undersatand👍👍👍
Limuel Osea Great to hear- thanks for the feedback
Thank you so much for the amazing lectures.....
God Bless you!!
Genius level!
Very good stuff I love it
Thanks. This was most helpful.
rumit99 Glad it was helpful- thanks for the comment
Thanks dr. Seheult for these amazing videos! I'm a medical intern from the Netherlands and your videos help me to review key concepts of medicine in a short amount of time. I was wondering if you could teach us about hemodialysis and CRRT/CVVH in a critical care setting? Also I was wondering if you could recommend some other free online sources to review that you find of good quality. Thanks again!
Valeska van Broekhoven Thank you for the comment- we'll add your topic suggestions to the slate for potential future lectures.
Great. Really appreciate your videos.
sskoul thanks for the feedback
Great videos. Can you add PRVC, SIMV etc
Best lecture
Informative videos Dr Seheult. Wondering if you can present us a video on Hematology?
vick4317 Thanks for the feedback/ topic suggestion. We'll consider hematology topics for future videos.
wow, you make pulmonology sound fun.
THANKS, IT IS WELL EXPLAINED.DR.FALAH AL-JUBOORY
Thank you
Thank you so much for the series. It's been of a great help!!!
In the second example with metabolic acidosis @09:46 , I thought the Vent would allow the patient to actually take 30 breaths/min instead of the preset 12/min i.e. the patient is not riding the vent? Am I right?
Mohamed Kandil yes the patient could breath 30 breaths per minute but may not be able to when on both sedatives and paralytics
Can u please do a lecture on how to manage a gbs patient on mechanical ventilation ;what mode to apply and all the thing. Thank you
What about liquid oxygen ventilator s used for pre mature babies and lung damage?
Maybe medicine could be added into liquid to better enter lung cells?
Sir in meta acidosis scenario rate 30 tv 400 what ventilator settings we must keep in this case???
Always excellent explanations. Could you possibly discuss vent settings eg AC vs APRV at some point? Thanks
+Diana Miller Thanks, did you see the rest of the MedCram ventilator videos?
Great lectures...I would love to see a BIPAP specific COPD with CRF lecture as we see a lot of these patients and typically have trouble reducing their CO2. Particularly as they often present with hypoxaeima and are on supplemental O2. What should the goal be here (which you have partially covered here) in regards to SpO2 and TcCO2; in was good to hear in this that we should not necessarily be aiming to drive CO2
Most likely increase their work of breathing initially due to having to get their bodys back to normal day to day functioning levels
thank you for such great videos, but you didn't tell us simv mode
Your lectures are always a pleasure to watch and very helpful! I do have a couple questions. At approximately 8:28, you arbitrarily picked a spontaneous tidal volume of 400 mls. How would you determine this clinically? At approximately 8:58, you multiplied respiratory rate times tidal volume to get alveolar ventilation. Did you mean to say minute ventilation? Because I didn't see where you subtracted anatomical dead space from tidal volume before multiplying by respiratory rate.
1fineRT I caught the same thing. Did you ever get a response?
Yes I meant minute ventilation! Thank you!
nice explanation
Thank you!
Thanks Dr for being frank about 'sedation' aka paralyzing.
Is intubation the modern version of bloodletting? I mean from survival rates you'd think it's meant to kill you. No case makes any sense except when your nervous system literally is paralized due to drug overdose shutting off your breathing.
I have seen an abg with a ph 6.9, co2 8, po2 80, bicarb 1.5 on room air. Crazy right?
Thats an error because the ph is acidic where as the co2 is alkalitic and so is the bicarb. In this case you have have to look at the base excess which is actually a better thing to look at than bicarb because bicarb is not the only buffer in our blood. If the base excess is acidic then this blood gas is not an error but if the base excess is alkalitic there was an error in the machine. Its physiologiclly impossible
👌
any study done on liquid ventilator using PFC for COViD 19 patients?
Perflurocarbon
When you said, and their pH drops to say...6.9, now that is... My mind instantly said, "no longer compatible with life!"
king
'You have a septic patient. You may need to intubate them'. Why exactly may you need to have to intubate a septic patient? Since when does septic shock result in loss of breathing ability? I mean if their heart stopped yes you stop breathing, but if you stabilize the heart, ventilation never has a cause for existence, right? Sounds about as moronic as putting someone with a pulmonary embolism on a ventilator 'because we need to oxigenate'. I'd really like to see the procedure book of hospitals when they 'deem' it appropriate to intubate someone.