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Solid work

Awesome. I am grateful for this. thanks for posting this video.

I am a lead respiratory therapist and when we get new employees, APRV is always an intimidating mode of ventilation. Now, with your beautiful video, it no longer has to be, and I absolutely love the dropping and stretching to wean the patients just brilliant.

Excellent explanation and demo

Fantastic lecturer with clinical relevance and high yield info. Also props to the great questions by the students, I had some of the same ones

Today my patient reached the maximum setting on ACPC mode which is (45P- 18peep-40RR-100fio2) and I decided to try the last card..APRV, pray for my patient my god help me

The failure criteria doesn’t make sense because anyone that’s restrained and has a breathing tube down. Their throat is going to freak out the agitated and their heart rate is going to shoot up.

Thank you

❤

Thank you so much! I really love your RUclips channel. There is one thing I want to add, though. I believe that at 22:17, the patient is experiencing pure AG metabolic acidosis(AGMA). If you calculate the delta ratio, it is less than 2, which indicates that it belongs to pure AGMA. The delta ratio is calculated as follows: delta ratio = (31-12) / (24-10) = 19 / 14 = 1.37 If AGMA is due to ketones, then a value of 1.2 above indicates the presence of AGMA and metabolic alkalosis. However, in this case, the lab glucose was 94. For AGMA due to other reasons to be present with metabolic alkalosis, the delta ratio would have to be above 2.

You are a fantastic professor. Thank you for these videos!

Really great discussion, can you discuss pressors and inotropes please

guys there is defiantly racist thinking out there I'm not sure if its racist and or extremist but the drugs they have to give people cancer, pituitary tumors (antipsychotics), using wards for it to conduct these acts of terrorism (you need psychdrugs to edit dna), guys there is cook books to take eyes out, livers, etc..if someone finds one health problem about you, knows your job, or your race, or know what drugs you have they have TOR to run an i2p tunnel to drug coma people, run cartels, buy guns, you can watch hospital tapes (psychwards because theyre corrupt), pay to kill someone, traffic people, get drugs (silk road reference), anything you want just have a good vpn proton vpn and or murad is good its untraceable. They are going after jocks they have chemist now that can stop hearts, make a shot to make someone shit liquid like they have aids, probably give someone hiv aids with cas crispR. It is 100% serious and a problem, everyone should use TOR. See why psychwards, psychnurses, greedy lawyers, greedy cops, are the reason mass shootings exist. Idk if its racist thinking or what but athletes, artist and rap artist rap about it (probably better off having a rapper than a nurse), and tech people they come after for kill money on TOR. We should all use it to get what we want these rich people think they can commit someone just because they have money. Terrorism is casual now

Thank you for this!

Thanks, you are aweasome.

Well explained ❤ I would like to know little more explanation about PIP based on Pi if possible .

Thank U

Hey , please continue Go on & on with your video series . It made my concepts clear

Why the P low has to be at 0 and why can't we keep it at 5. Wouldn't that lead to more recruitment of the alveoli??

Died last week because he caring for his patients who had covid? Seriously blaming it on your patients? Damn

Hello Mam Please do you have any Teaching Courses???

Wow, amazing job

Psi?? Isn’t it 50 bar?

This is amazing and easy to understand. Please please do you have more teaching real life Videos I am a new ICU Nurse Please I need real life Scenario teachings

I LOVE your ICU videos! I WANT MORE!! You know, this is the way I look at it. When you put a patient on CPAP/PS, and you set the PEEP at 5, and the PS at something such as 5-8, you're essentially using the ventilator as a glorified high flow device. You have the tube resistance compensated with the PS, and you have the FiO2 you want, AND you have the humidification. It's a glorified high flow humidification device, because you can monitor your volumes, and your rate, as well as the ETCO2, and of course your pressures. If they're in distress, and they're breathing at a rate of 40, with a VT of 190, You'll see it, and You will know, "Better not extubate that patient. He'll end up intubated again!"

Wow. This helped so much! Appreciation from south Africa!

Very good and understandable even for me as a German. Thank you very much! Will you publish any more videos?

Exactly what I needed

So my question is a patient suppose to be awake during intubation. I remember my grandma in icu begging me to help her.. for 5-6 days..and I can never get that image out of my head and being a nursing student I’ve realized she was suppose to be sedated..? This was before the pandemic .. in 2016. So there wasn’t a shortage of medication. The icu dr also told me he didn’t understand why the the ER Dr had ordered her intubation.. 😮 She also asked the Er doctor to please not intubate her because of her heart.. and they held her down and did it anyway.. then didn’t sedate .. ? Stuck her in a room in the icu where family had to watch her jumping off the bed.. awake begging us to help her ..

Good

Respiratory therapists usually take care of bagging, preparing ETT, laryngoscopes, ventilator, airway in general

Thx so much

My deepest Condolences for the lose of your father in Law, may his soul Rest In Peace

I just had my ICU rotation, this is a great video shared. Can I have a quick qn which is why we set FiO2 max out at 100%, dont you worry about diffuse alveoli injury? If FiO2 set to 100%, what duration is ideal? Many thanks.

Thank you very much for sharing this amazing info for us Gratings.

Awesome tutorial!

how to determine the fio2 percentage from patient to patient?... what are the considered factors ?

thank you very much for this amazing work, little suggestion, please ask your student to speak louder or give him a mic too...

I wish I could hug you. Your lectures are amazing. The way you explaining things are making easy to absorb information

whats the survival rate for fentanyl and itubation, why would you give a drug they have to withdraw from that suppresses breathing. Sounds like silence and not a treatment. vit c d zinc and I cant say others due to censorship, work better results. None of this is treatment, its keeping em quiet, yet media dont attack this method, $$$$$$$ why media tells my doctor hes wrong, yet he keeps ending up the right one 9mnth later.

thank you for the teaching. i am new in icu, in my training i always try to learn these meds comprehensively but no one can give me a teaching like this in this hospital. i am trying everyday to collect information and make summary. and your lecture makes it so clear just in 15min. i am very appreciate that.

Thank you!

I had septic shock. I survived. 7 bags of fluid, vancomycin, blood pressure of 70/40. Was in ICU and given vasopressor. My kidneys were failing, my liver was failing, I made it through because an astute nurse diagnosed it as septic shock. Docs were looking at heart issue. She saved my life. A doc came in when I was alone and asked me to sign a DNR. My faith said no. My kidneys and liver are perfect now. I fought back with the help of a very special nurse. I have to Guard my health very much now. I came through Covid with the help of monoclonal antibodies. I am vaccinated. Best to all. Don’t let this virus hurt your soul. Fight back. If you feel like something is wrong trust your instinct. Speak up. Get the good treatment that you deserve. Especially be aware that urinary infections can lead to sepsis. Most especially in those over 60.

Fever. Low. Or high. Vital sign. Blood oxygen level.

Amazing ! ER doctor here starting Surgical ICU tomorrow. Needed the review ! May he rest in peace ! COVID sucks !

I am an ICU nurse, no one ever taught me about this I went with my gut feelings, it's good to know that I'm doing right😁

This is short, sweet and to the point! I absolutely love it!

many thanks!

Great video. Thanks!

Thank you for your videos. I am a veterinary intensivist and I am learning so much!