Respiratory Therapy - Modes of Mechanical Ventilation - AC vs SIMV 

Your channel sir is very very underrated. You are changing a life here. Your channel name 100% defines what you do. A true and best coach for respiration. 🙏🏻🙏🏻

Could’ve not been any clearer. Thanks a lot Coach for what you do for the RT family

Щиро дякую, Ви є перша людина, яка пояснила зрозуміло.

Thank you so much... I watched your videos all day and they are just so awesome. I now understand ventilator better. Its so much better than reading textbook!

I tell you what man, I have been an RT for almost 10 years now, and still find great value in your videos. Great stuff! -Army RT

Thank you for your excellent lecture, very helpful.As a pediatrician, we rarely adopt the AC mode, since babies tend to be tachypnea, AC mode may cause big problems. AC mode allows patients to trigger a gas delivery at any time and give them a full assistance: fixed iT, fixed VT...which may cause total iT longer than eT leading to gas trapping even pneumothorax. SIMV mode does good, however, it can also make a conscious patient very uncomfortable, patient can trigger the ventilator, the ventilator can trigger patient’s spontaneous breathing either, that’s Hering reflex, once it happens, the patients will be struggling

Thank you for all your helpful videos!

You are really an amazing educator. I can follow your teaching well and hoping i can watch all your videos. In my country we dont really have RT so it is doctor's job to manage all this stuff

You are built to have the patience and knowledge to break this down in a way we Cleary understand. I appreciate you so much. Thank you for your time!

God bless your soul immensely!!!! I am learning more watching your videos than I ever learned in class. Please continue to share your knowledge with our community. You are the ONLY teacher I've ever had that explains & simplifies things so well. Im going to watch ever video & im subscribed in THANK YOU

thank you! you don't know how happy you've made me... it's still a cloudy but just will take a few more times hearing you explain it to solidify it!

You absolutely rock! It has made life MUCH easier. Very clearly explained, and easy to understand. Thanks!

Have been trying to understand SIMV for a long time. First time I understood the concept clearly. Thanks Coach.

Thanks, really enjoy your videos. I’m an intensivist from The Netherlands with a huge interest in MV. Your videos are always explained very clearly and I always learn something. Keep up with the great contact! Many thanks!

Thank you!! Keep them coming!

Amazing video man, thanks a lot. Best video about ac vs simv on whole internet.

Thank you so much for the video! Very useful for the prehospital folks as well.

congratulations!! this is very solid material. had been striving to grasp this subject and i finally got it. thanks and all the best.

Your explanation is much more better than many text books.... Thanq so much... Totally in love with your videos...

You’re a life saver! Thank you so much 🙌🙏

Oh man, I wish my professor would watch your videos to see how to properly make these complex subjects understandable. Most of us leave his classes more confused than when we walked in. If you are at the one private allied health school in manhattan, I know you know what i mean, lol

I have been able to take a lot of notes down! Thank you legend! You rock !

Thank you for the clear explanations! Our class was thrown similar waveforms like these, but it was very hard to follow along. The way you explained it made so much more sense. Along with your past videos, the repetition on your explanations help a ton!

Very good this video, I am taking advantage of each video today to clarify concepts. I want to see all of them little by little since now I am in the Mechanical Ventilation subject. Thanks again !!!

Thanks so much for sharing your wisdom!

Thank you, lm steel studan and you help me more ,I’m from Jordan ,you’re great coach

Excellent presentation. I have gained a lot.

U have very well explained both the modes , thank you so much I request make any video for PC -BiPAP mode

Thank you so much. Such a remarkable explanation. Well done.

thank you for your detailed clear explanation

Bro I needed this

Thank you for sharing such valuable lessons

Thank you very my amazing Respiratory Coach

Excellent lecture !

I am from India. Thank you for your clear explanation

Extensively Informative

Great videos. Thank you so much!!

So helpful! Thank you!

Your the best!

Sir very nicely simplified..u talked about the simv window where d vent synchronises with pt triggered breath..but who sets the window..and how much duration is d window..kindly clear my query..thank you

Your great.. Plz explain about volume control and pressure control

You help me so much! THANK YOU! I APPRECIATE YOU! :)

Omg u is a lifesaver thank you so much💙

Great video. What if patient intiates breath after mandatory breath has started in SIMV?

Hi, thank you so much for your videos, they are super helpful in bettering my understanding of ventilation modes! I have a question, what is the difference between IMV and SIMV?

thank you so much for the explanation, but i have a question what would happen if the patient's spontaneous breathing's exhalation aligns with the mandatory breathing's inspiration? does it allow the patient to exhale fully?

Great as always thank you so much ،please I want a video to explaine anaesthesia to patients on mechanical ventilator

Always love your videos. Would you please talk about INO by any chances? Thank you

You are great🌺🌺Thanks a lot

Hello quick question, at 26:34 under the pressure waveform, if the patient initiates a breath at 3 seconds would the ventilator synchronize at that time too? or is it right before the set RR at 7seconds?

thanks alot i have question , in drager machine , bipap mode thier is 3 pressures preaaure support , peep, and Pinisp what is Pinsp

If a patient is put on VC-AC with set R/R of 10 /min n patient triggers breath after every 3 seconds n assissted breaths got delivered so my query is will the ventilator be delivering the preset manadatory breaths at all during the whole minute .

wow,thankyou so much.

Thank you sooo much for the greatest clarification ever!! Here is my question.. why there is some people out there claiming that SIMV is the worst mode you could use?

I finally understand the difference between AC and SIMV after watching this video, even though I read a couple books on ventilators! Thank you sooooooo much! I was always confused what would happen if patient triggers a spon breath when the machine is about to deliver a breath. Still one question: if patient Just triggers a breath before machine breath, for AC you get set assisted volume on top of patients own breath voume, which is why it causes breath stacking, But for SIMV, it synchronize with patient own breath, then how much tidal volume patent gets eventually?cos I notice for SIMV, for example we set up TV at 500ml, if patient happens to breath Just before machine breath, they eventually get more than 500ml, it is not around 500ml, sometimes it could be 600ml quite a big difference, it makes me wonder that might be a risk of breath stacking As well, But my educator says SIMV Does not cause breath stacking.

this is great

Great job!

Dude Thnx

CAn you go over mechanical ventilation in cases like DKA 'severe metaboluc acidosis with huge minute ventilation. These pt's may have 40 litters of minute ventilation ventilation. Lets say guy is 80 kg Can i put him on SIMV MODE IF SO WHAT KIND OF SETTING.

How do you find out if patient is flow hungry on ACVC - How the wave form will look like.

Hi good morning. Is SIMV ventilation mode any good for patiants whit problems of apneas during there sleeping and eating times?

Dang, OK I have to watch the previous video

CPAP/PSV With backup mode is considered SIMV ?

Great

Please say in which scenario/pathology SIMV is typically used, and in which scenario simv should not be used. TIA.

I AM A RESPI.THERAPIST HERE IN THE 🇵🇭

Love your videos they help me so much! How do I get a shirt? :)

You rock

❤❤❤❤

👍🏾

i love you man but you look super stoned in this one haha. Great videos, keep em comin' !!!

why patients in AC mode hyperventilates?

Continous Mandatory Ventilation = Controlled Mandatory Ventilation??

IMV=SIMV?