High Frequency Ventilation// Neonatologist explains the BASICs
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- čas přidán 15. 07. 2024
- Finally understand High Frequency Ventilation! Learn the definition of High Frequency Ventilation, how it works, and why we use different frequencies for different sized bodies.
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Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
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Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
Slutsky and Drazen. N Engl J Med, Vol 347, No 9. August 29, 2002
Henderson et al. American Journal of Physiology. July, 1 1915. Vol. 38
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**TIMESTAMPS**
01:40 General information about high frequency ventilation
03:58 Definition of high frequency ventilation
05:35 Gas exchange in conventional ventilation
10:42 Gas exchange on oscillators
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
Super brilliant. 👌
Well done
Really appreciate your comments Dr. Monjid! Thank you again :)
No requests from me - I'll happily watch anything and everything you guys make 😄
What a lovely comment, Jo. Thank you so much for your continued support.
Love the violin and cello analogy...really made sense. Thanks Dr T.
Haha! So happy you noticed that :)
You're such a gem! I have really enjoyed every single one of your videos. I really enjoy it when you bring in some historical context (as the field has changed) and the physiology! Thank you so much! I'd love to watch a video on ECMO!
What a lovely comment Jane- thank you so much! I think it's the way our NICU brains work- the history is always so interesting, right?! We have been asked for a video on ECMO before- which we are planning at some point. (We currently don't run ECMO in our unit, although we've had plenty of experience with it in the past- but still will be more of an introductory type video). THANK YOU again!!
I cannot Thankyou enough for this video !
Thank YOU Devika for taking the time write us a comment! Stay tuned for the more clinically applicable lecture coming!
Thank you very much for this beautiful class
Thank you so much for watching and taking the time to comment :)
This is soo great! I struggle more with HFOV and JET than regular CMV so this was super helpful. I take boards in two weeks!
Thanks so much Vickie! This video doesn't help clinically too much though- but we were hoping it would lay some good groundwork! Good luck in your boards- and please let us know how they go! XX
Can't thank you enough. You promised you'd do this after jaundice and I was just waiting for that to be over..hehe. Thank you thank you thank you!! Am subscribed and have definitely liked this video
Yes! Thanks for your patience! Thank you so much for subscribing and for being so interactive! It keeps us going :)
Watch for the follow-up (more clinically applicable) HFOV next week!
Excellent explanation. Many thanks
Thank you so much Selsabil! This is actually my (Tala) favorite video too- so I really appreciate you watching and enjoying it. :)
Thank you so much. You are amazing 🤩
Hi Havva! We're so glad you're still watching :) Thank you so much- your comments always make us so happy :)
Thank yo much Dr.Tala , you are my hero. I am pretty much binge-watching your videos.
Can you please do a video about NEC and TPN?
Thank you, keep them coming.
Oh wow Bayan- what a lovely message! We really hope they are helping you at the bedside too :)
After we finish high frequency ventilation, we will be covering NEC. (I love talking about this topic- so our issue has been trying to condense the information into relevant youtube type chunks!)
Thanks again for your lovely words.
This is A M A Z I N G ❗️
Thank you so much Gelilawit - we really hope it helps clinically too. (Or rather part 2 may help more). Thanks so much for watching and commenting :)
Thank you very much for your explanation! You help me to be a good doctor🙏 i'm waiting for more videos because i understand better everything. Thanks a lot!
That makes us so happy Dr. Cojocaru! Thanks for taking the time to write a comment. We have many more fun videos planned!
thank you, your videos are the best and really helped me in the NICU :) please do more cardiac defect videos like TOF!
Hello Anastasia! Thanks so much- we're so happy we're helping you! We are planning a series on congenital heart disease at the start of the New Year. a ways away, but we want to make sure they're good videos :)
Wonderful, thanks!
Thanks so much for taking the time to comment!
Thank you very much. as expected very easy to understand explanation to a really hard concept.
Thank you so much Yocef. We're really happy it was easy to understand! That's what we are striving for!
Thank you so much.
Thank you so much for watching!
wow i actully understood the concept thank you :)
Oh yay!!! We love in any way contributing to those a-ha moments!! Thanks so much for letting us know!!!!
You are amazing❤thank you so much, so helpful
Definitely not amazing- but so glad you liked this video!!!
Brilliant dr Tala ,hopefully will have another detail lecture about how to setting a ventilator or cpap in sick baby
YES!!! We need to get back to our respiratory series!!!! Thanks for being here and for the reminder!
UU ARE GENIUS !
Ha! Def not a genius!! But love your comment and enthusiasm :) thanks for being here!!!
Awesome explanation 👍🏾
Oh so glad you think so! Thank you so much for taking the time to write :)
Dr. Tala!! Yes, this video and all your videos are so very important to me. I’ve had the worst experiences in nursing where I was treated like an ignorant, unwanted burden. I was never welcomed by NICU nurses nor did they ever truly have time to teach. These video will give me the confidence to try again. Bless you!!🥰
Oh Noel! that's awful! I think a lot of medicine is this dog-eat-dog world where people are like, "I was treated like that so this is what I should do."
And then the cycle continues.
I'm so sorry you had that experience. Just realize that being a good healthcare provider is a lot about caring and being willing to learn. So don't give up! If this is what you feel you should be doing- then by all means, try again!
Good luck!!
I feel the same in my current NICU, I'm doing a contract at a hospital and so far I've been treated better, I'm more comfortable asking questions cause I'm not made to feel stupid and they are willing to teach me. I'm taking a part time position there when my contract is over. I hope you find a place where can grow and thrive, that's what I'm looking for..good luck to you
Thank you, your videos are phenomenal. I have learned from every video I have watched thus far and look forward to seeing more. I have not come across any on nutrition just yet. I would love to learn more about the general process of inborn errors of metabolism such as galactosemia or PKU.
Wow! Thank you so much Dee! We're so happy you feel like you're learning from them. We are getting around to an inborn errors video (it will be very basic- and focus on the initial steps and general presentation rather than the actual enzymatic pathways- which let's face it- we all learn and then promptly forget). We are starting a fluids and nutrition series next- starting with a short video on useful fluid estimates tomorrow. Thank you again for being here!!!
@@TalaTalksNICU - That would be awesome. I know it has to be basic. Genetics 🧬 are a whole different kind of beast. Look forward to it! ☺️
Right! Completely different beast! Ha!
Hi Tala Team!
Love the videos, wondering if you could cover Nitric in a nugget?
Some other ideas: hemangiomas, amniotic bands, NAS (if it's still called that?), and neural tube defects. : ) Thank you for everything yall do!
Hello Reese! Thank you SO much for these suggestions! Love the idea of iNO- and probably amniotic bands- as a nugget too- we're always thinking about those. We'll add to the list and get around to all of these! Thanks so much for being here :)
Thank you!!
Thank you for watching!
Brilliant! Will be great if you could talk about Air trapping on different modes of ventilation.
That is a GREAT suggestion for a video- thank you so much for watching and for commenting :)
Love these videos! I haven’t seen a video on CLD (BPD) on your channel. Do you think you could do one on that topic? We see a fair amount of growing prems with CLD in my unit.
Hi! Yes! BPD is definitely on our short-list (it's kind of a dry topic, so I don't enjoy talking about it as much!). Unfortunately, the whole world is seeing more BPD because we're all so much better at keeping those tiny micro preemies alive. We hope to have the lecture out in the next two months, though. Thanks again for being here :)
Hi Tala, are you able to make a video on the jet vent? Thank you for considering! 😊
YES! We'll be putting that out after a series on CXRs! Thanks!
Can you do a video on PIE? I am currently caring for a 24 weeker who has PIE among other things. But would love a video on it. Thanks!
Yes Nurse Bridgett! That is a topic we hadn't considered yet- but would fall quite nicely within the high frequency ventilation series we're covering now. Thanks for an excellent suggestion. (And good luck with your baby- gentle ventilation, time and good nutrition will work wonders as we're sure you're already focusing on!). Thanks again for your support.
Well don
Thank you!
Please cover high flow jet ventilation! 🙏🏻❤
Yes!!! We’ll get there soon!! We promised it and haven’t gotten around to it!!! Sorry!!
Vent settings for CDH kids. NEC treatment and diagnosis please!
NEC is coming next, Trinh. Then we will eventually get to a video on CDH (and other causes of pulmonary HTN). We wish we could get these out quicker- but everything takes time! ha! Thanks for your support :)
Hallo Dr. Tala .Thank you for the video.Kindly attach the link to the NEJM.
www.nejm.org/doi/pdf/10.1056/NEJMp020082
Thanks for watching!
Please do inborn errors of metabolism !!
I'm so sorry-I remember you've asked for this already. We promise it's on the list and we'll get there soon!!! (Will be an introductory sort of lecture!)
please explain regarding inotropes drug dosages and calculations
YES! We'll be starting this soon after the new Year. Thank you so much for being here!
Can you do a video about ecmo?
Hello! Yes! We're getting around to this we promise!!
Can you do a video simply on the jet?
I mean- when you request something, I feel like we should get it out ASAP. We'll finish the sepsis series then get on it :)
Can you do a video for nitric oxide administration
I love it when this happens- but we made a whole video on iNO- if you go to the home page and look for it there- I think? If that isn't what you were looking for- let us know what specifically you'd like! Thanks for being here!
Thank you so much😊
Dr. Tala.... I am from India
I love you..... I am your fan....
My baby was 67 days old..... She stooling poop green in color.... I felt panic... Is this a problem....?
Please reply....
Hello Lavanya- sorry it has taken me a couple of days to reply. Congratulations on your baby. Obviously, I can't speak to the health of your baby generally, but green stool can be completely normal. With any concerns get her to a pediatrician.
@@TalaTalksNICU thank you so much mam for your reply ..... 😊😊
Everyone telling it's normal....
This is really basic and simple , but can you make a video about isolates ? As in when do babies start day and night cycles . Room air. Weaning . Every unit says so many different things . Example - one unit doesn’t introduce night and day until week 35 . Yet other unit , let babies go home at 35 and 4 pounds haha 😂
This is SUCH a great suggestion. Thank you!!! Really important information too! Thanks so much for being here and commenting at all :)
Up
I'm sorry! I'm old and don't understand!