Respiratory Therapy - Modes of Mechanical Ventilation - CMV vs AC 

Nice!! I love seeing experienced RTs refreshing on the basics. We start working and the first thing we forget about are the details of why we do what we do!! Strong work!! Thanks for watching!!

You're so welcome, Rebecca. I'm glad you find the channel helpful. Enjoy the rest of your student RT journey!! Thank you for watching and commenting!!!

@@RespiratoryCoach This ventilation series is perfect timing. In the Fall we're starting cardiopulmonary A&P 🤯. I saw your playlist on that subject so I'll be all over that too! Keep posting, Coach!💪

Hey, Adz. You do the same in staying safe. Thank you for watching and commenting!!!

Hello Mary Rose. I think it's awesome that physicians ask you RTs about vent modes. Very cool opportunity and value to bring to the bedside. Neo/pedi is outside of my area of expertise, but I will try to get one of my neo/pedi experts to join me for a video. Thanks for watching!!!

Awesome! Glad it made sense and thanks for watching!

Maybe one day! Thank you for sharing your kind words and watching!!

Thank you Patty for this kind comment. I'm glad the channel is aiding you in your studies and comprehension. Thank you for watching!!!

There's my green smiley face friend, Kim. Thank you again for watching and kindly commenting. Got your email about the shirt. Responding soon.

@@RespiratoryCoach Awesome....thank you and you're welcome 😊. Have a fantastic day!!

You're very welcome, Petya. Thank you for watching and commenting!!!

Awesome, Max! Go get it!!!

Hey Joseph! Thank you for taking the time to watch the videos and comment. Neo/pedi is my least area of expertise. I don't have an answer for you, but will talk with my neo/pedi experts and see what I can find out. I'm hoping to have one of them join me for an episode to make some neo/pedi content. Maybe one day soon!!!

Respiratory Coach I appreciate you! Thanks for getting back to me

I try hard not to be! Thanks for sharing this kind message and for watching!!!

You're very welcome, Bina! Thank you for watching and commenting. You can imagine that I've received lots of requests regarding COVID, but the truth of the matter is that everyone is still trying to figure it out. I don't think there is a "best" practice truly identified at this time. At one time, the thought was if 6L NC isn't working, skip HFNC and go straight to mechanical ventilation. Now I understand that HFNC is being used to address oxygenation and work of breathing needs. What I would do is keep in mind that you're dealing with a virus. So I wouldn't get ultra aggressive in weaning any therapy that is working while the virus is running it's course. Sorry, I'm not more help in providing definitive answers in regards to COVID.

Respiratory Coach thank you

Glad it was helpful, Joseph!

Hey Mohammed! I really appreciate you watching and giving me two the thumbs up!! Thank you!!!

Thank you Jonathan! Shirts are heading out today!!! Thanks for watching and grabbing 2 shirts!!! I appreciate you!

@@RespiratoryCoach difference. Can You talk about p mean, average flow ,and peak flow.?

Hello Kevin, The question to ask yourself is, is my patient able to trigger a breath with ease? Assess your waveforms for any missed trigger attempts. This may indicate that the trigger is not sensitive enough to detect patient efforts. On the other hand, keep an eye open for auto-triggering. In this case, you need to decrease the sensitivity. Both of these can happen in flow and pressure trigger. When set correctly, flow is known to be slightly easier to trigger than pressure, so I usually go with flow trigger unless I have a reason to switch to pressure. Hope that helps. Let me know if not. Best wishes!

Absolutely, I would love to! Will you give me a little bit of direction so that I don't go too deep or stay too basic. For example, are you looking for more info on alarms, pressures, minute ventilation, airways...maybe a little bit of all of that?

I just got my RN and want to work ICU. I asked a few ICU nurses what it is that they needed to know while caring for the pt.'s as far as what is it that they have to adjust on the monitors and what we are technically allowed to do. They said " Don't touch the monitors!" I guess i would like to know, if in a given emergency, what are we allowed to do? What do we watch for as far as alarms? Is there something that respiratory therapists want nurses to pay special attention to? I've noticed they do give 100% O2 when turning pt.'s sometime. I know its different protocols per hospital. I guess a little of all you mentioned above.

Hey Yazan. Definitely not a neo expert and have no experience with the drager 8000, but my "guess" is that it pertains to bias flow??? That's the best guess I have. I'll ask my neo expert and see what she says. As always, thanks for watching, Yazan!!!

@@RespiratoryCoach honestly I'm so confused, doctors always tell me make it 8 L/Min

Hi Robin. Flow is set to patient comfort and to establish a desirable I time. Typically 40-60 lpm is appropriate, but in the case of COPD or Asthma, you may need higher flows to allow for a greater exhalation time. Hope this helps!! Thanks for watching and posting your question!!!

You are correct, and I stand corrected. CMV by definition stands continuous mandatory ventilation. Thank you for pointing that out!!!