Respiratory Therapy - What is (S)cmv, APVcmv, and Driving Pressure in Pressure Control

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[@ICUAdvantage]

Its always interesting seeing the different names and terms for similar modes depending of what brand of equipment you use.
Thanks for some explaining about driving pressure. I don't think that is something I've really heard much about. Going to do some more digging to learn more!

[@RespiratoryCoach]

Hello again, and thanks for watching. Definitely need to look into driving pressure. Good stuff!!!

[@CAkinCAkin]

Thank you. I'm an ED doctor who managed ventilator patients thirty years ago as an internist. We have a Hamilton machine and on occasion we have no RT coverage in our stand alone ED. Every shift I turn the machine on and enter "pretend" patient data. I suspected (S)CMV was the old assist control mode. Thanks.

[@RespiratoryCoach]

Hey Doc! Thank you for watching and commenting. And yes, (S)CMV = VC-AC.

[@jaybuddih6874]

Really good listening your tutorial sir actually this is the first time I heard of driving pressure and we are applying now to our Px even in pressure control mode

[@RespiratoryCoach]

That's awesome, Jay. Strong work. And thanks for watching.

[@erinm.433]

So in the Hamilton SCMV (+) mode...
1) if the pt. triggers a breath, the ventilator will deliver the full Vt that is set by the user?
2) does the Hamilton automatically changes the amount of pressure so that the set Vt is delivered? Until the P-limit is reached and then it will drop the breath?
Thanks!

[@markay21]

Your videos are awesome as always and super helpful! Thank you 🙏

[@RespiratoryCoach]

Thanks, Mariel. I appreciate you watching and commenting. 🙏🙏

[@endofanage223]

OMG... Thank you so much

[@RespiratoryCoach]

You're welcome! Thank you for watching!

[@staceyevans7602]

More really helpful info!! Thank you! :)

[@M0m0plata]

Omg I loooove this!!! Thank you so muuch.

[@shchen111]

Great video. However, isn’t plateau equal to peak in pressure control only when the inspiratory flow has dropped to zero by the end of inspiration? If the ventilator stops the inspiration while flow is still ongoing, then the peak will be a little to a lot higher, depending on airway resistance.

[@RespiratoryCoach]

100% True story!

[@maxpla168]

Thanks for explaining Joe, Good Stuff!

[@RespiratoryCoach]

Hey, Max! How's your break been?

[@maxpla168]

@@RespiratoryCoach Been good working a lot at the hospital, and studying Kettering. I'm gonna get you a shirt to represent my school when the break is over, I promise

[@RespiratoryCoach]

@@maxpla168 Sounds like a good break! I would love to rep your school. What school do you go to again?

[@maxpla168]

@@RespiratoryCoach Springfield Technical Community College, in Springfield Masssachusetts

[@RespiratoryCoach]

@@maxpla168 Cool!

[@thatthiskitchen8193]

Your lectures are really helpful. Thank you! Could you please let me an idea around how much should be the driving pressure for it to be in the safe zone?

[@thatthiskitchen8193]

Oooops! somehow I missed it, I know now. 15 or less is better

[@RespiratoryCoach]

I'm glad you find them helpful, and I see you found the correct answer. Thanks again, Nandasiri, for watching and commenting.

[@bonob0123]

synchronized *continuous *mandatory ventilation. Yes def same as AC

[@sinclair657]

Thank you

[@user-yk8cg8cz9w]

Thanks ❤❤

[@Slothandtiger]

Awesome video!!!

[@RespiratoryCoach]

Thanks, Man!!! Appreciate you watching and commenting!!!

[@hrhmichelle]

Thank you for the great video!
I still have a question about the driving pressure.
There is an option for an inspiratory hold of 5 seconds even in PCV and we have been using it and resulting pressure as an Pplat substitute. After watching your video it seems a bit meaningless to me. What is your opinion on that?
Greetings from Prague

[@RespiratoryCoach]

Yes, exactly! A plateau pressure in pressure control is a mere extension of the applied set inspiratory pressure. Very different than when in volume control. It's still a plateau pressure, visualized by the cease in flow on the flow waveform, it's just not the same reflection of plateau pressure that we see in VC.

[@user-yk8cg8cz9w]

❤

[@kamaljauoda9633]

Thanks

[@RespiratoryCoach]

You're very welcome, Kamal!

[@murtadhaalbehadellie8506]

Driving pr=PIP- Pplatue?
OR =pplatue - peep?

[@RespiratoryCoach]

Plateau - peep

[@denisetavares1137]

Can you plz clarrify APV a little more

[@jotu1883]

👏👏👏

[@RespiratoryCoach]

Thank you for the applause and for watching!!! Hope it helped.

[@jotu1883]

All your videos are such big help! Im cramming and reviewing everything. Good thing your videos are like mini crash courses. Thank you so much!

[@juliedaly2381]

Stop the changes

[@juliedaly2381]

I can't stand the hamlton g 5

[@swamychenalla5772]

Thank you

[@RespiratoryCoach]

You're welcome. Thank you!!!