Awakening Trials, Breathing Trials, and Extubation

This video covers safety screens and failure criteria for Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs). These together form the ABCs of daily care of ICU patients on vents (Airway and Breathing Coordination). Additionally, it covers the criteria that should be met prior to attempting extubation (my favorite procedure in all of critical care).

[@Ab7358i]

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

[@desmondbryant8735]

Solid work

[@stanjames8372]

Thanks for posting these "whiteboard" refresher videos! This type of teaching seems rare now a days. Much better than disconnected powerpoint slides!

[@ventilator98]

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!"

[@asherweck]

I absolutely need you on my shoulder 24/7 when I’m dealing with my patients and weaning. I love the way you approach the technique

[@MrMusiq2]

Im a RT student and your videos are great!!

[@lkiforever1]

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😁

[@po5tm4n]

Thanks for making these. Awesome refresher.

[@Samri3344]

Your teachings are wonderful 👏

[@NobleG]

I know Jessica! Awesome lady! 🙌🏼

[@Sternschnuppen85]

Thanks so much for these helpful videos! :) I’m an OT working currently in the Covid ICU unit

[@amiles64]

Thank you for this!

[@msme9790]

Exactly what I needed

[@fqabba]

Thank you very much

[@olivewang1978]

very helpful!

[@shawntayloppe3350]

Nailed It!

[@adesuaodihirin6688]

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

[@SmartFetus]

legend

[@Raveness445]

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 ..

[@anyonecansee4601]

wow did she come out of it ok??

[@DeviantMotives]

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.