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Be SMART! Use these Settings on the Oscillator! 

The NICU Doc
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In this video, I'm going to show you a simple method of choosing your settings so you can avoid lung damage and be SMART on the oscillator. We'll re-create a real-life scenario in the NICU to help you familiarize yourself with every day conversations and give you the confidence to understand the oscillator in your day to day work. I'll also give a brief overview of how the oscillator works and the different buttons we use. This is a very important safety tip that you shouldn't risk ignoring!
If you're new to using an oscillator or you're seasoned by still want to learn how to best manage these machines, then you need to learn how to choose the right settings to better care for this little ones in the NICU.

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15 окт 2024

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Комментарии : 20   
@kendra4444
@kendra4444 Год назад
Thanks for this video! I was trained with the jet, so I’m trying to get more familiar with the oscillator.
@thenicudoc
@thenicudoc Год назад
My pleasure. A tip...think MAP = PEEP, AMP = PIP. Hz and Rate is a little different concept...as ine is more the area under the curve (hz) while the other is more about expiratory ratios and allowing more relaxation time (rate).
@biancakehoe8289
@biancakehoe8289 4 месяца назад
I've been checking out your videos, they are super helpful please keep them coming. I need to know everything nicu! ❤️
@thenicudoc
@thenicudoc 4 месяца назад
Thank you Ms. Bianca. Glad you liked. Why do you need to know? Entering the NICU workforce?
@biancakehoe8289
@biancakehoe8289 4 месяца назад
@@thenicudoc yes!! ❤️ I worked in the NICU for a year at a level 3 but we only functioned at a level 2! I'm looking for a level 3/4 nicu job now so hopefully I'll get something soon, also working on my Nps.
@zahramalik1278
@zahramalik1278 Год назад
This is very helpful video+ the tip you always give towards the end
@thenicudoc
@thenicudoc Год назад
Excellent. Thank you for that feedback 😊.
@ricky00742
@ricky00742 Год назад
Excellent NICU Doc..
@thenicudoc
@thenicudoc Год назад
thank you so much for that kind comment
@felipeguinancio7456
@felipeguinancio7456 Год назад
Ty a lot for the review Dr Fort!
@thenicudoc
@thenicudoc Год назад
It is my absolute pleasure. Do you like the oscillator or the Jet best?
@felipeguinancio7456
@felipeguinancio7456 Год назад
I dont have experience with jet ventilation. Just the oscilador. Wich is not used The way it should in the units i work. Specially for the premies i mean. Follow your work form Rio, Brasil. Keep it up.
@pppppppf
@pppppppf Год назад
Good stuff. Well put together
@thenicudoc
@thenicudoc Год назад
That really means a lot. Thank you so much
@Skinnywhiteguy02
@Skinnywhiteguy02 5 месяцев назад
I was wondering why you would order an amplitude rather than power. Amplitude is variable and can fluctuate given changes in lung compliance and airway resistance. I know this is an eternal debate just would love to hear your opinion.
@thenicudoc
@thenicudoc 5 месяцев назад
You're not wrong. It is similar to the debate of VG vs. PC. Some swear by one vs. the other and in certain populations, it makes a difference. Bit the majority, it really doesn't make any physiological difference.
@aron7765
@aron7765 11 месяцев назад
Hi there, thanks for the video. If I can have a question...what would be your next step if you had a baby on MAP 10, Amp 20, with dangerously low pCO2, and actually needed less than 1:2 ratio? Would you switch to AC, or increase frequency? Or decrease amplitude a little and possibly risk atelectasis anyway? Because what you are saying with the ratio and atelectasis definitely makes sense, but people do still go low with amplitude (basiscally almost to the point where chest wiggle stops), and only then change the frequency, and later on possibly I:E ratio.
@thenicudoc
@thenicudoc 11 месяцев назад
Great question. Personally, I would ask myself...do we need to be mechanically ventilated. If all parameters exist, you CAN extubate from high frequency. If you need to remain intubated, then go up on frequency until 15. If already there, then switch to mechanical vent. Hope this helps
@aron7765
@aron7765 11 месяцев назад
@@thenicudoc thanks it helped. And id love to ask you two more question, have ever used frequency higher than 15? Maybe with babies under 400g? And have you ever used hfov+cmv regime? So called Combined oscillatory and mandatory ventilation for sever respiratory failure resistant to hfov? SLE6000 offers this mode, but the date is scarce.
@thenicudoc
@thenicudoc 11 месяцев назад
@aron7765 Going beyond 15 decreases the Itime, so we don't go above 15. No...never heard of HFOV with CMV. Kinda defeats the purpose of the HFOV.
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