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Respiratory Therapy - Deadspace, Alveolar Tidal Volume and Alveolar Minute Volume

  Рет қаралды 17,742

Respiratory Coach

Respiratory Coach

Күн бұрын

This video discusses the importance of deadspace, and how it affects alveolar tidal volume and alveolar minute volume. What effect does larger tidal volumes vs smaller tidal volumes have on Vd/Vt.
Please subscribe, like and comment. Would love to hear what you think about the video. Also look for me on social media....
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BEST WISHES!!!

Пікірлер: 123
@charleswilliams5255
@charleswilliams5255 5 ай бұрын
I'm a 30yr RT veteran and I enjoy watching your videos. Great refreshers for us "seasoned" therapists and useful tips for teaching our students.
@raixafigueroa23
@raixafigueroa23 10 ай бұрын
Your videos are getting me through my second year as an RT student. I keep learning English as I go, when I don’t understand something in school because professors speak fast your videos have helped me a lot. I’m not going to give up! Thank you for all you do for us!!!! 🙏🏼
@shannongilman2109
@shannongilman2109 3 жыл бұрын
Your ability to break it all down is incredible. As a first semester, first-year student, during COVID, hybrid learning has presented many challenges. This channel is a life-saver in terms of high-level comprehension, application, and in turn, retention. Thank you, Thank you, Thank you!
@lizl.6874
@lizl.6874 4 жыл бұрын
Is there a HUG button apart from LIKE? Because that's what I want to do now with you for your priceless teachings!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Virtual hug back. Thanks for the kind words and for watching!
@EricaSmith-cr5nw
@EricaSmith-cr5nw 3 ай бұрын
Hi there! I love the way you teach!! Im in the 3rd term of an accelerated program that is only 17 months. Its hard to keep up so i watch your videos more than once to get the ideas better. Thank you for making these!!
@laurentheRT
@laurentheRT Жыл бұрын
Thank you for these videos & your incredible ability to teach these concepts. I feel like I learn so much in every video I watch on your channel! You are greatly appreciated.
@razchhhhh
@razchhhhh 3 жыл бұрын
thanks coach your lecture just answered the question: . If the rate of breathing increases without any change in total minute ventilation (VE constant): A. The alveolar ventilation per minute will increase B. The alveolar ventilation per minute will decrease C. The deadspace ventilation per minute will decrease D. The alveolar ventilation per minute will remain constant it's letter A
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Glad I helped, but the answer is B. If RR increases then that means tidal volume must decrease for total ve to remain constant. Small tidal volume = decreased alveolar ventilation.
@razchhhhh
@razchhhhh 3 жыл бұрын
@@RespiratoryCoach thank you so much🤗 I'm glad you corrected me and thanks for clarifying that one... I hope this channel grows more❤ btw I'm a fan✋
@christinesullivan5195
@christinesullivan5195 4 жыл бұрын
We just covered deadspace in our last vent lecture before our final this week. I understand the concepts, but working through these problems with you really helped give me a better understanding of it. I'm glad I stumbled upon this video while studying!! So thankful for your channel!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Awesome, Christine! Glad you find the channel helpful. Thanks for watching and commenting!!!
@argga2
@argga2 Жыл бұрын
You are getting me through RT school by the skin of my teeth, coach. Appreciate all you do!!
@tonyawindsor8679
@tonyawindsor8679 3 жыл бұрын
I really wish you had been my teacher once upon a time. You are great at what you do. Your such a blessing to.so many RTs. Could you please talk about base excess with ABG samples. Thanks again
@subeesubhan7715
@subeesubhan7715 4 жыл бұрын
THANKS FOR CLEARING MY UNDERSTANDING OF Vd to Vt ratio
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
It's my pleasure, Subee. Thank you for watching and commenting!
@gabriellerattunde7752
@gabriellerattunde7752 Жыл бұрын
Your videos are a blessing! 1st yr student, 4 weeks in-pulling my eyelashes out trying to master these concepts. Videos are great, easy to follow, and VISUAL! love them and will be visiting often!! I will be sharing the link with my PEEPS
@melb9696
@melb9696 Жыл бұрын
Same! First year student, a month in, about to be tested on this stuff and needing to understand it better. Hybrid classes or mostly online doesn’t cut it at times! So thankful for these videos
@williamtalerico8881
@williamtalerico8881 Жыл бұрын
Like pieces of a puzzle, I knew what deadspace was- at least in terms of a formula- and I knew what Ve was in terms of RR and Vt. But I didn’t know what they looked like when those “pieces” fit together. You always say: “Why > How”. Thank you for the breakdown!
@emilyrossi124
@emilyrossi124 4 жыл бұрын
Thank you for this. I actually have a visual for the MD's to understand now.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Fantastic, Emily. Love to hear RTs giving visuals to MDs. Strong work.
@eman5669
@eman5669 2 жыл бұрын
thank you and as your usual you make it simple BUT clear
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
Glad it was helpful!
@clarissachapa5313
@clarissachapa5313 2 жыл бұрын
I am currently in my first semester of respiratory school and this helped me so much!!! Thank you
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
Awesome! Glad you found the channel early in your educational process and hope it helps along the way!!
@inspire2respire382
@inspire2respire382 4 жыл бұрын
You are TRULY AWESOME! Your last illustration of using Ve and VD/VT helped answer a question from my summer packet! Now I have to figure out 1 more.🥳
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Glad I could help! Thank you for watching and sharing this kind comment!!!
@margaretgaston6012
@margaretgaston6012 4 жыл бұрын
Hi, first year vet student here! Found this helpful to understand tidal volumes more, we haven't really practiced equations, more just applying them to respiratory diseases. I'll be searching your channel for some more help with this application!
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Hi Margaret! Thanks for watching and commenting! Glad to see that these videos are helping others outside the world of human healthcare.
@karimartin5615
@karimartin5615 3 жыл бұрын
Excellent explanation! I'm in an 18 month-long RT program and some of this information goes by so fast. I really appreciate your videos breaking it down.
@delfinaperez2653
@delfinaperez2653 4 жыл бұрын
I SO APPRECIATE your Channel. I learn so much and better understand concepts with the help of your videos! Thank you so much for everything you put into your channel! Appreciate you, your knowledge and expertise! 👏😊👍
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You're very welcome, Delfina. Thank you for taking the time to watch and comment.
@maggyvhanesa5862
@maggyvhanesa5862 3 жыл бұрын
Thank you so much, you explained deadspace in simplest way.
@ggr_light809
@ggr_light809 3 жыл бұрын
Coach you summed up a lec under 20min. Thank you for your easy to understnd video's keep it up, you make studying easier. :)
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Happy to help! Thank you for watching!
@sylviabyrd1077
@sylviabyrd1077 2 жыл бұрын
Thank you so much for this video. I am about to take my test ( TMC) and you were great. I have been out of school for a while but this bring my memory.
@THE_REAL_KiNGTOPNOTCH
@THE_REAL_KiNGTOPNOTCH 3 жыл бұрын
Thank you again bro. You are patching in a lot of holes for me
@stevensweeney9374
@stevensweeney9374 3 жыл бұрын
Great info! Your videos are getting me through first semester with classes being online due to the pandemic. Thank you so much!
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
You are so welcome!
@Theavila44
@Theavila44 4 жыл бұрын
Thank you so much, you explained it beautiful! very easy to pick up were i was lost in class the other day.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Wonderful, Janet!! Glad it helped to support your classroom education!!
@abdigure4190
@abdigure4190 4 жыл бұрын
I appreciate your clear explanation of this concept. Thank you very much!!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You're very welcome! I appreciate you watching and kindly commenting.
@preeti806
@preeti806 3 жыл бұрын
This is juz amazing...very well explained and made it so simple
@claudia16d
@claudia16d 4 жыл бұрын
Can you do a video about electrolytes and understanding their relationships and how they play into ABGs? Also I appreciate your videos, thank you!!!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Big topic, bit I'll see what I can do to simplify it down to the need to know stuff. Stay tuned!
@mobarakhanane2328
@mobarakhanane2328 10 ай бұрын
Thank you, Coach!
@newaveride3396
@newaveride3396 Жыл бұрын
Thank you! So enlightening!
@peacel5629
@peacel5629 3 жыл бұрын
love you so much! Thank you for all your help!
@adzcastiri7911
@adzcastiri7911 4 жыл бұрын
Highly appreciated coach vividly understood the concept.thanks a lot more power to your channel.God bless 🙏
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Thank you Adz. Glad it made sense. Thank you for watching and kindly commenting!
@metalmom56
@metalmom56 4 жыл бұрын
Hello! Enjoy all of your videos and you have wonderful teaching methods. I'm a 5 year post grad trying to refresh all these concepts to take the board exam and your clear explanations are the most helpful!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
That's awesome that you are prepping for your RRT. You can do it! Thanks for watching and kindly commenting.
@Lungs523
@Lungs523 2 жыл бұрын
I absolutely love how you break things down. I can’t say it enough. Are you able to post the formulas in steps please so that I can label them in my notes if you have time that is thanks again for all your videos. I share just about 95 % of them 🥰
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
Thank you, Janny. I'll see what I can get out for you.
@Lungs523
@Lungs523 2 жыл бұрын
thank you, I know you are busy but if you have time, it would be great!
@rrt2258
@rrt2258 3 жыл бұрын
I understood everything about this videos except the last part right after you said a normal vd/vt percentage is 30-40% and anything higher than that you are hyperventilating your patient I completely got lost after that
@KishoreKumar-mb6gz
@KishoreKumar-mb6gz 4 жыл бұрын
Dear coach, Thank you so much for your videos. If possible please share us your school experience like how do you study, difficulties that you have faced, what made you to choose Respiratory therapy,... Eager to listen your experiences on Respiratory Therapy.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hello! Thank you for asking this question. I am actually participating in a podcast this Friday, where this is the topic of conversation. I will share that link here once finished. Thank you for watching and commenting.
@KishoreKumar-mb6gz
@KishoreKumar-mb6gz 4 жыл бұрын
@@RespiratoryCoach Thank you
@CS-bh4ur
@CS-bh4ur Жыл бұрын
Thank you so much for these videos
@MDbros301
@MDbros301 3 жыл бұрын
Not sure if you already covered this but I can find a video on it. But could you help me with a better understanding of Oxygen Transport and the Oxygen Transport equation? Thank you so much!! You are helping me get through RT school SO much!!
@carolinamunoz3676
@carolinamunoz3676 3 жыл бұрын
Good afternoon, I just started my third semester and today is day 2 on learning mechanical ventilation formulas. We learned a couple, but I'm having trouble knowing what to do with ABG gas if the patient is in respiratory alkalosis?? This morning, a question on my quiz ex: " what do you do to the patient next?" I believe they mentioned something about decrease minute ventilation and added PEEP? I'm so confused about what minute ventilation has to do with respiratory alkalosis; how are we supposed to know what to do next on a patient entering the ER. I would greatly appreciate it if you could add the video link to my comment if you had made a video explaining decreased minute ventilation. Thank you so much for these videos. I've been watching your videos since day 1 of Respiratory school!!! :)
@elizabethmulehi4647
@elizabethmulehi4647 4 жыл бұрын
Thank you, I especially love your visuals. #waytoteach!!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You're very welcome, Elizabeth. Thank for sharing those kind words and watching.
@jackiekraft9703
@jackiekraft9703 Жыл бұрын
🙌your the best!!!
@azz7943
@azz7943 4 жыл бұрын
Thank you A real therapistas as always ❤️❤️ I need u to explain what do u know about CPT for vented patients, why do RT references mention CPT for spontaneous breathing pts only? While in clinic CPT is done for vented pts with collapse in cxr.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hey Azz. CPT should only be done on any patient for the sake of mobilizing secretions. The vented patient with collapse on cxr is ordered CPT, when the atelectasis is secondary to a mucus plug. Does that make sense?
@ANNIS0831
@ANNIS0831 Жыл бұрын
Awesome vid!!!
@dr.grgkosalasrandeniya9649
@dr.grgkosalasrandeniya9649 4 жыл бұрын
Thx a lot. U explained very clearly.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You're very welcome, Dr. Kosala! Thank you for watching and commenting.
@robinkeller6307
@robinkeller6307 4 жыл бұрын
Thank you! Just finishing new grad year and this 💡 my question is when we use ARDS net protocols for covid pts (high rate/low vt for lung protection) are we doing more harm to the body as a whole? Lower effective vt = less opportunity for an already challenged oxygenation situation
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hello, Robin. Not necessarily, because we also utilize higher peeps. The higher peep helps to maximize oxygenation. Great question. Thank you for watching and commenting!
@andreafigueroa8952
@andreafigueroa8952 3 жыл бұрын
😊 this helps so much thank you
@khalidalhazb7012
@khalidalhazb7012 4 жыл бұрын
Thanks coach for the clear explanation. I just graduated, and it is a matter of time before I go to my internship, so any pointers to help me rise above being an average intern. 🙏🌹
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hi Khalid! Just learn as much as you can. While others are sitting around doing whatever, you be up and around your patients. Review charts, look at x-rays and cat scans, talk with physicians and nurses, become an expert on wave forms and patient-ventilator synchrony. The more you look and talk the better you'll become. There's so much to what we do. If you haven't already...watch this video...kzfaq.info/get/bejne/jbOPgJCYmNjeeWQ.html Congratulations on your recent graduation and soon to be internship! Best wishes!
@henriquelopes9596
@henriquelopes9596 4 жыл бұрын
Thank you very much!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You're very welcome. Thank you for watching and commenting! ❤️
@daughtersofzion5859
@daughtersofzion5859 4 жыл бұрын
Do you cover techniques for conquering the clinical sims
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Not specific to "conquering the CSE". At least not yet.
@amberthibodeaux8329
@amberthibodeaux8329 4 жыл бұрын
Hey there! your content is INCREDIBLY helpful! My question is not really related to this particular video, but in general, are there any values that will always stay directly proportionate to each other in all situations in terms of mechanical ventilation...or any other respiratory topics really?
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hi Amber. There are several things that are directly proportional. Some of the first things that come to kind.. 1. In volume control...Increase tidal volume = increase peak pressure...and vice versa if you decrease tidal volume 2. In pressure control...increasing pressure = increased tidal volume...and vice versa if you decrease pressure. 3. Increased airway resistance = increased peak insp pressure...and vice versa Hope that helps.
@nv5606
@nv5606 4 жыл бұрын
Thank you very much!!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You are very welcome, Julio. Thank you for watching.
@marwasayed796
@marwasayed796 2 жыл бұрын
Thank you so much
@sofialeon1671
@sofialeon1671 3 жыл бұрын
GREAT!!!!
@amberthibodeaux8329
@amberthibodeaux8329 4 жыл бұрын
One more question:) Have you done a video on chest xray interpretation? Like how to interpret or identify specific markings or patterns to look for that will pinpoint specific disease processes? I hear and see "consolidation" described a lot, but there's several pulmonary disease processes with that....how do you differentiate? Is consolidation kind of an umbrella term?
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Here ya go. One of my originals. kzfaq.info/get/bejne/aM6gaq-g2cjRl6c.html
@arabelvalle9562
@arabelvalle9562 4 жыл бұрын
Thank you so much 💓
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You are very welcome, Arabel. Thank you so much for watching and kindly commenting.
@sinclair657
@sinclair657 Жыл бұрын
Thank you
@user-py2so7xc2f
@user-py2so7xc2f 10 ай бұрын
Hi 👋 I am in the first semester of respiratory therapy and I am having problems understanding Control of Ventilation. can you make a video about that. Thanks
@tonyawindsor8679
@tonyawindsor8679 3 жыл бұрын
I really hope I get the pleasure of meeting you some day. I need to hug you! Why can't all instructors explain material the way you do?
@jeroenvangent6675
@jeroenvangent6675 3 жыл бұрын
Is there a similair formula for patients anatomical dead space, in kilograms? Pounds are not the reference value we use at my ICU in Europe. Great videos still!
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Hello, Jeroen! Anatomical deadspace is approximately equal to pounds of IBW. I mL of DS = I pound of IBW. From kilograms (IBW), you should be able to just multiple by 2.2 and this will give you your approx. deadspace in mL.
@km70387
@km70387 4 ай бұрын
Such a good video! If the alveolar minute ventilation is 3770 would you round it up to 3.8 or down to 3.7 on the vent? (astral 150) thank you
@yazanhani3735
@yazanhani3735 4 жыл бұрын
Thank you for your time ❤, So becuase of that we use low rate and high tidal volume in COPD Patients, it is to eliminate the Co2 ?
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hello again, Yazan. So, this particular video is more related to spontaneously breathing patients. Once on a ventilator, you reduce anatomical deadspace, but replace it with mechanical deadspace (ie ett, and suction catheter connections). On a vent you would best assess deadspace with the use of an end tidal CO2 monitor. Definitely lower rates, and higher flows to allow for enough time for a full exhalation. Tidal volume should remain 6-8 ml/kg. Hope this helps and makes sense. Thanks again for watching!!
@user-yk8cg8cz9w
@user-yk8cg8cz9w 6 ай бұрын
Very liked
@staceyevans7602
@staceyevans7602 4 жыл бұрын
Math has never been my strong suit, lol. Unfortunately, when I get equation on top of equation my brain wants to immediately shut off. I'm pretty sure I understand the concepts here, I'm just nervous about remembering all these equations in a hospital setting. Thank you for the video!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hello again, Stacey. As long as you get the concepts and value of the formulas. That's way more important than actually doing the math.
@daisyleefalduto4487
@daisyleefalduto4487 4 жыл бұрын
How would this work for a 32 week baby on HFOV? Pt. Weight is 1.93 kg 16 inches long. MAP 12, HZ 12, AMP 32, I TIME 33%. THANK YOU! You are an amazing instructor 👍
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hi Daisy! You've stepped into the world of neonatals and out of my realm of expertise. LOL I do know that deadspace, specifically mechanical deadspace, is vitally important in the neo world. Unfortunately, I'm not versed on it well enough to know how it is assessed and monitored. I will ask my neo/pedi expert and get back to you. Thanks for sharing the scenario. Wish I could be more helpful.
@daisyleefalduto4487
@daisyleefalduto4487 4 жыл бұрын
@@RespiratoryCoach thank you! 👍
@benjamintraxler9931
@benjamintraxler9931 4 жыл бұрын
This is a random request, however, I want your take on an interesting scenario I was given by my instructor. A 65-year-old 5’6” 80 Kg male in impending respiratory failure secondary to severe pneumonia with history of left lung pneumonectomy. The patient is intubated with 8.0 ETT secured at 23@ teeth mark. My specific question is, how exactly would you mechanically ventilate someone with one lung? Besides the fact that this patient has pneumonia, mechanically ventilating someone with one lung has got to be a challenge, to say the least.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Awe, the classic pneumonectomy scenario. 6-8 ml/kg will give you normal tidal volume for a patient with both lungs. Someone with only one, you simply cut that tidal volume in half. For example, 6 ml/kg equals 440 for a particular patient. You would set this patient with a pneumonectomy on 220 mL. And yes, very challenging. Hope this helped. Thanks for watching and commenting with this scenario, Benjamin.
@elizabethhersey6110
@elizabethhersey6110 4 жыл бұрын
@@RespiratoryCoach Would pressure control be safe. Safe pressure = safe volume?
@Oliver6977
@Oliver6977 4 жыл бұрын
Where do you get the 178 ml of dead space aprox. in the begginning ? Is it always equal to IBW in pounds ?
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hey Olivier! Yes, anatomical deadspace is estimated at 1ml/pound of IBW. Thanks for watching and commenting with your question. I appreciate you!
@alahal1
@alahal1 Жыл бұрын
will the vent take into account the dead space in the vent circuit?
@RespiratoryCoach
@RespiratoryCoach Жыл бұрын
Not any ventilator that I'm aware of.
@roshu4557
@roshu4557 3 жыл бұрын
u kept tv of 500ml 2 remove more co2,bt in ards pt if tv is 300 nd abg suggestive of respiratory acidosis can we increase tv 2 500ml?
@lizl.6874
@lizl.6874 3 жыл бұрын
Hi coach, quick question: is there a situation where minute ventilation is increased but doesnt increase the tidal volume? Normally if i increase pressure support Vt and Ve simultaneously increases. Thanks!
@Megan-uw9xj
@Megan-uw9xj Жыл бұрын
So lets say the patient is 5 ft and 145#, would their estimated mL be 145mL?
@bushraali7244
@bushraali7244 3 жыл бұрын
So can we say that dead space increases in shallow breathing?
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
The actual amount of deadspace does not increase, but the percentage of deadspace (Vd/Vt) does increase. Great question! Thanks for watching!
@bushraali7244
@bushraali7244 3 жыл бұрын
@@RespiratoryCoach Thanks! Great video, subscribed!
@amandacomstock5079
@amandacomstock5079 3 жыл бұрын
Do these formulas work the same on neonates?
@raymc9698
@raymc9698 11 ай бұрын
I got 172# for ibw
@kamaljauoda9633
@kamaljauoda9633 4 жыл бұрын
Thank you
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You're very welcome, Kamal. Thank you for watching!
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