Ventilator Modes Explained! PEEP, CPAP, Pressure vs. Volume

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  • Опубликовано: 3 окт 2024
  • Mechanical ventilation modes illustrated clearly by Dr. Roger Seheult. Get CME, MOC, CE for this video (and see the rest of the updated videos in this series) at our website www.medcram.co...
    See why over a million clinicians and students have watched MedCram videos on mechanical ventilation.
    This video includes the ventilator modes of PEEP, CPAP, PS, and an illustration of the pressure-volume relationship in mechanical ventilation. Also, (learn or review) how to write mechanical ventilation orders (Mode, TV, FIO2, PEEP).
    See video 1 of this series for a discussion on the vent mode of AC and compliance.
    This video is part of the "MedCram Remastered" series: A video we've re-edited & sped up to make learning even more efficient.
    Get CLARITY from over 100 concise and high yield videos, and over 40 hours of CME, MOC Points, and CEs at www.medcram.co...
    Most of our medical lectures and quizzes are not on RUclips.
    Speaker: Roger Seheult, MD
    Co-Founder of MedCram.com
    Clinical and Exam Preparation Instructor
    Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
    MedCram = More understanding in less time
    Medical education topics explained clearly including: Respiratory lectures such as Asthma, COPD, ARDS. Renal lectures on Acute Renal Failure, Urinalysis, and The Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve / Oxyhemoglobin Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), aortic stenosis, and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator-associated pneumonia lectures have been particularly popular with RTs. NPs and PAs have provided great feedback on Pneumonia Treatment and Liver Function Tests among many others. Mechanical ventilation for nursing and the emergency & critical care RN course is available at MedCram.com. Dr. Jacquet teaches our EFAST exam tutorial, lung sonography & bedside ultrasound courses. Many nursing students have found the Asthma and shock lectures very helpful. We're starting a new course series on clinical ultrasound & ultrasound medical imaging in addition to other radiology lectures.
    Recommended Audience - Medical professionals and medical students including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations.
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    Produced by Kyle Allred PA-C
    Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.

Комментарии • 77

  • @Medcram
    @Medcram  5 лет назад +15

    Thanks for watching - please post comments (we read every one) and subscribe (so you're notified of new videos)!
    See the other videos in this series (and get CME, MOC Points, or CEs): www.medcram.com/courses/mechanical-ventilation-explained-clearly

    • @aradvi2143
      @aradvi2143 4 года назад

      Cheers for this, I have been researching "how do i stop my cpap mask from leaking?" for a while now, and I think this has helped. Have you heard people talk about - Panvaryor Unexpected Preference - (should be on google have a look ) ? It is a great one off guide for discovering how to eradicating sleep apnea and snoring without the hard work. Ive heard some awesome things about it and my brother in law got excellent results with it.

    • @zahidjaved6280
      @zahidjaved6280 4 года назад +1

      It was a knowledge full video l found it helpful in understanding ventilation modes ,plz carry on

  • @shouser144
    @shouser144 4 года назад +47

    Excellent video. These are useful for docs that do not normally run ventilators, but may be called to do so, with the COVID pandemic

  • @Jesslacey1
    @Jesslacey1 4 года назад +6

    I am about to start the last prac of my BSN in ICU and love these to help me wrap my head around what I will be learning before I get there. Thank you for the clear explanations.

  • @KoiAcademy
    @KoiAcademy 5 лет назад +7

    These videos are always so concise thank you

  • @howtomedicate
    @howtomedicate 5 лет назад +8

    I love to put these on as podcast during driving 👍😉

  • @vigneshvenugopal3930
    @vigneshvenugopal3930 4 года назад +2

    Excellent Video. Being an engineering student with no background in field of medicine, it was really easy to understand.

  • @shannonpenney8557
    @shannonpenney8557 Год назад +3

    Would you ever consider doing any case study walk-throughs? I get so much out of your lectures and would love to see it applied to scenarios. THANK YOU FOR ALL YOU DO!!

  • @utahyoda
    @utahyoda 4 года назад +9

    Will you consider labeling these videos as a series? I appreciate the information, but I did not know this was a continuation of another video until I began watching. Now I have to go find the earlier video. A link would make this easier.

  • @drvamc7453
    @drvamc7453 3 года назад +1

    Made it very simple and comprehensible in one go..... Thanq so much.

  • @kakandeannet7254
    @kakandeannet7254 3 года назад +1

    Perfect am grateful and I benefit from your lectures. Keep the spirit

  • @mfree6425
    @mfree6425 4 года назад +7

    The best way to get this information really dialed in is to work for or intern with a vent assisted person in the community. We are very active individuals and look for cool detail-oriented individuals who we train on our type of ventilator, settings, and accessory equipment. You need to know your client ventilates and quickly problem solve if the alarms sound or a tube disconnects.. After a while you will be competent and confident working around people on vents and especially conscious people who use ventilators in the community. We're also pretty cool if I do say so myself :) !

  • @thelisashort6152
    @thelisashort6152 2 года назад

    My goodness, this is the best explanation I've ever seen. Thank you. Consider me subscribed!

  • @lizyjo1
    @lizyjo1 3 года назад +1

    Great Explanation. I understood the concepts quite easy. Sir You are awesome teacher.

  • @strato1917
    @strato1917 4 года назад +2

    Amazing video. Thanks to Corona Virus, your videos are coming to fore! Keep up the good work, Doc!

  • @cornelbacauanu1544
    @cornelbacauanu1544 4 года назад +1

    Essential info. best explained for non resp. med staff, operating ventilators during Pandemic .Thank you

  • @dhandapani9870
    @dhandapani9870 Год назад

    Thank you so much. You’re such a blessing 😊

  • @UMBUBA
    @UMBUBA 4 года назад +4

    Thank you Dr. Seheult, love your lectures

    • @Medcram
      @Medcram  4 года назад

      You're welcome!

  • @ddmmzzmm
    @ddmmzzmm 4 года назад +2

    How do I put that I love this videos? I can't! and I just love them! Amazing thanks!!!

  • @suneelga6509
    @suneelga6509 4 года назад +2

    Excellent

  • @34dealer
    @34dealer 5 лет назад +5

    Perfect video!

  • @hkohlanyy
    @hkohlanyy 4 года назад +2

    this is awesome, simple and elegant. many big thanks!

  • @Forestbend
    @Forestbend 2 года назад

    Beautifully explained!!

  • @F22_Raptors
    @F22_Raptors 4 года назад +9

    I learned more from these videos than from my professors.

  • @helihobbit
    @helihobbit 4 года назад +6

    Hello Doctor, these are really good clear videos. I'm an engineer trying to get a grip on all this for the purposes of understanding the requirements for emergency ventilators
    Would it be possible to edit the video titles with a numeric sequence? This should help learning everything in the most useful way. Or make up an ordered list? Many thanks again

  • @sarahtrudell9905
    @sarahtrudell9905 4 года назад +3

    Please refer to your RT ! 🥰

  • @yvonnechan6423
    @yvonnechan6423 10 месяцев назад

    PEEP is not usually measures in mmHg, it is also measured in cmH2O

  • @yemisie8677
    @yemisie8677 6 месяцев назад

    Excellent !

  • @dr.nageshparekar3869
    @dr.nageshparekar3869 4 года назад +3

    Wow.. Thanks

  • @ezmed2044
    @ezmed2044 4 года назад +1

    Great video. Keep making more lectures!

  • @suhailvarachia584
    @suhailvarachia584 3 года назад

    I've been working as a respiratory physiotherapist during this covid period and trying my best to understand ventilators and this video is a God-send!
    Thank you, and much appreciation from South Africa 🇿🇦

  • @rashmisinghkuntia6657
    @rashmisinghkuntia6657 4 года назад +1

    Beautiful

  • @ottiliehambelelenikovalova1435
    @ottiliehambelelenikovalova1435 2 года назад

    Excellent. Thanks indeed

  • @Outdoor_MED
    @Outdoor_MED 5 лет назад +6

    Fantastic lecture/video! RRT out

    • @Medcram
      @Medcram  5 лет назад +4

      Thanks, we're big fans of RRTs! Have you checked out our lung ultrasound course yet? www.medcram.com/courses/lung-ultrasound
      We recently got AARC accreditation to offer CRCE credit for this course. We've had great feedback from RTs and RT programs on it so far.

    • @Outdoor_MED
      @Outdoor_MED 5 лет назад +2

      @@Medcram Yes i have and it is just as good as this one! This is my favorite medical YT channel

  • @rickturner2757
    @rickturner2757 4 года назад +3

    So, I'm a bi pap user and Ive been talking to anyone that's willing to listen that these bipaps might be the poor cousin option for a ventilator, since we are short a few hundred thousand vents, and the cost is 40k give or take and the bi pap or the apap could be very useful at approx. 2k a piece, why would we not use these as a bridge? Please explain pros vs cons.

  • @RandomNooby
    @RandomNooby 4 года назад +1

    thankyou a better explanation than that which I used to build DIY ventilator, very interesting.Shame I didnt see this 2 months ago lol

  • @lukevantonder9929
    @lukevantonder9929 4 года назад +2

    What is the main difference between PC and PS mode of ventilation? Just the fact that in PS, the patient needs to demand a breath, whereas in PC, the patient or ventilator can trigger the breath?

  • @TheVcasf
    @TheVcasf 4 года назад +2

    Hi. What is the most difficult aspect of ventilator construction?

  • @adnanmoazzem4146
    @adnanmoazzem4146 4 года назад +2

    Thank you so much

    • @Medcram
      @Medcram  4 года назад

      You're welcome.

  • @samuela.asidor.n.4551
    @samuela.asidor.n.4551 2 года назад

    Thank you Sir!

  • @magdacortes5979
    @magdacortes5979 Год назад

    very good video!

  • @bobbyt9431
    @bobbyt9431 4 года назад +2

    Are PEEP units in standard atmospheres pressure?

  • @Oggyy-hl7qu
    @Oggyy-hl7qu 6 месяцев назад

    Thankyou sir.

  • @ashleythompson6278
    @ashleythompson6278 4 года назад +1

    When writing an order these are just the basic things that the physician orders, respiratory therapist set a lot more parameters to go along with it

  • @fatememokhtari5018
    @fatememokhtari5018 2 года назад

    I have a question...can you please explain why we see apnea ventilation alarm on the ventilator while it's on SIMV mode ? Isn't the ventilator supposed to deliver mandatory preset rate of breaths to the patient?

  • @bushramaha888
    @bushramaha888 Год назад

    Wonderful 😊

  • @heathercawley4854
    @heathercawley4854 4 года назад +1

    My husband is watching this. Can I modify a BiPAP machine to act as a ventilator for COVID 19 surge

  • @anjaneya2987
    @anjaneya2987 3 года назад

    Thanks 👍

  • @devsyadodia3157
    @devsyadodia3157 4 года назад +1

    Why pressure will increase in lung by increase volume delivered to lung..u said both are inversely proportional🤔? Video around..9:40

  • @neroetal
    @neroetal 4 года назад +2

    thanks .. but is the peep measured in cmH2O or mmHg

    • @japanluv
      @japanluv 4 года назад

      Bit late, buddy but its cmH2O

  • @peppermintpolo
    @peppermintpolo 4 года назад +1

    Can anyone tell me why PEEP does not result in an element of 're-breathing' ? Or if it does? If there is an artifically-applied residual pressure at the end of expiration then that pressure must be coming from a volume of gas (Boyle's Law, right). That volume of gas is going to become higher in CO2 and lower in O2 with every breath (i.e. being rebreathed), despite there being an element of diffusion/mixing with the new gas coming in with each inspiration? Or is this the wrong way of looking at it? I understand that there is often a transient hypercarbia with the application of PEEP and wonder if this is reflective of this 're-breathing' that I am referring to? Any help, greatly appreciated.

  • @TheVcasf
    @TheVcasf 4 года назад +1

    Hi. What is the most difficult aspect of ventilator construction?

  • @husseinchristianaguilar6961
    @husseinchristianaguilar6961 2 года назад

    Whats the difference btween ipap and pressure support????????????

  • @papaduck9415
    @papaduck9415 4 года назад +2

    If the peep is set, how come the pressure goes negative at the end of patient-triggered respiratory cycle(as shown in the first two examples)?

    • @kevingreen3421
      @kevingreen3421 4 года назад

      That was my question as well. Because the PEEP is already set at 5, the alveoli should maintain a pressure of 5 consistently.

    • @johncrowerdoe5527
      @johncrowerdoe5527 4 года назад +2

      @@kevingreen3421 Patient sucks in air (tries to take a breath naturally), then the ventilator starts serving more air than the patient is currently able to take in, thus upping the pressure. So it only drops below for the brief moment between patients brain wanting a breath and the ventilator reacting.

    • @dubbit9293
      @dubbit9293 4 года назад

      I think it’s because when the patient attempts to breathe, in other words sucks in the little bit of air that remains in their lungs, the sucking with no result (due to ET tube balloon and they can’t take their own breath) then causes the negative pressure within the lung, at which point the vent senses the sucking / neg pressure and delivers the air

  • @tinidooo
    @tinidooo 5 лет назад +1

    Thank you. 😭

  • @mercyzou589
    @mercyzou589 3 года назад

    Great👍👍

  • @therecalcitrant1316
    @therecalcitrant1316 4 года назад +10

    The CORONA VIRUS brought me here- March 29, 2020

  • @xodanny2955
    @xodanny2955 2 года назад

    what's the video following this

  • @dirk4926
    @dirk4926 4 года назад +1

    And here I am using my own lungs like a sucker. - Homer Simpson

  • @seeker0064
    @seeker0064 4 года назад +1

    audio quality is terrible. constant background echo

  • @ryanosullivan4207
    @ryanosullivan4207 4 года назад +1

    why does the flow go below zero?

  • @sarahtrudell9905
    @sarahtrudell9905 4 года назад +1

    Why start at 5 ? Ps ? You mean PSV? Is not NOT like AC! This is maybe good for an explanation for a resident, but it's not exact. Maybe you should have had a Respiratory Therapist do the education?

  • @hasbrosbeforehoes
    @hasbrosbeforehoes 2 года назад

    thanks for sharing