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Respiratory Therapy - Shunt vs Deadspace 

Respiratory Coach
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Please subscribe, like and comment. Would love to hear what you think about the video. Also look for me on social media....
IG @respiratorycoach
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Feel free to email me any questions or concerns @ respiratorycoach@gmail.com.
BEST WISHES!!!

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30 июл 2024

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Комментарии : 70   
@LCxx1
@LCxx1 2 года назад
SO impressed, you explain complex concepts in a way that is easy to understand, and breakdown the confusing parts...ICU nurse here, THANK YOU
@RespiratoryCoach
@RespiratoryCoach 2 года назад
Thank you Luanne! I appreciate you watching and kindly commenting!
@yaniraalvarado2645
@yaniraalvarado2645 7 месяцев назад
Thanks, a concept very hard to comprehend, finally I got it.
@donnajacinto354
@donnajacinto354 4 года назад
You’re amazing,excellent and super helpful to everyone in the field of RT. Thank you so much Coach. Stay safe Sir..
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Thanks, you too!
@mitchkrdr
@mitchkrdr 3 года назад
I value you, the work you put in, and your dedication to helping us! You are an amazing teacher!
@jedasaseh4523
@jedasaseh4523 Год назад
You're an amazing teacher, this helped me understand it perfectly!!
@Gumdrop743
@Gumdrop743 2 года назад
This was absolutely beautifully explained, thank you
@charleneconstantino1618
@charleneconstantino1618 2 года назад
im in nurse anesthesia school and this is amazing!! thank you so much for breaking it down and explaining so well.. the more you understand, the less you have to memorize.
@RespiratoryCoach
@RespiratoryCoach 2 года назад
That's so true, Charlene! You are so right! Understanding trumps memorizing everytime.
@adriennemoore7317
@adriennemoore7317 4 года назад
I have spent my more than half my 20yr RT career in the field, Home vents and COPD management. Thinking about contracting/travel after being out for 2yrs post cancer treatment and am going to sit for the TMC exam for my Registry this spring. Ive got the review books but not a lot of vids to be found that I could clearly say were helping in the recruitment of my atelectic brain cells and then AHHHH...Here you are!!!! Thank you so much for your awe inspiring instruction and dedication to the field, Coach. Definitely helping to increase my confidence🤗🤗
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Hi, Adrienne. Congrats on your successful cancer treatment! Thanks for watching and commenting. Let me know if u can ever help asking your journey getting back to work. Best wishes!
@katc822000
@katc822000 3 года назад
This is so helpful. Thanks for explaining this, I now have a working relationship of the VD equation :)
@Iiiiiiiiiiiiiiiiiiii0l
@Iiiiiiiiiiiiiiiiiiii0l 2 года назад
This was lovely explanation, I've enjoyed it very much, thank you!
@jeckellstallworth
@jeckellstallworth 4 года назад
Thank you! You must have been a fly on the wall in our class this week, we discussed this very topic. I truly appreciate how you break down the “why” of a subject. You explaining the “why” is what helps us to truly understand. You are an excellent teacher. Makes so much sense! You are so right, sometimes we just don’t know what questions we should be asking. Thank you again.
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Yes sir! Glad this content aligned with your current studies. And yes, it's all about the WHY! WHY>HOW Thanks for watching and commenting, Jay!
@randisipp7743
@randisipp7743 Год назад
Thank you for this. 😊
@V1ntageheart
@V1ntageheart 2 года назад
that was amazing, wow! Thank you
@MambaCool20
@MambaCool20 8 месяцев назад
Thank you Legend 🙏🏾
@mskrh640
@mskrh640 4 года назад
Thank you so much, God bless you!
@RespiratoryCoach
@RespiratoryCoach 4 года назад
You're very welcome. Thank you for watching and commenting.
@leighannallen4699
@leighannallen4699 4 года назад
Finally makes sense. Thank you!
@RespiratoryCoach
@RespiratoryCoach 4 года назад
You're very welcome, Leigh Ann. Thank you for watching and commenting!
@ginabraun8843
@ginabraun8843 3 года назад
Best explanation ever.
@navakitpm1365
@navakitpm1365 4 года назад
Thank you very much 😄 master! It helps me a lot 🙏🏻👍🏻👍🏻
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Lol..."master" ....You're very welcome, Navakit! Thanks for watching, commenting and for the laugh.
@eman5669
@eman5669 2 года назад
thank you Respiratory coach this was excellent
@RespiratoryCoach
@RespiratoryCoach 2 года назад
Glad you enjoyed it! Thanks for watching and kindly commenting!
@jsolis19
@jsolis19 4 года назад
Fellow RT here, and now new subscriber. I’m sure glad I found your videos. Amazing job. It’s even better when you hear someone else explain a concept and you get that “aha” moment.
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Hey fellow RT! Thanks for subscribing and for the kind comment. I appreciate you watching as a licensed practitioner. Feel free to speak up and contribute.
@Sunshine-yu1do
@Sunshine-yu1do 2 года назад
Explained very cleary. Thank you
@RespiratoryCoach
@RespiratoryCoach 2 года назад
Thanks for watching and commenting!!
@staceyevans7602
@staceyevans7602 4 года назад
Hey Joe! I scheduled my exam! Unfortunately, due to the virus, it's not until May 2nd (hopefully it won't get cancelled). So it looks like you will have to put up with me for another month. LOL. Thanks for everything Joe. WHEN I pass, it will be greatly due to you and your help. THANK YOU! You are amazing :)
@RespiratoryCoach
@RespiratoryCoach 4 года назад
That's awesome, Stacey! Go knock it out the park. I'll be patiently awaiting to hear how it goes.
@barran62
@barran62 Год назад
Joe, this is a Great explanation of this often confusing concept!
@RespiratoryCoach
@RespiratoryCoach Год назад
Thanks Barry! I appreciate you watching and commenting!
@brindamohabir8432
@brindamohabir8432 3 года назад
Amazing
@kamaljauoda9633
@kamaljauoda9633 4 года назад
Thank you
@elhamsaeed3698
@elhamsaeed3698 2 года назад
Thank you very useful
@RespiratoryCoach
@RespiratoryCoach 2 года назад
Cool! Thanks for watching and commenting!
@sinclair657
@sinclair657 Год назад
Than you
@ilovedhaka
@ilovedhaka Год назад
Great
@mariaholivella5058
@mariaholivella5058 4 года назад
I’ve followed a few new grad RT’s that go up on FiO2 based off their morning ABG PaO2 readings. I’ve tried to explain the dissociation curve but obviously not doing a good job convincing them to titrate based off saturations. Will you make a video on this please. Your a much better teacher than I and have a way with wording things to simplify what seems to be complicated. Thank you!!
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Working on this now! Thanks again Maria for watching and commenting. How's the progression of your department coming along?
@mariaholivella5058
@mariaholivella5058 4 года назад
Things are well. Life is good. Thank you for making the video. Looking forward to watching it and sharing with others😁
@naveenchenna1338
@naveenchenna1338 4 года назад
Tqq so much my dear teacher
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Hey Naveen! Thank you!
@nigel5009
@nigel5009 3 года назад
If we use the formula to calculate deadspace, what is the normal range for percent deadspace and what would be considered bad?
@sydneypursell5864
@sydneypursell5864 Год назад
I did not read the comments I’m listening to you on my way to clinicals 😆 so for shunt our role as RTs would be PPV to recruit alveoli…but what is our role in helping aide in the tx of deadspace ventilation in a case of a pulmonary embolism as you mentioned? What can we do as part of the team to help with deadspace ventilation?
@kaze123ckr
@kaze123ckr 2 года назад
Do increase A-a difference, decrease p/f ratio and a/A ratio also present in deadspace ? So that's the end tidal CO2 concentration that differentiate these two category ? Is there any misunderstand ? Thanks for your excellent educative video :)😄
@nardjissmaroua1480
@nardjissmaroua1480 6 месяцев назад
Hi I need to ask you a question please, why with shunt it is the oxygenation that is compromised and with dead space the ventilation is compromised, why aren't the two mechanisms compromised in both shunt and dead space??
@fishingsouls4christceoofgi614
@fishingsouls4christceoofgi614 2 года назад
I get it, Christ be the Glory! Lol…you always get me (looking at what is left of the video…ohh 2mins left, I am done…what’s the point of watching the last 2mins of it😆😅that’s what I am telling myself…but I always stay until the last second! The last minute that’s when you drop the golden ticket of excellence, not that it’s intentional that’s just your style. You give us all golden tickets through out the length of your videos and that is priceless because not only are we equipped with knowledge but now it’s clinical applicable and is no longer a foreign language as it was in the classroom. Hats down, mad respect Coach 🌻🐝
@justmcclend25
@justmcclend25 3 года назад
Could you do a video on how to ventilate a patient with Patent Foreman Ovale with a right to left shunt & a left to right shunt?
@RespiratoryCoach
@RespiratoryCoach 3 года назад
You're pushing me outside of my realm and into the world of neonates and pediatrics. Definitely my weakest subject area! Maybe I can get one of my neo/peds experts to join me for this discussion. We'll see! Thank you for watching!
@justmcclend25
@justmcclend25 3 года назад
Respiratory Coach thank you for responding. I’ve recently had to take care of a vented patient with a PFO and I wasn’t able to find much info on how to manage the ventilation for these patients. You have really good content and info so I figured I’d ask lol.
@nigel5009
@nigel5009 3 года назад
Hey respiratory coach, could you explain what a physiological shunt is. Thanks.
@RespiratoryCoach
@RespiratoryCoach 3 года назад
Hey Nigel! Try this link and tell me if it helps. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-z42ZGcc0jAw.html
@nigel5009
@nigel5009 3 года назад
@@RespiratoryCoach The link does a great job of explaining the difference between shunt and deadspace. But it doesn't speak about the different types of shunts.
@user-pu9wh5de4b
@user-pu9wh5de4b 3 месяца назад
I love you
@farhanqadeer82
@farhanqadeer82 4 года назад
Sir can you explain it to me ventilator buttons ?
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Just in general or in reference to a specific ventilator? Also, I'm assuming you're referencing the control panel buttons, not the settings controls, right?
@awaisshafi6541
@awaisshafi6541 4 года назад
What happen to dead space in shallow breathing and deep breathing?
@awaisshafi6541
@awaisshafi6541 4 года назад
?????
@RespiratoryCoach
@RespiratoryCoach 4 года назад
Here's the answer provided on another video. Thank you for asking this question. Shallow doesn't change the amount of deadspace, but what does change is the percent of deadspace. For example, a patient with 120ml of deadspace, breathing a tidal volume of 500, equals a Vd/Vt of 120/500 = .24 or 24% deadspace. Alveolar tidal volume in this example is 380 mL. Now take the same patient, 120 mL of deadspace, breathing a tidal volume of 240, much smaller right? This patient's deadspace is the same amount as the previous example, but their Vd/Vt = 50%. This patient's alveolar tidal volume is 120 mL (240-120). So this illustrates that shallow breathing doesn't change the amount of deadspace, but it directly impacts Vd/Vt and alveolar tidal volume. Hope that makes sense and helps. Thanks for watching and asking your question.
@awaisshafi6541
@awaisshafi6541 4 года назад
@@RespiratoryCoach and what about deep breathing?
@RespiratoryCoach
@RespiratoryCoach 4 года назад
@@awaisshafi6541 The exact opposite. Doesn't change amount of deadspace, but decreases Vd/Vt percent, and increases alveolar tidal volume.
@awaisshafi6541
@awaisshafi6541 4 года назад
@@RespiratoryCoach dead space does not change in ? Deep breathing Shallow breathing That was question in exam😥
@mabotiyn
@mabotiyn 11 месяцев назад
Look up VQ mismatch
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