Respiratory Therapy - Spontaneous Breathing Trial and Weaning Parameters 

Your videos are great! I have been in RT for 40 years, hospital to DME to sleep and now LTC vents/trachs. So much has changed, new modes, new vents and pretty overwhelming for older therapists. Have learned a lot with your coaching. Keep them coming. Valuable to all of us!

ICU nurse studying for CRNA interview. Thank you!!! RTs are experts !!! Love working with y'all.

The way you first give an overall picture and set the stage for more technical details ahead really helps the concepts to get straight into the head..and help us feel as if we are in actual clinical scenario..thank you so mch!!

Thank you so much we are learning about discontinuing MV now this was super helpful!!!

Love love love your lectures. ❤️

Such a legendary lecture.

Great material! Thank you for your time

Great and informational video! Thank you for sharing your knowledge and passion!

On point , you nailed all what we covering for next week exam txu . Sharing this with my classmates

Love all your videos! You make it so easy to understand.

I love your videos! Thank you so much. It cleared up a lot of things.

Thank you Joe, the video is long as you said but kept me engaged until the end because it has many or maybe all the possible elements to check in a weaning trial/evaluation.

Thank you for taking the time to elaborate

Thanks A lot for your passion and very informative videos. Good luck with the channel. Stay safe! Jakub

I'm 59 years old and female. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now who was diagnose COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked but i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation .c om has the right herbal formula to help you get rid and repair any lung conditions and cure you totally with their natural organic herbs,it class products at affordable prices because how awful it is with this lung dictions . I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life, certainly total cure herbs is the formula to get over Chronic Obstructive Pulmonary Disease.

awesome vids as always! very much helpful thank you

Great video. Where were you when I was in school lol. I just discover your channel a month ago. I bench watched most of you video. The way you explain and break thing down is wonderful. I hope you continue making video and blessing us with your knowledge. thank you and you're awesome

It’s a great help Joe thank you 🙏

Hi and thank you for your wisdom and knowledge! My daughter is home with a tracheostomy tube and on SiMV. What steps do I need to take to begin the weaning process.? She doesn't do well in a facility due to noise which causes her to physically shake. But she is fully aware and coherent. Laurett

This is a fantastic video. Thank you.

Thank you! I like the way you got the RSBI

Great video and explanations

Really love ur videos and helps a lot in understading things in the anaesthesia and ifu department....

Thank you! Can you give more info on occlusion measurement?

Great video! What is the reason for minute ventilation decrease in SIMV mode? Many thanks

All your videos deserve thumb up like button

Thank you so much! Stay safe

Thanks for the video man

When you place a patient on CPAP/PS on a low pressure support, such as a Pressure Support of 5, You're essentially simulating a glorified high flow system. That's essentially what you're doing. You get the FiO2 you want, You're just giving enough pressure to overcome the ETT Resistance, and You're giving them humidification. You essentially have the patient on a glorified high flow therapy system.

Thank you Respiratory coach

You are the best ❤

great video

Thank you Sir for make it Easy

How does mech vent able to help the vasodialtion and contrisrion of blood flow through the aeterial blood pressure and volume is it through the medications that enable the neuroreceptors and molecular level of gas ezchange that the mech vent can provide for acute lung dailure or even obsurrction ?

I love your videos! Wondering if you know of any good practice question resources? Thank you :)

Is the weaning process the same for a tracheostomy tube?

Thank you

Hi Joe! Good morning :) Thank you for your videos! I get so much from them. I had some questions again. How do you get NIF/MIP values? How do you get occlusion pressure values? How do you calculate cuff leak? Also, I thought I had a calculation for VC but now I can't find it. Could you also give me the calculation for VC? Thank you so much!!

24:10 LMAO!!

Ventilators ought to show NIPs while pt is breathing. They have gotten stock on flow ventilation, so we can see pt's strength while breathing, improvement or not.

what is the reason for minute ventilation reduce in SIMV patient?

Lawd thank you

Present Respiratory Therapist ❤

how long does it usually take from the time nurse stops the sedation and when you should start your SBT?

Coach why some RTs switch to VC mode to evaluate patient for extubation? Is it because of they want to see how much TV gets back after the cuff leak?

Great video, thank you very much for sharing all your knowledge and experience! Have you consider joining Clubhouse for live and interactive sessions? I would join!

Great videos. For newborn on SIMV mode why most of the time no spontaneous breathing?

As always, this dude effin NAILED IT! but unfortunately for my school, they want a REAL rsbi... 0/0

nice videos

Do you do mechanics before (example AC) or during Spontaneous mode? Such as VC, NIF etc.

Hello Coach! Can you review VC on 10ml/kg?? somewhat confused

Im confused on the cuff leak check? How do you give a patient a tidal volume if they are in CPAP/PS mode?

Is there a daily therapy to help strengthen muscles for someone on ventilator?

Sir minutes ventilation equal to RR×Vt than RR would be cancelled and spontaneous vt equal to vt

Can you explain step by step how to do the cuff leak ?

When I started respiratory there was no cpap

PRT’s😮

I want to review the math

How to calculate NIF?

The more negative the better that’s how I remember (NIF)

Too many adds

Thank you

Thank you