RT Clinic: How to use a Philips V60 as a Ventilator

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Күн бұрын

Пікірлер: 35

@pathannafey1956 4 жыл бұрын

Please be aware that the Tidal Volume displayed on the machine is not exhaled Tidal Volume, but rather the potential inspiratory tidal volume that is delivered based on the settings, and resistance and compliance of the patient. Because this is not a dual limb circuit, and the expiratory valve is an open hole on the circuit near the patient, with no ability to place a spirometer for exhaled tidal volume, there is no exhaled Vt or MV available. Also anything that goes between the end of the ET tube and that open hole exhalation port, ( such as HME's, HEPA filters, or even extra flex tubing so filters are not so close and pulling down ET tube) all become additional dead space resulting in rebreathing and potentially higher CO2's, as well as adding airway resistance to the circuit. We have tried these V-60's as ventilators without added humidity, and have found the required filters get wet very easily from exhaled moisture and secretions, making resistance worse and requiring frequent filter changes.

@rtclinic 4 жыл бұрын

Thanks for your detailed comment Pat! I appreciate your experience with v60s as vents.

@jonathanurbina4666 3 жыл бұрын

Thank you so much, 4yr RRT here. So helpful. Subscribed.

@danlim9293 4 жыл бұрын

The pressure difference between the ipap and epap is what increases the tidal volume. The larger the difference, the bigger the volume and vice versa

@cebruthius 4 жыл бұрын

Pressure Support yess

@trudywilliams3202 3 жыл бұрын

Great in service thank u

@sharongittens6034 4 жыл бұрын

Good afternoon; is best to use two filters or can the filter be moved towards the exhalation port?

@stassji5041 3 жыл бұрын

My favourite button; the ventilator shutdown button. 😂😂😂😂

@dbayang7962 4 жыл бұрын

which humidifier model is that?

@johncole3010 2 жыл бұрын

What are your thoughts on manipulating the settings for recruitment of a post covid pt having an exacerbation and de-sating from shallow rapid inspirations over 40/minute.

@rtclinic 2 жыл бұрын

Recruitment of alveoli is aways good post covid. I would recommend changing settings to help with recruitment.

@rubic.rabino6531 3 жыл бұрын

So....theoretically you can alternate HFNC w/ BiPAP until your COVID pt needs to be intubated & then ventilate pt using the V60?!

@rtclinic 2 жыл бұрын

Theoretically.. yes but not in an ideal hospital scenario 😀

@drfarhan30 Жыл бұрын

Hi I am a Hospitalist and i currently need to learn how to use different vent machines. Do you have similar videos for draeger etc as well?

@rtclinic Жыл бұрын

I have a bunch of adult ventilation videos. Check out my other vids.

@stassji5041 3 жыл бұрын

My fav ourite colour at the hospital: red and blue. 🤣🤣🤣🤣🤣

@balnahdi46 10 ай бұрын

How the NIV can be hooked to a patient is intubated or had tracheotomy ?

@rtclinic 10 ай бұрын

A vented circuit is required to allow exhalation. It will attach just like a mechanical ventilator circuit usually though an inline suction.

@sharongittens6034 4 жыл бұрын

What is the advantages of using PCV versus the AVAPS mode?

@samuellee7781 3 жыл бұрын

I've always used Avaps as a ventilator with this machine

@tgaskill 4 жыл бұрын

Great information on the V60’s PCV capability. Will your facility be purchasing the new Philips EV300? A review on that would be helpful.

@rtclinic 4 жыл бұрын

We just increased our fleet of v60s and phased out the visions. If I get my hands on one, I'll do a review.

@1969sofine 2 жыл бұрын

I’m never going to have to do this, thanks anyways

@giancarlosalamone6811 3 жыл бұрын

Si può avere la traduzione in italiano ?

@rtclinic 3 жыл бұрын

I would be glad to assist in the process to get my video translated. I'm not sure who will translate it for me. Let me know if you have a suggestion. Jimmy.mckanna@gmail.com

@ShabazzTBL 4 жыл бұрын

I want to try this but I know that that means things would be really bad so I also hope to never have to do this haha. My hospital has a ton of GE vents, a decent amount of AVEAs, and a handful of trilogies, eagles, and I think LTVs. We also rented more. So if we ever get to the point that we need to use V60s, V30s, or the damn Bird(IPPB) we would be in very big trouble. We might not even have the staff for that unless we’re working insane overtime.

@rtclinic 4 жыл бұрын

I agree. They will work in a pinch, but it will not be optimal ventilatory care if we get there.

@shantk7378 4 жыл бұрын

Some people are practically using accordions as non invasive ventilators at this time. If professional clinicians actually require a video to adopt the idea of using a ventilator as a ventilator, its safe to say we've failed.

@rtclinic 4 жыл бұрын

In some cases, clinicians are being pulled from their usual duties to work with these devices. This is for staff that have only seen this used as a nippv machine. The frontline RTs and RNs are being used in other areas or are out of work after being exposed. Very good question though!!

@mistybenefield5796 4 жыл бұрын

@@rtclinic Meh. Some people have only ever used older Visions or other units and now find themselves with unfamiliar BIPAP because that may be the only one available from a rental company. They may not be aware of the flexibility of the V-60. We had a similar situation with vents. No rental company had our vents available so we rented some we'd never touched before and had to learn a new system on the fly.

@rtclinic 4 жыл бұрын

Good luck! RTs are the best clinicians for learning on the fly!

@chuckwilson6281 4 жыл бұрын

The V60 out performs the vision hands down!

@martqbd 4 жыл бұрын

@@rtclinic We are know as the Macgyvers of the hospital.