Respiratory Therapists - Dynamic vs Static Compliance 

I’m currently studying to retake the TMC & CSE in February after letting my license expire for almost 9 years. I graduated,passed the boards, and became licensed in 2014. I never worked in the field, I helped with our business and then had babies and became a SAHM. My twins are getting older and now I’m ready to be a working RT. So glad I found your channel!

I am an RRT of 30 years, so listening to you explain concepts in your videos shows your true genius at teaching! I returned to the field recently and have learned much from these teaching videos.

Thanks!

Always a good day when coach post a video

You are the best teacher sir

Thank you my best teacher!

thanks coach! got your boot camp, and its helping me with concepts I was struggling in class!

Appreciate these bite sized videos

I saw you in Dallas last year you were the special speaker. Thank you for these videos. I hope to graduate this year and take the boards in the summer wish me luck 🙏

thank you for the video

Hi Joe! David here from Sweden. Thanks for an exelent explanation of compliance. As anyone can se from the waveform, and as you said, this is in VCV. I dare to say that we never ventilate patients in that mode but rather PC with volume garantee. In PCV there is only a platau without the PIP, how do you measure RAW? Would a loop illustate the differances between the two patient categories you talked about? Speaking about loops, As far as l know there are two kinds, PV and FV but have you seen a pressure-flow loop? Can you please explain how that looks and how to use it in practice? Cheers/ David Forsell.

Always a great study!! Thanks Joe!!

You are amazing!!

Plz explain APRV, doupap

Thank you

In the question, when the pressures were high, the difference between the two pressures was 5. The possibility of hardening of the alveoli (decreased compliance), but in another video of yours, you said the possibility of COPD (increased compliance), so how can I distinguish between them, especially in the VC wave?

Please try to discuss about the use of ultrasound and its potential benefit in weaning success.

Uure the besttt

During the Exam Tips you have two examples of numbers to compare with each other. What if you only have one set of numbers and you have to decide if it's compliance or resistance. How big a difference between PIP and Plat do you need to see to know which if it's a compliance or resistance issue?

Hey thank you, I've learned so much from you thank you for that. When monitoring Cstat as a monitoring parameter, will a high Rinsp affect the Cstat reading?

so, if the drive pressure increased than where does it be classify? increased drive pressure is Plat-PEEP (total) over stretch the alveoli, so it should be classified as static compliance than or over stretch the lungs should be consider dynamic... , thank you

what is the normal (acceptable) RAW between them so we can evaluate better the case , thank you

I was told not to level my PSV below the PEEP level. I don't quite understand as I see an increase in my patient's spont Vt even with just 2cmh20 of PSV while my PEEP level is 4. There is a difference which is clear as day but why was I told that?

Hey coach! ✌️ What is the normal Cs for intubated patients?

What is the best way to treat or manage PT biting tube?

What does it mean when the patient is “stacking” on the ventilator? What should I do when the patient is doing this?

Hi Joe, i have a question...and I know this question may sound so ridiculous but Im a bit unsure of the rationale I have in my mind. Here it goes: Accding to Chang(MV book), dynamic compliance nirmal rang is 30-40cmh20. So it means, less than 30 cmh20 means a non or less compliant lung right? And >/=40 cmh20 means high compliance. Now I have a an actual patient whom we havve been monitoring for a long time. She usually have a dynamic compliance that is playing around 11-24 cmh20. But recently after ET suctioning, the dynamic compliance then shoot up to 63 cmh20(which to high from 40cmh20 maximum normal range) My question is, how do i interpret the sudden shoot up of 63cmh20 when she previously only had dynCompliance of 11-24cmh20? Is it correction of the previously low compliance? Or is it overcompliance? Thank you so much. I hope you read this. Would appreciate it😊

My everyday School

Why hysteris is seen why complaince is less at low lung volume ..and high complaince at high volume