RT Clinic: Airvo 2 - Heated High Flow Oxygen Therapy

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Күн бұрын

Thanks for watching the RT Clinic!
The Airvo 2 from Fisher and Paykel is an excellent device for delivering high flow, heated oxygen therapy. It is can be used in all areas of healthcare from the intensive care unit to the patient's home.
Heated high flow therapy is becoming much more prevalent in the management of dyspnea in chronic obstructive lung patients. High amounts of oxygen can also be delivered with this device non-invasively to treat early hypoxic respiratory failure.
--Keys to therapy--
1. Document the FiO2 (most important for stability)
2. Document the total flow from the Airvo screen.
3. Wean FiO2 first
4. Wean Flow last
This video is based upon my unbiased opinion of this device. This video is not sponsored by Fisher and Paykel, nor am I compensated by Fisher and Paykel for this video.
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If you would like your product demonstrated by the RT Clinic, please reach out to me via email. Jimmy.McKanna@gmail.com

Пікірлер: 75

@mikestephenson9081 2 жыл бұрын

I’m a CCT Paramedic and my company just recently started using this device. Your video was far more effective than the hour-long in-service that we did. Thank you.

@rtclinic 2 жыл бұрын

Thanks Mike!

@stronghuang2010 2 жыл бұрын

Please see the smallest battery for Airvo2 patient transport. Many ambulance companies (ground and air) and hospitals are using it. this is our introduction video: kzfaq.info/get/bejne/pN19jKRetrTPlaM.html . This is the newest one launching this month 3/2022. Hope it helps you. Thanks. Zopec Medical

@brianchambers7533 Жыл бұрын

We recently got this device as well. How is it working out with your oxygen consumption in relation to long distance patient transport? The suck around the office it's going to drain tanks like crazy. units having to do road side main tank changes. Any information is appreciated.

@judymallett7924 4 жыл бұрын

Thanks a bunch. I missed the demo from the rep and this broke it down plain and simple.

@olgashybisty7967 3 жыл бұрын

I had a pt with acute respiratory failure on ABG who was DNR and wasn’t a candidate for BiPAP, so I tried AirVo and 3 hours later his ABG was PERFECT 🤩

@rtclinic 3 жыл бұрын

That's great! It's hard to explain how it ventilates a patient, but it may assist resps on a patient in resp distress.

@greensahuaro2834 Жыл бұрын

Your drawing twisted my eyes and made me crossed eyed!

@kathygow1984 9 ай бұрын

Thank you.

@anabellabella2266 3 жыл бұрын

Thanks a lot.

@AllanProst 2 ай бұрын

Please review a very basic PFT test during normal inspiration, an adult routinely breathes at a peak inspiratory flow of about 1L/sec (60L/min). I agree that the average inspiratory flow is about 20 - 30 L/min but if we need to exceed the peak inspiratory flow we will need a higher flow rate?

@SS-kp7hw 4 жыл бұрын

excellent ! on point and concise.gets to the root usage and correct application

@rtclinic 4 жыл бұрын

Thank you SS!

@sinclair657 Жыл бұрын

Thank you

@chjunes74 3 жыл бұрын

"man why did you knock out my residual volume out" and then you get punch again !!! LOL !!!

@vasileiospetropoulos2046 4 жыл бұрын

Thanks sir

@matty00926 2 жыл бұрын

These are nice units to have at home as a patient, although they are quite expensive. Very simple to use, and helps the work of breathing and the humidity is nice. You must make sure to keep your mouth shut so the flow can do its thing, which is difficult in the first few minutes when you're SOB but just stick it out and you're good.

@tgaskill 3 жыл бұрын

Thank you so much for the explanation! We are receiving a few of these as our COVID numbers increase.

@jeanbataille8830 3 жыл бұрын

good job

@ranajit45 3 жыл бұрын

Excellent. Very relevant in 2020 A practical aspect is the management of oxygen supply which is very high when large number of patients are connected in a Covid-19 hospital. One can refer to a video " HFOT Calculator" on KZfaq as a supplement to this nice video.

@charlieclark3517 Жыл бұрын

Why do you sound Steve Carell I love it hahaha

@ventilator98 Жыл бұрын

On the AIRVO 2 there is the alarms menu where you press and hold the alarm silence, up and down arrows at the same time. Are there any other extended menus, and how do you access them?

@stephaniejones5630 4 жыл бұрын

Thanks!! I love your videos and would like to attend one of your vent workshops at Union..

@Suzi_P 4 жыл бұрын

Just watched ur video again.

@abdigure4190 3 жыл бұрын

Great job! Thank you

@raymc9698 2 ай бұрын

Hey Jimmy how do wean hfnc ? Do wean fio2 or flow first?

@juliamiller9096 Ай бұрын

Airvo 2 is usd for my son at the nursing home 24 hours a day for a trach what is the best setup for 24-Hour use continuously day in Day Out

@brianchambers7533 Жыл бұрын

The video and information was very informative. As i go along this career path. I am considering taking up respiratory therapy just because there is so much cross over.

@rtclinic Жыл бұрын

Go for it Brian! You won't be disappointed

@dmg3691 3 жыл бұрын

I don’t know why but I just don’t understand the airvo when it comes to fio2 and lpm. What needs to be at what and how do you know

@sandieo2739 4 жыл бұрын

Yay 😀 just what I need to review.

@shelleyrightmyer6421 3 жыл бұрын

Where are the most pieces on the

@briandeluca6908 4 жыл бұрын

studies show that HFNC is not inferior to CPAP. Some of the studies go onto to say that that one has not been proven to be better than the other. Per Fisher Paykel

@mikewathen299 4 жыл бұрын

He didn’t say it was inferior to CPAP. He was comparing to Bipap to decrease CO2. I’ve heard those studies from the reps and I think it’s a fantastic device, but it has its limitations. I think that this device really shines in situations where you have patients who cannot come off bipap to a high flow cannula due to extreme flow demand. It gives them the ability to take breaks to eat and drink.

@srikanth-zx5mu 9 ай бұрын

FAULT E 5 IS COMING WHAT IS THE PROBLEM. PLEASE DO NEED FULL.

@michaelloving8004 3 жыл бұрын

my hospital put me on high flow o2 in the icu when i was hospitalized for saddle pe

@rtclinic 3 жыл бұрын

Saddle PE, that's a serious diagnosis. It probably prevented some of the thoracic pressure changes that may have happened if you were on CPAP.

@angelamccartney4916 Жыл бұрын

I like this guy. Very thorough and matter of fact. Some of these guys/gals are annoying! But selling merch? Come on, Jimmy...

@rtclinic Жыл бұрын

Haha! I love it. I really don't sell any merch..it just sounds cool!

@angelamccartney4916 Жыл бұрын

@@rtclinic haha ok. Keep up the good work!

@YoItsGigi Жыл бұрын

Love your stuff man. Just saw some of your videos. Can you fix your lighting though? This room was too dark

@rtclinic Жыл бұрын

Thanks for the suggestion. I'll try to get better lighting for future vids

@ScottCharlston Жыл бұрын

How would the Airvo 2 cannulas adapt to the max Venturi circuits? We are having issues adapting our Max Venturi for to the airvo 2's that are becoming more and more popular in the hospitals. Any ideas/products you could point me to? We are ordering RAM cannulas now to try to get a better fit for some of the patients. Any experience with the Ram cannulas?

@rtclinic Жыл бұрын

We use RAM cannulas for neonates on a F&P circuit here. As you have found the airvo circuits have a proprietary adapter for the cannulas. There are a few different types of cannulas from Resmed that hook to the regular max venturi circuits. They are comparable to the airvo cannulas.

@cicciuzzu5032 3 жыл бұрын

So what is the difference between Airvo2 and giving our patients plain oxygen, usually from the wall, at the hospital. I am a new nurse with COVID patients who are given this machine and I am finding this concept difficult to understand. Thanks very much!

@rtclinic 3 жыл бұрын

You are in the same boat with many clincians. High flow oxygen therapy is a very new concept. The Airvo and Vapotherm devices deliver very high flows (20 to 60 lpm), but they also heat and humidify the flow to 37 degrees and 100% humidity. This allows for the toleration of this high flow by the airways. These high flows also create a small amount of CPAP which helps to increase oxygenation.

@TXlivin4627 4 жыл бұрын

My husband is currently a covid patient. Is it supposed to fill with water? It’s making a pumping sound.

@rtclinic 4 жыл бұрын

The heater area is filled with water to add humidity. In the hospital, it can be feed by a bag of sterile water or a port that opens up for a manual pour of sterile water.

@dianesmith2249 3 жыл бұрын

Do I leave the port open by water bag? Or close little white cap

@rtclinic 3 жыл бұрын

I leave the cap closed. I've not tried using the Airvo with it open.

@dianesmith2249 3 жыл бұрын

@@rtclinic i did further research, one report to keep it open for reflex of bag

@sonyaladd2627 2 жыл бұрын

Student here, Love the video, we are just learning about this in class. Sounds like a stupid question, but I get FIO2 is O2 but the flow number next to temp, (LPM) is what, room air ?

@rtclinic 2 жыл бұрын

That is the total flow of to the patient. FiO2 is the amount of that flow that is oxygen. The rest is assumed to be nitrogen or room air.

@sonyaladd2627 2 жыл бұрын

@@rtclinic thank you

@gouthamprasad8028 3 жыл бұрын

Thanks, i have a doubt would the machine really deliver 60LPM at the prongs end ?

@rtclinic 3 жыл бұрын

When you wear it, you'll believe it 🤣 Beside expansion of the circuit, I'm not sure how it could lose flow from the machine to the cannula.

@gouthamprasad8028 3 жыл бұрын

@@rtclinic thanks for the reply, can you tell me what would be the minimum flow that's supplied to patient at the end of the cannula when the machine is set at 60LPM. Or since there is a gap between the cannula end and to the nose there will be a venturi effect and thereby supply of more air to the patient

@ashleysavery9312 4 жыл бұрын

How do you increase the high limit oxygen alarm?

@rtclinic 4 жыл бұрын

Good question! I dont know, but I'll ask my rep on Monday.

@govlogs735 3 жыл бұрын

Is there any update on this?? Hehehe this has been our problem fio2 limit is just 21 to. 95%, and our patients needs 100% tho the manual says if this alarm is activated its either your fio2 is bet 95 to 100%

@mikebeck4493 3 жыл бұрын

You will access the advanced menu screen by holding the following (3) buttons at the same time for 5 secs: alarm mute, up and down arrow. Use the menu button to cycle to the third setting, hold the up/down arrows to unlock, while the values are flashing press the menu button 4 times to progress to the flashing '95'...press the up arrow to change to '100'. Hopefully this helps!

@joshhernandez2482 3 жыл бұрын

Love the videos, Jimmy! Question: Used a 10 L concentrator with the Airvo but as I turned up the flow, the FIO2 wouldn't increase. It stayed at 21%--even at 10 L. Do you happen to know why? Thanks, man.

@rtclinic 2 жыл бұрын

That doesn't make sense to me either. When with a total flow of 60lpm you should still see a bump in your fio2 with the concentrator... I would check two things... analyze the fio2 on the concentrator to verify it is working then change the o2 sensor on the airvo.

@cynthiacruz334 4 жыл бұрын

No backup battery on this system..

@jasonr721 3 жыл бұрын

There is an optional backup battery and mounting bracket. Its around a $2000 upgrade but offers nearly 2 hours of transport time

@fucyahoo 3 жыл бұрын

What is fault E157 and how do I fix it?

@rtclinic 3 жыл бұрын

The temp at the patient end of the circuit is too high. The manual recommends turning the device off and restarting, if that doesn't fix it change the circuit. I would first check to see if there is a fan blowing on the circuit causing it to heat up too much.

@fucyahoo 3 жыл бұрын

@@rtclinic Problem solved thanks!