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Recruitment Maneuvers and Best PEEP
9:50
Пікірлер
@user-em9nq7kr6e
@user-em9nq7kr6e 6 ай бұрын
Currently, recruitment maneuvers increase mortality. When using this maneuver it can cause an effect at the level of the right ventricle.
@Alphadan
@Alphadan Жыл бұрын
This is not right, patient has inspiratory efforts and is not paralized or properly sedated.
@Colorado_Chris
@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 Static holds are now outdated and ventilators are building automatic recruitment maneuvers into their software (stepwise).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?
@totheonewhoknows2074
@totheonewhoknows2074 7 ай бұрын
Exactly, the sustained chapter recruitment way is not recommended anymore, as (stepwise progressive recruitment Maneuver)SRM is the safe and ideal
@armuk
@armuk 2 ай бұрын
agreed, pretty much all modern ventilators now display dynamic compliance (Cdyn) so using the tidal volume as a surrogate marker is unnecessary
@stephaniec7216
@stephaniec7216 2 жыл бұрын
Pt not paralyzed!! Not safe :(
@timothyeria1738
@timothyeria1738 2 жыл бұрын
thank you very much
@koby795
@koby795 2 жыл бұрын
Very interesting
@digitale78
@digitale78 2 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.sureshbabu8699
@dr.s.m.sureshbabu8699 2 жыл бұрын
Wrong procedure
@vivianjennifer4089
@vivianjennifer4089 2 жыл бұрын
Thanks to Dr IGUDIA on KZfaq who cured my Sepsis disease with his herbal medication
@amandamojica4386
@amandamojica4386 2 жыл бұрын
I’m very much excited to have come across Dr IGUDIA KZfaq channel some time back. His herbs medication are really effective in curing Sepsis disease
@venkataraomodini2364
@venkataraomodini2364 2 жыл бұрын
Good explanation
@davvoprod.851
@davvoprod.851 3 жыл бұрын
Perfect!
@juventusjuve
@juventusjuve 3 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)
@stephaniec7216
@stephaniec7216 2 жыл бұрын
Yes!!!!
@ntalajakahuongo5674
@ntalajakahuongo5674 3 жыл бұрын
je souhaiterai si possible comment changer de langue
@chilvilly
@chilvilly 3 жыл бұрын
Thank you for video
@chilvilly
@chilvilly 3 жыл бұрын
Thank you very much for this video .
@chilvilly
@chilvilly 3 жыл бұрын
Please make more videos on ventilator, I want to learn . Please .
@m7mad050
@m7mad050 3 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-qw8rt
@Amanda-qw8rt 3 жыл бұрын
Is there a preferred position for the patient to be in to maximize results? i.e. prone or supine
@argentinosoares6139
@argentinosoares6139 3 жыл бұрын
Thank you for the explanation
@argentinosoares6139
@argentinosoares6139 3 жыл бұрын
The best explanation found here, really teaches me.
@vladdanila5726
@vladdanila5726 3 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?
@aysegulturgay1785
@aysegulturgay1785 3 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?
@maladjustified
@maladjustified 3 жыл бұрын
Excellent video, thank you so much.
@emersonfox3650
@emersonfox3650 3 жыл бұрын
I know Im asking randomly but does anybody know of a trick to get back into an instagram account? I was dumb forgot the account password. I love any assistance you can offer me
@dannythiago8315
@dannythiago8315 3 жыл бұрын
@Emerson Fox Instablaster =)
@yuouyo676
@yuouyo676 3 жыл бұрын
And to measure Best peep u have to go down from higher PEEP gradually
@yuouyo676
@yuouyo676 3 жыл бұрын
Or just press inspiratory hold.
@stephaniec7216
@stephaniec7216 2 жыл бұрын
Lol
@deepakchsr
@deepakchsr 3 жыл бұрын
Thank you
@mohamedelgendy5670
@mohamedelgendy5670 4 жыл бұрын
Wonderful Thank you so much
@ahmedhamma7455
@ahmedhamma7455 4 жыл бұрын
very helpful thank you for sharing
@gracemolgracious9992
@gracemolgracious9992 4 жыл бұрын
Well explained
@amitabhshankar6233
@amitabhshankar6233 4 жыл бұрын
Great content and quality of education.
@amitabhshankar6233
@amitabhshankar6233 4 жыл бұрын
i have worked with dragger and sle2000 before.. this is different but works on same principles