"No you don't. You're killing somebody." 😂😂😂 Best line! As usual man, great explanations. It's clear you know your stuff and you do a great job explaining that knowledge.

watching this in 2024 because we just started doing mechanical ventilation. I graduate May 2025. Thank you for this video.

OMG, thank you, it is the first day of my second semester.

Hindsight...the timing on this video was great.

You’re a life saver! 2nd semester student here taking mechanical vent. Learning mechanical vent is like learning a foreign language. Thank you for making it clear for me. I was lost 😞 until I watch your video.

Absolutely makes sense. Thank you for the clarification. It is one thing to read a text book, teacher and try to figure it out but sometimes people just need to hear a different voice and you Sir are that person. Even the hand movements and pictures I understood better. Thank you for what your doing.

I'm a second year Respiratory student and wow this is so helpful! Thank you for sharing

Great break down!!!! I wish our instructors explained like you. Thank you!!!!!

I literally used to hate this topic and didn't look forward revising it but your videos actually made me fascinated and eager to learn more! literally what the hell. Great job ^x^

I am watching this in 2023.and u realy did a great job explaining it..thanks sir

It's vent time!!! Here we go with my quick refresher of vents. I hope it goes as well as my ABG review. Thanks for everything!!!

you're vid was so good it made me shed a tear. Thanks alot

6:52 clever point! I’m gonna discuss it with my supervisor 💪🏻💪🏻

Ur explanation is really very good sir , thank you very much

Your videos made me love Mechanical ventilation 😊

Thank you Coach , it such a useful video and great knowlage , thanks for a great video , Coach

This is my first time watching one of your videos, and I have to say you are an amazing teacher. Clear and concise. You have helped me which intern allows me to better help patient’s thank you.

Wow, you are a legend! It's so clear 😊! Thank you for sharing your knowledge!

You are a great instructor and make everything easy! I am an ICU nurse and it makes more sense with the way you explain it. Thank you so much! 🙌🏼

As you predicted, it does makes sense now!

So basically... Mechanical ventilation RR (respiratory rate) = x breaths/min (ex. You want to give 1 breath each 4 seconds you'll do 60sec/min ÷ 4 sec to find out what your RR would be, so here your RR would be 15/min, as 60sec ÷ 15/min = 1 breath each 4 seconds) Vt (tidal volume) = x ml/inspiration (ex. Patient weight 80kg and you want to give 6ml/kg you'll give 480ml/inspiration as a Vt of 480ml) (please don't be killing anybody by giving a Vt of 500L thank you.) Ve (minute ventilation) = x L of volume given/minute (ex. You've installed a Vt of 480ml at a RR of 15/min so you're giving 7,20 L of volume each minute as Ve = RR * Vt = 15/min * 0,480ml/L which = 7,20 L/min) (and remember that hyperventilation is, for example, not only high RR but a high Ve that affects your PaCO2 by decreasing it so much that the patient is now in respiratory alkalosis, as an RR of 24/min with a Vt of only 150ml is not necessarily hyperventilation because Ve would only be of 3,6 L/min!) Trigger (breath starter) Time triggered breath : when patient is not breathing, breath delivering depends on set RR. Pressure triggered breath : when patient takes pressure away from the circuit Flow triggered breath : when patient sucks flow out of the circuit Cycle (inspiration ending allowing expiration to begin) (here, two most used in mechanical ventilation) Set inspiration time (Ti) is reached so inspiration ends and expiration starts Set inspiration volume (Vt) is delivered so inspiration ends and expiration starts Etc. (differs from modes to others) Pressures -PIP (peak inspiratory pressure) = airways pressure + alveoli pressure When inspiration starts, pressure rises until the breath is delivered and the highest that pressure got is the PIP -Pplat (plateau pressure) = pressure representative of the pressures within the alvioli only (manoeuvre : at inspiration's end breath is hold for a few seconds and pressure lowers from PIP to Pplat and stays there until the inspiratory hold is released) -MAP (mean airway pressure) = average of all the pressures throughout the entire cycling of the breath (area beneath the pressure curve) The higher the PIP and Pplat are, the higher the MAP is going to be and vice-versa -PEP or Peep (positive end-expiratory pressure) = set pressure that prevents the alveoli to completely collapse at the end of exhalation (atelectasis) by holding continuous pressure throughout the ventilation -Driving pressure = Pplat - PEP (We want that pressure to be minimal as well) PIP - Pplat = representing airway resistance

Thanks Respiratory Coach, you break it down so simple.

THANK YOU THANK YOU I'm using the Pilbeams workbook at the moment and we starting using these variables but I need to know what they they not just plug these variable into the equations! this was awesome!!!!

Love your videos. I feel like I learned more in your 20 min videos than in a whole semester. Keep uup the good work.

Thank you so much I’m in school right now and this helps thank you again

Hello, Respiratory Coach. I am a year in as an ICU nurse. We're not really taught much about the vents except for the basics. Most is self study. Try as I might, reading about vents is not as easy learning as would have thought (i.e. loops and wave forms). Super glad to come across your channel. What is your suggestion on the sequence/order of where to begin with your videos, let's say if new to vents then progress to expert level? Thank you again for making these video as they help us understand beyond basic.

Awesome teaching...u r rocking...Ur knowledge is beneficial to the whole world

Thank you very much for this video, I have subscribed to your videos. I am a current RT student and this has helped so much especially with the classroom limitations. Your visual video helped me understand much more than what I was getting. Thanks again. Gil

Great vid thanks 😊 I can’t wait to learn more ima need all the help I can get😅 you made it very interesting wish you could be my professor 👨‍🏫

Great teaching, God bless you

You clarify to me a lot of misconsepts ! thank you , keep going you amazing work.

You are godsend bro keep it up

Tqqq so much ....for saying basics of pressure ,bcz I am always confused but now I have clarity about pressure...hpy new year

It really does makes sense now! Thank you!

Man, this was right before COVID hit.

I wish u were my teacher 😂

Of only you knew what 2020 would bring!!!

Excellent maestro!

Thanks a lot, appreciate your effort 👍🤍

Great videos I wish you make one special episode for pediatric mechanical ventilation

This is great thank you!

Filled with Gratitude! happy new year

Thanks for explanation.. Great job keep it up..

What determine the end of inspiration is called LIMIT. What determine the initiation of expiration is called CYCLE.

Thank you so much for sharing those information with us.I have recently started my internship in anesthesia and ICU department and I got a lot of benefit from your videos. But the problem is your videos are not well organized in terms of categories, I mean I don't know which video comes first, so that I start from scratch and gather up my knowledge with each upcoming video?!

Beautiful teaching .......thankyou sir

Can you take these videos and make them into podcast type stuff? I would love to be able to listen to your videos while I am working.

Wow! God bless you

It does now!

Thank you thank you thank youy

Awesome. Would you please talk about Bi-level mode and how to titrate it by any chance? Thank you

Awesome man....

4:47 hahahaha “no you don’t” got me😂😂😂😂😂

Thank you again for breaking it down for us. A great way to help me review while on the new job =)

you are amazing sir.

It does now

Hello May I ask... Because in a mechanical ventilator that I see.. That is on Dynamic Bi Level Setting.. The parameter has "Pressure Support" and "Frequency".. May I know, what is the difference between the Frequency and Pressure Support please.

the best❤❤❤❤

Wow thank you so much

Hello sir. I just wanted to ask if you can tell the order in which i should watch the videos for MV it will be really helpful🙏🙏... Love your explanation sir

So I was with another rt today and their patient is a chemical code so everything but compressions. The patient was on a vent fio2 100% peep of 20 and satting 30%, at one point would you take them off the vent and start bagging? 30% saturation is so low I was getting worried and wondering when we would start bagging? The patient was eventually changed to comfort care so patient didn't end up coding

I love this channel 🥹

Dammit!! I should’ve been listening to you already

Thank you so much!

This may be a silly question: but for Ve I understand the formula rr x vt. But when you said 24 x .150 = 3.6L doesn’t mean hyperventilating because you cant use the RR on its own to dictate that (I understood that). I’m just wondering how we can know if a patient is hyperventilating? Do we use pH to dictate that or is there a target Ve we need to look for to consider “hyperventilation”

Great video! Is tidal volume is inhale volume or exhale ?

Thank you

Can u also teach ecg just summarize thank you

Peak flow % cut off...could you please explain this better

What’s a normal driving pressure ?

Could you explain how to affect Vt, Ve, ect. on the ventilator?

What are normal ranges for each one?

11:30 if I may ask, why do we need to measure the mean pressure? What is the point?

So it Peak pressure the same thing as PIP?

Can you do a video on cmv indications

Sir kindly arrange videos in sequence.its difficult to understand to see which video after other

Hello , good videos ,,, are you posting new videos? Most of them are 2 years ago ?

When in pressure support ventilation, what is an appropriate setting for end cycle time? On most vents I have seen it set at .25 or .30.

Thank u from icu nurse

9:30 I'm confused. I thougth Boyle's law states, that pressure and volume is inversely related. So the higher the volume the lower the pressure.

And then came 2020 😢

thank you

How do you calculate O2/Air ?

It does now,😁🙏🙏🙏

Hello doctor, my dad has been infected by covid19 and her lungs are damaged more then 90%, after 3 months and half he's still with oxygen machine and VNI machine, Please how i can contact you?

i need normal values/range for each of that ventillator settings plsss

👍🏾