I think PC ventilation should be the gold standard of ventilation. The caveats are CO2 level and TV attainment. Generally, assuming no huge disfunction in the lung tissue/compliance, even those are not that hard to control. Dr get too hung up on a set TV when that's not how we breath. One breath may be 350cc. The next 600cc. But the variability is preferred to prevent constant TV 600...600....600...600 and create lung compliance issues on multiple intubation days. The other thing that doctors can't wrap their head around is one size fits all SBTs. But that another subject. Side Note: I've found that my Covid patient have mucho better response and survivability on PC over any other form of ventilation. Including Bi-level (4:1 -- 8:1). With a PIP of 30-35 and PEEP of 15-20 Peep if disease process warrants. Are you guys seeing same thing?
Thank you for all your help and support. Every time I have a question and concern, you always explain clearly and you get back to my question quickly. I cant say thank enough. This is extremely helpful.
@@p00ks13I hear ya man. I keep trying to get my neo/pedi expert to join me for an episode. HFOV coming soon. In the mean time, here's a video over heliox and nitric I did a while back. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-lVATYPJzNiA.html
U say that . In pressure control .. we r decrease the pressure and it leads to long the duration of inspiratory time .. and alveolar filling ... but the inspiration rate is based on the setted amount of respiratory rate .. when RR is high total cyclic time will decrease and alveolar filling get decreased .. if we set RR is low ..the opposite mechanism occur .. so my question is . The alveolar filling is based on what .. Setting rate of RR . Or modes of ventilator
Thank you coach for your efforts and amazing channel ,i learn with you better than with my teachers , Please can you advise me to find a good books for respiratory modes ,all about artificial respiration ? Thank you a lot.