Finally a 'teacher'. I'm currently studying cardiorespiratory physical therapy and we have great clinicians trying to teach us but none are really that good at actually teaching. I'd love listen to you talk about PSV and BiLEVEL (Biphasic) ventilation. Have you got any videos on these?
At a very well known respiratory acute rehab hospital, a stones throw away from Dodger Stadium , They Specialize in Weaning Vent pts. They often start Pressure Support at , 18 , then work their way down.
In Egan's they give you a formula for coming up with the right PS. PSV=(PIP - Pplat) x V1 spontaneous/ Ventilator Inspiratory Flow here is my concern can I get away with what you were suggesting for setting up PS using PIP - Pplat only?
Another way to think of PS is as a SEMI assisted breath. instead of using PIP & plateau pressure,to set PS, set Pressure Support by how much is needed, so that the Pt can achieve an Adequate Spontaneous VT ( say 320 ,or so ) A Ventilator dependent Pt., can't be weaned from the Vent on A/C. ( You can, but you may have to re intubate later in the shift. PS is to DECREASE the work of breathing, while the respiratory muscles regain their strength. Decrease PS by 2 every 4 hours as tolerated.
( Continued .) As tolerated, as long as the Pt. maintains the adequate Tidal Volume. The pressure generated to deliver a Spont Vt of 320 or so, will be Less than the pressure generated delivering a mandatory breath with a volume of 500 ml.
All the books in the world couldn't have put it more clearly than you just did in less than 10mins! Great job.
Thank you.
Finally a 'teacher'. I'm currently studying cardiorespiratory physical therapy and we have great clinicians trying to teach us but none are really that good at actually teaching. I'd love listen to you talk about PSV and BiLEVEL (Biphasic) ventilation. Have you got any videos on these?
Your art is fine. Great lesson brother
This was awesome. I actually understand it now. Thanks so much!!!!
Great explanation. Thank you!
Thank you so much for uploading these videos. Your explanation is so easy to understand :)
Thank you!!! I feel like I actually understand PRESSURE SUPPORT!!! You really helped :)
Excellent explanation
Awesome. Thx from Russia
Hey there ancient . I’m having a brain fart. On the servo I. When you put a pt on ps above peep do you subtract the peep from the total ps
At a very well known respiratory acute rehab hospital, a stones throw away from
Dodger Stadium , They Specialize in Weaning Vent pts. They often start Pressure Support at , 18 , then work their way down.
YOur videos ARE WONDERFUL. THEY REALLY ARE, Do you know of any lnline ventilator simulators that are FREE?? I LOVE ventilator simulators.
In Egan's they give you a formula for coming up with the right PS.
PSV=(PIP - Pplat) x V1 spontaneous/ Ventilator Inspiratory Flow
here is my concern can I get away with what you were suggesting for setting up PS using PIP - Pplat only?
Another way to think of PS is as a SEMI assisted breath. instead of using PIP & plateau pressure,to set PS, set Pressure Support by how much is needed, so that the Pt can achieve an Adequate Spontaneous VT ( say 320 ,or so ) A Ventilator dependent Pt., can't be weaned from the Vent on A/C. ( You can, but you may have to re intubate later in the shift. PS is to DECREASE the work of breathing, while the respiratory muscles regain their strength. Decrease PS by 2 every 4 hours as tolerated.
I appreciate all the comments everybody!
Great lesson...you da man!
Thank you so much.
Wow. Well done. This video is a slam dunk. I get it!!!!
So helpful thank you so much!
Ended abruptly. Good presentation
hi thanks for the nice Tutorial. Its not complete. Why does it end while you are still explaining?
Great job man! Thank you ^_^
great job
Does pressure support help with oxygenation
thrillhouse I imagine it helps to an extent but PEEP is a far better modality for improving oxygenation.
@@TheAncientScholar thank you!
( Continued .) As tolerated, as long as the Pt. maintains the adequate Tidal Volume.
The pressure generated to deliver a Spont Vt of 320 or so, will be Less than the pressure generated delivering a mandatory breath with a volume of 500 ml.
Hamilton MEDICAL ther are a lots of ventilator simulators!!! Best product www
Peak Inspiratory Pressure , that is.