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

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

Рет қаралды 10,690

Күн бұрын

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Пікірлер: 44

@ICUAdvantage 4 жыл бұрын

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 4 жыл бұрын

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

@CAkinCAkin 4 жыл бұрын

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 4 жыл бұрын

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

@jaybuddih6874 4 жыл бұрын

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 4 жыл бұрын

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

@markay21 4 жыл бұрын

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

@RespiratoryCoach 4 жыл бұрын

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

@endofanage223 4 жыл бұрын

OMG... Thank you so much

@RespiratoryCoach 4 жыл бұрын

You're welcome! Thank you for watching!

@staceyevans7602 4 жыл бұрын

More really helpful info!! Thank you! :)

@M0m0plata 2 жыл бұрын

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

@sinclair657 Жыл бұрын

Thank you

@maxpla168 4 жыл бұрын

Thanks for explaining Joe, Good Stuff!

@RespiratoryCoach 4 жыл бұрын

Hey, Max! How's your break been?

@maxpla168 4 жыл бұрын

@@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 4 жыл бұрын

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

@maxpla168 4 жыл бұрын

@@RespiratoryCoach Springfield Technical Community College, in Springfield Masssachusetts

@RespiratoryCoach 4 жыл бұрын

@@maxpla168 Cool!

@user-yk8cg8cz9w 7 ай бұрын

Thanks ❤❤

@user-yk8cg8cz9w 7 ай бұрын

❤

@Slothandtiger 4 жыл бұрын

Awesome video!!!

@RespiratoryCoach 4 жыл бұрын

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

@thatthiskitchen8193 4 жыл бұрын

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 4 жыл бұрын

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

@RespiratoryCoach 4 жыл бұрын

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

@bonob0123 2 жыл бұрын

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

@erinm.433 Жыл бұрын

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!

@shchen111 6 ай бұрын

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 6 ай бұрын

100% True story!

@kamaljauoda9633 4 жыл бұрын

Thanks

@RespiratoryCoach 4 жыл бұрын

You're very welcome, Kamal!

@hrhmichelle 3 жыл бұрын

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 3 жыл бұрын

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.