best explanation I found. I couldn't learn this from any book. I wish our teachers are as good as you sir. keep going and spreading your knowledge. thank you for your hard work
Thanks alot sir!! Your explanation was really easy to understand and in simple words compared to other videos I watched. Everything was crisp and easy to understand. Really helped!
That's really great explanation I am a final year medical student but these explanations are really great and more importantly comprehensible at my level too Thank you very much for your work 🙌
A Gem prsn ur..... Hrd se hrd topic ek dam khol k opnly explain krte ho... Jo practice me abhi aaye b nhi unko b easily smjh jayega.... Thnk u so much sir... I appreciate ur efforts.
Thank you so much sir...This is the first time i learned above the definition and understood fully..The way you explain sir Is Great...Thanks you once again
I have a question based on this video. What is the maximum difference that should be there in epap and ipap? Usually 10/5 is what I have seen so difference of 5. But is there a specific difference value that we should not cross? @@TheICUChannel
Sir, i am a nursing professional. Today i clrared my doubt about cpap and bipap. To know about this i went through different videos and lecture but it doesn't help me, but you cleared my doubts. Thank you so much sir and Please continue to upload more videos, it will really helpful for us. 👏👏
Simply fantastic,practical,easy to understand ,Must watch for all professionals including nurses and RMO,S using NIV thanks a lot Dr Uday Mahorkar Nagpur
Nicely explained sir.... Really helpful to understand my condition.... Doctor suggested to me using bipap.....my inhale and exhale difference is high.... Inhale well but there is difficulty to exhale long.... Please suggest some tips for me how can I maintain(decrease) this difference within my daily routine....currently and first time facing these all new things....
Hi sir, you're the best for making sense of exhaustively. I've as of late bought cpap and added O2 concentrator rather Bipap…will it truly works like a Bipap because in the cpap machine there’s a mode of Apap so will it works?…or do I have to buy the Bipap machine sir?
NORAD 2ml=4mg single dose 48ml NS with 2ml NORAD Double dose 4ml=8mg 46ml ns with 4ml NORAD Dobutamin each 1ml= 5mg 5ml = 25mg 20ml ns with 5ml After diluted Each 1ml =1mg Dopamine same as dobutamin calculation
@@mallikarjunjalageri5228 sir nor adr in ampoule it says : *1 ml = 2mg of nor adrenaline bitartate= 1mg of noradrenaline* .. So when taking into calculation do we take it as, 1 ml = 2 mg of nor adr or 1 mg of nor adr?
Sir in many invasive ventilator ( not bipap machines) the settings do not have terminology of bipap or CPAP , instead under pressure support spontaneous mode, there are settings similar to bipap ( pressure support inspiration, pressure support expiration, peep inspiration, peep expiration settings) So here pressure support means IPAP and peep means EPAP , is it so?
Sir,.is the effects of CPAP and HFNO are same ??? Assume we put HFNO in place of CPAP then it's outcome on a patient would be same or not ??? Plz clarify this problem in shorts video Sir.
U can’t adjust too much on NIV as it’s patient respiratory rate dependent… if tachypnea persists adjust the settings to decrease work of breathing and still not settle , invasive ventilation .
hi sir now days in ventilator there is no Bipap mode. when you select Non invasive ventilation, there will be option of P-SIMV and CPAP. so P-SIMV is Bipap? regards
Sir, high epap helps to keep the alveoli open during EXPIRATION so that the Patient can EXHALE fully, right? But that should help the patient to REDUCE CO2 and NOT INCREASE THE O2 level. So, to increase O2 levels, Ipap should be increased, and to DECREASE CO2, ePap should be INCREASED. I know this is NOT true, but this sounds logical, doesn't it? So please explain this paradox. Thank you, Dr. Basu
epap helps to prevent the closing of alveoli so it helps in oxygenation ; IPAP will increase the ventilation. for o2 , epap should be increased and for co2 , ipap should be increased.
@@TheICUChannel Thanks! I am aware that increase in iPAP reduces CO2 and increase in ePAP increases O2. BUT the very concept of PEEP states that alveoli tend to collapse at the end of EXPIRATION and hence a constant positive pressure would PREVENT that, and help in COMPLETE EXHALATION. If that is so, isn't it paradoxical? I had requested you to explain THIS apparent paradox.
@@StockMarketsMadeEasy PEEP would keep alveoli open during expiration so that next breath can fully oxygenate patient but at expense, now patient has to exhale against PEEP which may lead to co2 retention. Hope that explains it.
@@shyamsuryavanshi7115 i can NEVER thank you enough for this explanation! That makes everything CRYSTAL CLEAR Sir! Do keep up your good work . God bless 🙏🙏🙏🙏
Dear Doc... In neonates we use the nCPAP with PS mode as a non invasive mode in resp distress syndrome along with the assembly, nasal prongs and bonnet.... Is this equivalent to NIV BiPAP of adults? Though mode name is nCPAP, but with option of setting pip and peep both, technically it becomes BiPAP.... I've asked quite a few neonatologists, but they end up me explaining CPAP... Can you give your valuable input to make me clear my concepts. Regards
Sir, to decrease the work pf breathing, which mode is preferred? CPAP or BIPAP? We had a patient who very tachpyneic ( RR > 40 ), ABG showed Type 1 RF. We put him on CPAP. Is tht correct or do we have to put him on BIPAP to control the rate?
Question I know biopap is contraindicated in pneumothorax. I had a 890y.o male patient of spontaneous pneumo from alpha antitrypsin deficiency who was not tolerating chest tube to water seal and needed continuous suction like -10 mm Hg. We were not able to pleurodese due to continue pneumothorax. And he continues to retain pco2 and getting altered on HFNC. Finally we had to switch to bipap. Do you have any experience or any suggestion on how to manage bipap in this situation. What bipap setting will you be comfortable with @icu.
very nice.... but its simple ... once a chest tube is inserted , you can use bipap or ventilator.... the trick is keep it to minimal settings of PEEP/EPAP ; this will prevent over-distension of the alveolis and will help in healing of pnemothorax
![BLACK BAG - Official Trailer [HD] - Only in Theaters March 14](http://i.ytimg.com/vi/Du0Xp8WX_7I/mqdefault.jpg)
Never before has this been explained in such simple language. Kudos to you sir.
Glad to hear that. thank you.
best explanation I found. I couldn't learn this from any book. I wish our teachers are as good as you sir. keep going and spreading your knowledge. thank you for your hard work
Your way of explanation is so simple and comprehensive, very helpful, thanks for your commendable job.
The clearest lecture I ever watch for this topic.. ❤❤❤❤
Glad it helped
Perhaps the best and most simplified explanation
Thank you very much sir
Thanks alot sir!! Your explanation was really easy to understand and in simple words compared to other videos I watched. Everything was crisp and easy to understand. Really helped!
Glad it helped , thank u
That's really great explanation
I am a final year medical student but these explanations are really great and more importantly comprehensible at my level too
Thank you very much for your work 🙌
Thanks, please keep making these videos sir. It is very helpful for residents and post MD doctors.
Thanks a lot for your words and contribution. This will go in long way to help the vision of ESBICM
A Gem prsn ur..... Hrd se hrd topic ek dam khol k opnly explain krte ho... Jo practice me abhi aaye b nhi unko b easily smjh jayega.... Thnk u so much sir... I appreciate ur efforts.
Thank you so much sir...This is the first time i learned above the definition and understood fully..The way you explain sir Is Great...Thanks you once again
Thanks dear
Sir No words ,, ...absolutely simple and amazing explanation, no one can do better than this....👍👍🙏
Best ICU channel on the entire web.
Thanks and welcome
I have a question based on this video. What is the maximum difference that should be there in epap and ipap? Usually 10/5 is what I have seen so difference of 5. But is there a specific difference value that we should not cross?
@@TheICUChannel
Thanks a lot Sir, my concept jas cleared about CPAP n BIPAP. Keep induce excellent knowledge in us. 😊
glad to hear that.
Many times previously I read in books but concept has been clear now.Thank You Sir.
Nice to hear that .
Sir, i am a nursing professional. Today i clrared my doubt about cpap and bipap. To know about this i went through different videos and lecture but it doesn't help me, but you cleared my doubts. Thank you so much sir and Please continue to upload more videos, it will really helpful for us. 👏👏
Simply fantastic,practical,easy to understand ,Must watch for all professionals including nurses and RMO,S using NIV
thanks a lot
Dr Uday Mahorkar Nagpur
Thanks and welcome to ESBICM
Thank you so much sir🙏🏻.... your classes are really really helping us....
glad to hear that. thanks
Best video on cpap and bipap ❤
Excellent lecture, complex topic made easy
Sir you really explained it in a awesome way
Thanks prity , glad it’s useful
Such simple yet on point explanation! 👏
There is no better free platform for learning than this
Thanks a lot
The best video to understand the concept. Thank you sir.
Thank u
Thnxs gurujii... Doing marvelous job..... To make us understand.. In simple language
thank you
This is best lecture on this topic , please make more videos in general medicine too
Thank you so much Doctor... Best explaination... Was struggling to differentiate them
Happy to help, glad to hear that.
Thanks, a lot sir, b'coz of u I now have a firm grasp over the topic
So nice of you, thanks and most welcome
Excellent video! very clearly explained. Thank you!
Glad it was helpful!
you are our real hero Sir 👍🙏🙏
Thanks , glad it’s helpful
Great sir ji
Respected sir-You are my hero
Thanks Rizwan
Thank you so much SIR for clearly explanation
Thanks sir! JAI HO GURUDEV!
This is an amazing lecture.thank you thank you very much sir
Excellent explanation doc!! Great job making these infromative videos
Thanks and welcome
Very well explained in understandable concept sir .
Very much thank u
Thanks and welcome
thank you respected sir :) from a budding anaesthesiologist and CCU specialist...
Thanks u and welcome
Beautifully explained ❤❤
Thank you for a short great lecture.
Best explanation sir....🙏
Beautiful explanation! Thank you :)
Thank u doc❤❤❤
Sir..whether a ppt of cpap and bipap is available...if you could provide.. it would be very helpful..
Very informative n explained beautifully
Thanks a lot 😊
Nicely explained sir.... Really helpful to understand my condition.... Doctor suggested to me using bipap.....my inhale and exhale difference is high.... Inhale well but there is difficulty to exhale long.... Please suggest some tips for me how can I maintain(decrease) this difference within my daily routine....currently and first time facing these all new things....
Hi sir, you're the best for making sense of exhaustively. I've as of late bought cpap and added O2 concentrator rather Bipap…will it truly works like a Bipap because in the cpap machine there’s a mode of Apap so will it works?…or do I have to buy the Bipap machine sir?
Thanku sir continues it further
Beautifully explained
Glad it was helpful
Thank you sir, well explained in very simple way
Thanks Ananya
Amazing explanation!! Sir can u explain Indirect calorimetry and its practical application!
Thank u sir for explaining cpap bipap
Sir one quary for me
Can be attached Bipap/niv mode in intubated patients ?
Thank you so much sir 🎉
Sir,please tell dosage and rate of administration of noradrenaline,dopamine and dobutamine
Video in the making for this .
NORAD 2ml=4mg single dose 48ml NS with 2ml NORAD
Double dose 4ml=8mg 46ml ns with 4ml NORAD
Dobutamin each 1ml= 5mg
5ml = 25mg
20ml ns with 5ml
After diluted Each 1ml =1mg
Dopamine same as dobutamin calculation
@@mallikarjunjalageri5228 sir i had red we can dilute Norad with D5 only ?
@@mallikarjunjalageri5228 sir nor adr in ampoule it says : *1 ml = 2mg of nor adrenaline bitartate= 1mg of noradrenaline* .. So when taking into calculation do we take it as, 1 ml = 2 mg of nor adr or 1 mg of nor adr?
👏@@mallikarjunjalageri5228
Thanku sir 😊
Thank you so much sir….wonderfully explained
Thanks richa
thank u so much sir ❤️❤️❤️❤️
thanks prince
Very nice explanation
Sir thank you for your detailed explanation, please do a video on NIV
noted
thank you sir😊
I get it now. Thanks a million
Excellent explanation 👍
Sir then how we can treat respiratory alkalosis on bipap setting can you explain plz
Thank u,😊 sir!
Excellent and well explained.
Thanks ganesh
Thank you sir..
Sir waiting for HFNC class
Sir in many invasive ventilator ( not bipap machines) the settings do not have terminology of bipap or CPAP , instead under pressure support spontaneous mode, there are settings similar to bipap ( pressure support inspiration, pressure support expiration, peep inspiration, peep expiration settings)
So here pressure support means IPAP and peep means EPAP , is it so?
Exactly , you got my point 👍🏼
@@TheICUChannel thank you so much sir
What are your views on ti max and ti min in a bipap machine
An eighty year old lady with an AHI 18, what is preferable... CPAP or BIPAP...?
Thanks much! very helpful
Sir please explain how to set norad dose according to BP
Very well explained ❤
good experience sir
Sir,.is the effects of CPAP and HFNO are same ??? Assume we put HFNO in place of CPAP then it's outcome on a patient would be same or not ???
Plz clarify this problem in shorts video Sir.
In High co2 level which ventilator must be used bipap or CPAP ??????
always bipap is better but all depends on the clinical scenario
What about the rate and other setting .? How I can adjust them ?
Sir kindly make a video regarding ettube&tracheotomy care
ok noted
Hello sir wonderful explanation. Could you please tell me what we should do when it shows minute ventilation too high?
U can’t adjust too much on NIV as it’s patient respiratory rate dependent… if tachypnea persists adjust the settings to decrease work of breathing and still not settle , invasive ventilation .
hi sir
now days in ventilator there is no Bipap mode. when you select Non invasive ventilation, there will be option of P-SIMV and CPAP. so P-SIMV is Bipap?
regards
Thank you sir 🙏🙏🙏
Thank u
Thank u
Can you name few resources namely books to read more into it?
Very well explained
Thank u and welcome
Sir wat is ps above peep in many ventilators
Is it same as ipap?or differnce between ps minus epap
Plz explain
#icushort 109: Difference between PS above PEEP, EPAP, IPAP, CPAP #esbicm
Why start with 15 by 5 ,why not other number..if hypoxemia should I start bipap.
This was just an example to explain .
To the point, i like that.
Pls explain about hhfnc
Thanks, perfect explanation
How do we test our blood pH and CO2 levels at home?
Pressure support = 14, PEEP = 6 in the ventilator on PSV/CPAP mode ..Then What is the I-PAP here???
14
IPAP is the inspiration pressure
IPAP is the inspiration pressure
Sir kindly make lecture on interpretation of CSF cyto,bio,ADA investigations or others
Yes nice topic
thank you!
How to adjust the value of CPAP with INV helmet in ventilator
same principles applies as of NIV based on spo2 and ABG
Sir, high epap helps to keep the alveoli open during EXPIRATION so that the Patient can EXHALE fully, right? But that should help the patient to REDUCE CO2 and NOT INCREASE THE O2 level. So, to increase O2 levels, Ipap should be increased, and to DECREASE CO2, ePap should be INCREASED.
I know this is NOT true, but this sounds logical, doesn't it?
So please explain this paradox.
Thank you,
Dr. Basu
epap helps to prevent the closing of alveoli so it helps in oxygenation ; IPAP will increase the ventilation. for o2 , epap should be increased and for co2 , ipap should be increased.
@@TheICUChannel Thanks! I am aware that increase in iPAP reduces CO2 and increase in ePAP increases O2. BUT the very concept of PEEP states that alveoli tend to collapse at the end of EXPIRATION and hence a constant positive pressure would PREVENT that, and help in COMPLETE EXHALATION.
If that is so, isn't it paradoxical? I had requested you to explain THIS apparent paradox.
@@StockMarketsMadeEasy PEEP would keep alveoli open during expiration so that next breath can fully oxygenate patient but at expense, now patient has to exhale against PEEP which may lead to co2 retention. Hope that explains it.
@@shyamsuryavanshi7115 i can NEVER thank you enough for this explanation! That makes everything CRYSTAL CLEAR Sir! Do keep up your good work . God bless 🙏🙏🙏🙏
Understood sir
Dear Doc... In neonates we use the nCPAP with PS mode as a non invasive mode in resp distress syndrome along with the assembly, nasal prongs and bonnet.... Is this equivalent to NIV BiPAP of adults? Though mode name is nCPAP, but with option of setting pip and peep both, technically it becomes BiPAP.... I've asked quite a few neonatologists, but they end up me explaining CPAP... Can you give your valuable input to make me clear my concepts. Regards
yes, if it is PS with peep , its obviously BiPAP; but if they say bubble bipap in which they only use PEEP , its CPAP only .
@@TheICUChannel thanks for answering
Sir normal BIPAP values hum kitna rakte hai. ? Start mai
we usually start with 12:6
Sir, to decrease the work pf breathing, which mode is preferred? CPAP or BIPAP?
We had a patient who very tachpyneic ( RR > 40 ), ABG showed Type 1 RF. We put him on CPAP. Is tht correct or do we have to put him on BIPAP to control the rate?
First identify the cause .
Very helpful, Sir!
Glad it was helpful!
Respected sir
One doubt
Bipap and PSV are same sir?
Question I know biopap is contraindicated in pneumothorax. I had a 890y.o male patient of spontaneous pneumo from alpha antitrypsin deficiency who was not tolerating chest tube to water seal and needed continuous suction like -10 mm Hg. We were not able to pleurodese due to continue pneumothorax. And he continues to retain pco2 and getting altered on HFNC.
Finally we had to switch to bipap.
Do you have any experience or any suggestion on how to manage bipap in this situation. What bipap setting will you be comfortable with @icu.
very nice.... but its simple ... once a chest tube is inserted , you can use bipap or ventilator.... the trick is keep it to minimal settings of PEEP/EPAP ; this will prevent over-distension of the alveolis and will help in healing of pnemothorax
Sir what are differences between PRVC mode and VCV mode ??
will make a video on that in ventilator series
Sir, plz provide notes also in pdf format if possible.