Do you guys have Ketamine on your protocol? Ketamine has a much better safety profile than both of these medications, and you don't have to worry about the hypotension. I only use Ketamine for induction, then I supplement it with Fentanyl for analgesia during the RSI.
Thanks for your comment. Yes, we have Ketamine and I agree that Ketamine is a superior induction agent to Versed and/or Etomidate. Unfortunately Ketamine is on national (USA) backorder (shortage) and we have a limited supply.
I'm a bit confused with the information in this video, NIV mode on the T1 vent is not BiPAP. NIV is CPAP on this ventilator. NIV-ST is the BiPAP mode for this ventilator. Why are you using NIV mode to give deliver BiPAP when there is a specific mode for it? BiPAP involves setting Pinsp and Pexp/PEEP. I understand you setting Psupp but thats not fixing the ventilatory issues
Thanks for your comment. NIV and NIV-ST are both modes that allow for bi-level non-invasive ventilation (Bi-PAP) with the primary difference/addition for the NIV-ST mode is the addition of adding time cycled breaths (rate). This is added primarily to prevent apnea (or even bradypnea) in the non-invasive pt group. In NIV, if the the Pressure Support setting is set to "0" then it will function the same as CPAP, however if you add any value greater than "0" for pressure support, it functions as Bi-PAP. This information can be verified in the version 3.0 of the Hamilton T1 manual on pages 140-141 or in section 7.5.1 and 7.5.2.
Do you guys have Ketamine on your protocol? Ketamine has a much better safety profile than both of these medications, and you don't have to worry about the hypotension. I only use Ketamine for induction, then I supplement it with Fentanyl for analgesia during the RSI.
We've introduced Induction, analgesia and paralysis as a standard bundle during the RSI procedure in my countries systems protocols
Thanks for your comment. Yes, we have Ketamine and I agree that Ketamine is a superior induction agent to Versed and/or Etomidate. Unfortunately Ketamine is on national (USA) backorder (shortage) and we have a limited supply.
I'm a bit confused with the information in this video, NIV mode on the T1 vent is not BiPAP. NIV is CPAP on this ventilator. NIV-ST is the BiPAP mode for this ventilator. Why are you using NIV mode to give deliver BiPAP when there is a specific mode for it? BiPAP involves setting Pinsp and Pexp/PEEP. I understand you setting Psupp but thats not fixing the ventilatory issues
Thanks for your comment. NIV and NIV-ST are both modes that allow for bi-level non-invasive ventilation (Bi-PAP) with the primary difference/addition for the NIV-ST mode is the addition of adding time cycled breaths (rate). This is added primarily to prevent apnea (or even bradypnea) in the non-invasive pt group. In NIV, if the the Pressure Support setting is set to "0" then it will function the same as CPAP, however if you add any value greater than "0" for pressure support, it functions as Bi-PAP. This information can be verified in the version 3.0 of the Hamilton T1 manual on pages 140-141 or in section 7.5.1 and 7.5.2.
Do you like to wear oxygen nasal cannula
i enjoyed this video. You should make more
good video
great video
First!