Respiratory Therapist - PEEP and Hemodynamics

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Respiratory Therapist - PEEP and Hemodynamics

Рет қаралды 6,623

Күн бұрын

Just a fun hypothetical story to share. Hope you learn something.
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Пікірлер: 38

@Kg-nd5ob 11 ай бұрын

Can you please do more case studies? It's the best way to increase critical thinking skills.

@RespiratoryCoach 11 ай бұрын

Working on them now! Thanks for watching and commenting!!

@robertreadman9518 Жыл бұрын

Thank you. I have been working as RCP for 7 years now. And always learn watching your videos. Please keep making them

@nicolasvethencourt7238 Жыл бұрын

Excellent video. This kind of flash clinical cases are great for understanding the mechanisms behind the decision making

@RespiratoryCoach Жыл бұрын

Thanks for the feedback! Also thanks for watching!

@ulisesflores935 10 ай бұрын

Dude you can feel the passion 🙏🏻 thanks for the knowledge g

@jennifertorres4757 11 ай бұрын

Thank you! These are good reviews and exercises to help us recall and put together what we've learned. I'm a new RT, and I can't help but to feel that I still can't make these clinical connections. So thank you, the information is familiar, just a matter of putting the pieces together.

@RespiratoryCoach 11 ай бұрын

It takes time, Jennifer! Stay in the game and keep learning. Thanks for waching and commenting!

@mikeburke6458 Жыл бұрын

I love this style coach we need more!

@AhmadSohail-we7zi Жыл бұрын

Thanks you for great vidoes. I have been constantly watching your videos and have learned a lot from you. Would make a video on neonatal mechanical ventilation and explain major differences between NICU and ICU mechanical ventilation please?

@bridgetdoyle5820 Жыл бұрын

Yea please !

@iantru9929 Жыл бұрын

Been a subscriber since year one of RT school. Just gotten my RRT, love watching your videos to further my knowledge.

@hypertekptk 5 ай бұрын

Love these RT pearls

@plcncar1 7 ай бұрын

This was an excellent case review. I love how you encourage critical analysis in management of patients. You are a great representative for our profession!

@RespiratoryCoach 7 ай бұрын

Thank you so much for watching and kindly commenting!

@sergicater9 Жыл бұрын

The right term describing the right ventricle would be "enlarged" or "dilated", because hypertrophy implies thickened ventricular wall. PE as an acute pressure overload would just dilate. Great video anyway coach!

@RespiratoryCoach Жыл бұрын

Thank you so much for that clarification. I really appreciate that for both mine and any viewer's sake. Thanks for watching and commenting.

@felixgregorian4865 Жыл бұрын

You are awesome w great attitude Thank you

@rankone7 8 ай бұрын

This is what we need coach. pathophysiology and management. Thank you with these lectures. peace from Philippines 💪

@Dalila-mc7ws 7 ай бұрын

Briliant ❤

@roxannelopez7444 11 ай бұрын

You are my favorite Subscriber so far.

@lindabackham7937 Жыл бұрын

Thank you, Joe!

@sheyz1634 Жыл бұрын

Thank you so much doc! ❤

@yasmanygarcia8257 Жыл бұрын

This was great thank you!

@martiniasmith1446 9 ай бұрын

Your students are very lucky to have you as a teacher

@xNecropolisx100 Жыл бұрын

I should be able to log your videos under my continued education hours :P you make me a better RT!

@kaze123ckr Ай бұрын

I read Marion’s ICU book and had a paragraph discussing PEEP on hemodynamics. It claimed in normal heart ( on the steep side of starling curve ) PEEP will cause hemodynamic compromise due to preload dependent. However in Heart in flat side of starling curve, PEEP could actually decreased LV afterload and showed benefits. To your experience, is that true that PEEP maybe helpful in hemodynamics in heart failure patient. (Besides PEEP is good for pulmonary edema )

@RespiratoryCoach Ай бұрын

To a degree yes, specifically left heart failure, but it still all comes back to preload from my understanding. I'll look into the afterload. Check out this recent video. kzfaq.info/get/bejne/qtN6Zb2gss2mmqM.html

@juliawithnell2188 Жыл бұрын

Thank you 👍

@jream4ever 11 ай бұрын

I'm not sure if you do NICU, I've had a patient intubated AC/vc on Dragger. VT 7.4 R 40 . IT 0.38 peep 9. 70%. My question is what would cause the PIP to equal the MAP? pt. PIP most of the shift was basically 9 and desat. When PIP goes to low 20s or mid 20s improved. Pt. Is a 26 wk premie with a 3.0 uncuffed.

@RespiratoryCoach 11 ай бұрын

I don't do NICU, so take that into consideration for my answer. Maybe a NICU therapist will see this and chime in. But, it sounds like a positional leak causing the decreased PIP and a loss of alveolar ventilation, thus the denaturation. That's the best I got. I applaud your efforts to seek out understanding of the situation. That's the first sign of a great RT! Thanks for watching and asking your question. Let me know what you find out.

@Saltysteele Жыл бұрын

there is NO way PEEP of 10 caused the issue. I sleep with CPAP of 11 to 14 every night! it isn't THAT much pressure. However, despite believing that with 100% of my core, i agree with him- if you made a change and there is any detrimental change in the patient's condition- revert to previous good settings. no questions. even if you know it's not the issue. if there is bad change, change it back to when things were good.

@RespiratoryCoach Жыл бұрын

I agree! Which is why my red flags went up immediately that there was something else causing the problem. 100%