Understanding Ventilator Settings 

many people know but few can teach thanks

By far, the best video on youtube to learn basics about mechanical ventilation. You are a natural teacher !! Keep up the good work. More power to you !!

It's Steve Jobs talking about medicine. Great presentation!

Im a respiratory student online and I felt like I was in class, really thanks so much. I'm on mechanical ventilations and you teach it so simple, thanks seriously, I understand it so much better!

the best explanation ever. lost RRT student.

Thank you for uploading!! I'm a respiratory therapy student and I've always struggled with school work since the beginning of highschool due to needing a more detailed explanation that I felt was hard to get. This video is absolutely wonderful!! Ventilators are so complicated and I just started learning about it in school so this video is helping me a lot!! Thank you!!

I keep coming back for a refresher to your video, you were born to teach. Please do more videos!!

Bill was awesome 11 years ago as a 4th year med student, I’d love to see his educational videos today. Great speaker!!!

In same boat as Kimberly - RN whose previous explanations have fallen way short of the helpful knowledge imparted by this presentation. Excellent presentation!! 10/10.

wow ventilators actually make sense now!! Thanks for helping this nursing student out! :)

Glad to see RNs here! as an RT I love to see nurses learn about vents, that way we can communicate better :)

I think that ALL respiratory therapy staff members that work in ICU, should be made to watch this video at LEAST twice a year and pass a quiz following the video. Should be MANDATORY. This guy is GOOD!

Very helpful video, you explained everything clearly and put everything together so nicely! Loved the Greek mythology analogy as well.

how were you able to give this lecture as just a fourth year medical student? i mean nothing derogatory, only to state the obvious- 4th year med students have almost no experience with ventilators. were you a CRNA or ventilator rep in a previous job? are you speaking from experience? you seem to be very good at teaching, regardless. thnx.

not only did you explain the concepts in a way that i could understand but your voice is perfect to give lectures, talks, etc! Thank you for posting this vid!!!

As a resident, I would like to have seen how we detect and how is the management of each of the 6 complicaions, for example- how do we detect that indeed we have issue with auto PEEP AND how do we manage auto PEEP etc.

superb talk, thank you so much! you make it so easy to understand

This has been so helpful! I am on an ICU placement at the minute and I am finding all of the ventilators and other machines very difficult to understand. You're explanations were very clear and thorough - many thanks for sharing!

We are still recommended to watch this lecture in 2020.

Nice presentation. Great job of breaking down the settings and explaining them clearly while giving examples.

This really helped correct my misunderstand about this process. THANK YOU SO MUCH for sharing!! Brilliant explanation!!

Brilliant.Thank you very much!

Extremely helpful. Thank you. Passed it along to entire RN class.

Thank you for a simple but effective presentation J. Patterson LPN

BRILLIANT! Respiratory physiotherapists, doctors and nurses are thanking you!

I am looking for a refresher on setting up mechanical ventilators and settings, can you make a video, graduated a while back it would certainly help.

When I refer to "setting the sensitivity too low", I mean making the the trigger too INsensitive (i.e. high negative pressure required to trigger a breath). And when I refer to "setting the sensitivity too high", I mean making the trigger too SENsitive (i.e. only a very low pressure required to trigger a breath). I apologize if this was unclear.

I have watched this video multiple times since I started as an ICU nurse in May. I love your explanation! Can you do another video on managing alarms and when to change vent settings?

This is great- thanks so much! -senior nursing student/critical care

This video was purely awesomeness. Could you please do more ventilation videos?? PLEEEEEEEEEEASE????

Thank you. #nursingstudent

THE BEST TEACHER EVER💯💯 Sir, where are you?? Please pour some Respiratory Therapy knowledge 🙏🏽 May God keep you safe🙏🏽🙏🏽 Thank You🙏🏽🙏🏽

Pharmacy resident here, this was by far the best intro to vent setting and complications i seen, better than the RT that taught us. From a pharmacological standpoint, factors that decrease Cardiac Output such as tidal volume, RR, and peep at the higher end can result in altered pharmacological effect by high E drug that are flow dependent, including phenytoin.

Very good info. Thanks sincerely. Any want to answer how to prevent stacking when dealing with respiratory overlap syndrome AKA COPD with complex apnea (heavy emphasis on central apnea events)? Would AVAPS have time controls to address minimizing stacking?

I have been searching topic on mechanical vent. for 3-4 days but didn't get satisfied.. But after watching dis I got impressed and yuppp now I can say DAT its not more complicated... Thnx a lot👏👏👏🙏🙏🙏🙏🙏🙏

simple, practical, and clear. thanks for sharing. i hope next time that the light on the room was a little bit brighter so i could see your wonderful face while giving your lecture. but overall, this was GREAT. thank you. :)

This is an excellent lecture. It should be re-made with minor revisions due to progress in ventilator technology. I feel sorry for the speaker who had to constantly face the bright lights. This needs correction for the remake of the master piece.

Excellent video but the only caveat is the FIO2 setting. You would only set the FIO2 at 100% if the patient's status is unknown such as codes or trauma. Other wise you would set it under 60% FIO2 normally 40-60. In cases of COPD patients you would set it around 28 to 30%.

Thanks! Some of us in IT need to know the basics to understand how to help our clinicians analyze the data and build algorithms. For example, patient stable and then gets worse by x%, but if on APRV setting ignore PEEP values.

for a nursing student like myself who has zero experience in the field, besides clinical, this was extremely helpful. You didn't assume we would know the basics already and explain things too fast, and you were extremely clear with your explanations. Your slides were easy to follow also. I've watched 4 other videos and yours was the easiest to understand. Can't thank you enough. Do you have any other videos on respirations? ABG'S?

New to ICU.. clear and precise presentation. Superb!!!! .suggesting of a 2d/3d presentation of the lungs and heart on the complications to make it more visually real.

Thanks Bill,Your knowledge of the subject matter is excellent. I don't know which I enjoyed best your teaching method or the way you explained "understanding ventilator settings".. No, really your ability to help me understand what was previously taught to me has increased my understanding of ventilator settings. I assume you are a really good Dr. I am a nurse now starting a job in home care with ventilator dependant patients. I will always consult utube for your educational videos. Keep them coming, brilliant!

Just brilliant!!! Given in such a lucid format which was really helpful. Thank you. :)

This was very helpful and informative for an ICU RN looking to expand her knowledge about vents.

thumbs up if you came here to understand how make ventilators or fix them due to COVID-19

I have a issue with mine. It is set on IVAPS mode. When I let a breath out, it will stop me from taking one in. Today, my heart started acting up. When I switched back to my old bi pap, my heart issues quit. I don't think this lady knows what the hell she is doing. She can't figure out what to do and in the mean time , I'm chancing my life. When I come off of it, I have more trouble breathing. Can you explain? I wear a mask. Show less

Thank yoi, this is where got my basic knowledge of ventilator. You are so natural. 🙏🙏

Excellent speaking, teaching and ease of understanding. Thank you so much. **wink**

My daughter 2 months 1 day has been diagnosed with Barotrauma only on ventilator less than a month. I kept asking to lower the pressure she has been on 7 Peep majority of the time with rates between 45-50 now they want to up the peep to 8. I disagree please call if you can advise need 2nd option

Thanks a lot for this video, really help me to understand about mechanical ventilation. Hope you can continue uploading more videos like this. Greetings from, Panamá!

IT REALLY ANSWERED MY IMPORTANT QUESTIONS ABOUT THE VENTILATOR SETTINGS,THANKS INDEED.DR.FALAH AL-JUBOORY.

Hey man great lecture, you really know your stuff! Quick question: When your talking about flow rate and you mention that if the inhalation takes too long, the machine might deliver a breath during exhalation because they "run out of time" since it is a set RR. My question is how does the trigger play into this? wouldn't it prevent the firing during exhalation since there is no trigger during exhalation.

I'm a home health LVN. This has been more helpful than any of the training I received through school or my company. Thank you so much.

Very helpful but I think you got barotrauma confused with volutruama, but I got the point.

Excellent vid thanks,please consider doing more similar videos ABGs for example 🙌

Great job! Thanks for a very helpful tutorial. Better than any book I've seen. Thorough and to-the-point.

Abel Tamanji: This is an excellence lecture,explanation,demonstration very good. i really learn a lot. This will really be an excellence doctor in future. keep on with more lectures. i like it. Thks

Thank you. It was clear and easy to understand. I wish you have all the different modes, like aprv, prvc, simv.

Excellent video. I hope you continue helping as you did with this presentation. Many thanks!

Great lecture forom a talented medical student! enjoyed your talk. You have a talent to be a great clinical instructor. if you had some clinical examples, and showed how to set up the ventilator for them, you could train intensivists online!!! good job

excellent presentation, thank you so much, I now have a better understanding of mechanical ventilation.

I am a ANAESTHESIA resident at Indore,India..found this video,especially Complications so much useful that i cant express in words...

Fantastic video. Not too much, not too little content. Great for people just learning about vent settings. Great Job.

Superb explanation! So easy to understand. This nurse thanks you. May God bless you!

Thank you very much! I'm in a respiratory program and was having trouble understanding a couple principles and you really clarified them. Thanks so much!

Great presentation !! I like the way you explained each setting, you made it very easy to understand. Thank you. :)

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If you are a teaching professor, then more people would go to school instead of skipping class. Absolutely great lecture! Thank you.

You are the first teacher that explained about the need for nitrogen! Great explanation. But you left out SIMV. Please do a follow up : )

Amazing presentation... I have asked many people to give me a crash course on vent management , but this video tops them all.

Fantastic Video. Excellent analogies and very point to point, top down explanation of settings and potential hazards associated with each setting. Thank you!

Greatest Explanation ever , Hope to find more such video.

Very helpful video. Thank you for sharing. What a great teacher you are.

amazing video..thank you sir.. please make one video on alarms of ventilator and related procedures.

That's really great to hear. I'm very happy you found it helpful.

very useful video! , like the way you explain everything :. great teacher

I usually never leave comments on lectures on you tube but I am so grateful at your explanations I am really lost for words. This has made understanding ventilators so easy Thanks you sooooo much. .

I wish you were a lecturer at my BSN program (for everything)!

Awesome lecture. You're amazing. God bless you

Great presentation. Re Negative pressure ventilators, they can cause upper airway obstruction particularly during sleep

Excellent presentation, thank you! This has helped clear up my confusion and will help in my studies for my exam. You are a great teacher!!

This is a great lecture that you delivered. Thank you so much

man this was awesome, noticed people who really know their stuffs not just memorize things spent so much time thinking they go bald

wud really appreciate if Mr Billy explains the different modes of ventilation

Excellent. Beyond doubt the best video on mechanical ventilation.

Can anyone read what the projector says on the barotrauma slide and the chart slides after it? I'd like to write them down, but I can't read parts of them.

Awesome explanation! Great teaching! Thanks

Read my critical care textbook on this and was slightly lost with all the info. You've definitely made it easier to comprehend thank you :)

VERY COMPREHENSIVE,GETTING ME TO THE TARGETS,THANKS.FALAH.

thank you very much, you exposed it in a very simple way, i ejoyed the video.

thank you for this. really helped out for the respiratory section in step 2ck.

Thank you. From a Vietnamese third-year medical student

He mentioned that PiO2 is to adjust our paO2 but also the PEEP we use to adjust the paO2.

Thank's that is realy avery good lecture Keep on good job

thank you Dr. William. Please put more videos.

You are a natural tutor . You can even sell sand to the Arabs . Thats a compliment bro . Keep up the good work

Great video! Especially with covid it's important to avoid barotrauma!

amazingly incredible job....thank you sir.....very well done

thank you very much. you will be a great medical educator in near future. all d best

this guy will have no problem finding a residency