Prone was the only way i could breathe.. Didn't understand why. And my wife who did nursing back in the day thought it was strange. Thank you for the explanation. I hope this is understood by the entire medical community dealing with this disease. From all the footage I've ever seen of COVID-19 patients; they're all on their backs. Thank you for your work. Spread the message..
WONDERFUL video! I believe the best proning, is the use of the rotoProne bed! These beds are not used as much as they should be in hospitals! My university hospital in University Of Kentucky got rid of their RotoProne beds, which was a HORRIBLE decision in my opinion! USE THESE BEDS PEOPLE!!! They save lives!
Would the same number of alveoli be fluid-filled regardless of position? If they are prone there would be fewer alveoli in the dependant area but also less space for that fluid to go, causing roughly the same number of them to be filled with fluid?
This is just as much about the fluid in the interstitial space as the alveoli, in fact probably more so. It's not about draining the fluid, just allowing the alveoli more room to open up.
Question, my uncle is currently in a ventilator. Has been for a week. We asked the doctor if he was using the prone positioning. He said "no, because he's breathing okay. What he had was a respiratory shock" From my understanding, if you're in a ventilator, you can't possible be breathing okay. To make things more clear. He was using a oxygen mask, and apparently got up and took off/lost the mask. He was found the next day and put in a ventilator, hence the "respiratory shock" Was the doctor just giving us excuses to not use it?
Prone was the only way i could breathe.. Didn't understand why. And my wife who did nursing back in the day thought it was strange. Thank you for the explanation. I hope this is understood by the entire medical community dealing with this disease. From all the footage I've ever seen of COVID-19 patients; they're all on their backs.
Thank you for your work. Spread the message..
ruclips.net/video/Q85bXJqpIo4/видео.html
WONDERFUL video! I believe the best proning, is the use of the rotoProne bed! These beds are not used as much as they should be in hospitals! My university hospital in University Of Kentucky got rid of their RotoProne beds, which was a HORRIBLE decision in my opinion! USE THESE BEDS PEOPLE!!! They save lives!
I saw three or more videos about the same topic and i did not understand it as i did in your video..
Thank you alot for all efforts..❤
Thank you. You've made it so simple and interesting.
You're very welcome!
thankyou so much for explaining simply your diagrams were very clear
Very good exemple! Easy to understand👍
Glad it was helpful!
Thank you. Makes sense.
Elegantly done, sir! May I ask, what technology do you use for the whiteboard?
Wacom tablet and record with camtasia
Great explanation Doc!!
Wonderful instruction. Thx, Doc.
I have also heard that dialyzing a patient will help reduce fluid in the lungs, effectively saving lives.
Very well explained concepts. Thank you
Well explained. Many thanks.
Thanks. Awesome video.
Great video! Reduces VQ mismatch! Although there's more evidence for those who are ventilated than those who are not.
Great point!
Would the same number of alveoli be fluid-filled regardless of position? If they are prone there would be fewer alveoli in the dependant area but also less space for that fluid to go, causing roughly the same number of them to be filled with fluid?
This is just as much about the fluid in the interstitial space as the alveoli, in fact probably more so. It's not about draining the fluid, just allowing the alveoli more room to open up.
explained so well! thank you!
Question, my uncle is currently in a ventilator. Has been for a week. We asked the doctor if he was using the prone positioning. He said "no, because he's breathing okay. What he had was a respiratory shock" From my understanding, if you're in a ventilator, you can't possible be breathing okay.
To make things more clear. He was using a oxygen mask, and apparently got up and took off/lost the mask. He was found the next day and put in a ventilator, hence the "respiratory shock"
Was the doctor just giving us excuses to not use it?
Really depends on so many factors. We do not prone everyone, only those who do not seem to be improving on ventilator.
Jonathan Downham thank you.
Why back of the chest is well perfused???
More vasculature in the back than front
Really well explained (from a respiratory consultant quickly upskilling!)
Thank you