Currently, recruitment maneuvers increase mortality. When using this maneuver it can cause an effect at the level of the right ventricle.
@Alphadan Жыл бұрын
This is not right, patient has inspiratory efforts and is not paralized or properly sedated.
@Colorado_Chris Жыл бұрын
You really should be looking at compliance pre-post static hold and the best way is in pressure control via stepwise recruitment maneuvers. Static holds are now outdated and ventilators are building automatic recruitment maneuvers into their software (stepwise). Oxygenation tells you very little about optimal peep. You can also look at volumetric CO2 to get more information about deadspace pre-post recruitment too. No mention of driving pressure? I also saw you were talking about compliance but pointing to the tidal volume?
@totheonewhoknows20747 ай бұрын
Exactly, the sustained chapter recruitment way is not recommended anymore, as (stepwise progressive recruitment Maneuver)SRM is the safe and ideal
@armuk2 ай бұрын
agreed, pretty much all modern ventilators now display dynamic compliance (Cdyn) so using the tidal volume as a surrogate marker is unnecessary
@stephaniec72162 жыл бұрын
Pt not paralyzed!! Not safe :(
@timothyeria17382 жыл бұрын
thank you very much
@koby7952 жыл бұрын
Very interesting
@digitale782 жыл бұрын
One question: Why It happen that after setting a tidal volume i see an higher tidal effectively by the patient.For exampe i set 450 mL but Tidal il 470mL.
@dr.s.m.sureshbabu86992 жыл бұрын
Wrong procedure
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@venkataraomodini23642 жыл бұрын
Good explanation
@davvoprod.8513 жыл бұрын
Perfect!
@juventusjuve3 жыл бұрын
I don't think you are not a safe maneuver.. Patient is not paralized undergoing flow a synchrony in vc ventilation (look the volume and pressure curve with upward concavity)
@stephaniec72162 жыл бұрын
Yes!!!!
@ntalajakahuongo56743 жыл бұрын
je souhaiterai si possible comment changer de langue
@chilvilly3 жыл бұрын
Thank you for video
@chilvilly3 жыл бұрын
Thank you very much for this video .
@chilvilly3 жыл бұрын
Please make more videos on ventilator, I want to learn . Please .
@m7mad0503 жыл бұрын
During the checkout of the vaporizer you made a mistake, you have to turn on to 1% precisely not over 1% (TEC 7 is the vaporizers for iso and sevo. TEC 6 plus for des.) this is needed to be accurate if you use the ventilator monitor with the gases Module connected to the side of the machine!
@Amanda-qw8rt3 жыл бұрын
Is there a preferred position for the patient to be in to maximize results? i.e. prone or supine
@argentinosoares61393 жыл бұрын
Thank you for the explanation
@argentinosoares61393 жыл бұрын
The best explanation found here, really teaches me.
@vladdanila57263 жыл бұрын
Why not start with a higher peep and gradually go down until the elveoli collapse then recruit once more to that peep+2?
@aysegulturgay17853 жыл бұрын
does this means that you saying upper inflection point of the deflation limb is better than medify's suggestion of lower inflection point of inflation limb?
@maladjustified3 жыл бұрын
Excellent video, thank you so much.
@emersonfox36503 жыл бұрын
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@dannythiago83153 жыл бұрын
@Emerson Fox Instablaster =)
@yuouyo6763 жыл бұрын
And to measure Best peep u have to go down from higher PEEP gradually
@yuouyo6763 жыл бұрын
Or just press inspiratory hold.
@stephaniec72162 жыл бұрын
Lol
@deepakchsr3 жыл бұрын
Thank you
@mohamedelgendy56704 жыл бұрын
Wonderful Thank you so much
@ahmedhamma74554 жыл бұрын
very helpful thank you for sharing
@gracemolgracious99924 жыл бұрын
Well explained
@amitabhshankar62334 жыл бұрын
Great content and quality of education.
@amitabhshankar62334 жыл бұрын
i have worked with dragger and sle2000 before.. this is different but works on same principles