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BASIC MECHANICAL VENTILATION
Automatic Tube Compensation on Mechanical Ventilation
07:48
ICU REACH

Automatic Tube Compensation on Mechanical Ventilation

Automatic tube compensation (ATC) is a feature of mechanical ventilation that compensates for the additional work of breathing caused by the resistance of the endotracheal or tracheostomy tube. When a patient is intubated, the tube can cause additional resistance, which makes it more difficult for the patient to breathe. This additional work of breathing can be particularly challenging for patients with lung disease or respiratory muscle weakness. ATC addresses this issue by automatically adjusting the ventilator's pressure support to compensate for the resistance of the endotracheal or tracheostomy tube. This means that the ventilator delivers a greater amount of pressure support during inspiration to help the patient overcome the resistance of the tube, reducing the work of breathing. It is especially beneficial during SBTs.
Optimizing Inspiratory Pressure Rise Time on Mechanical Ventilation
02:36
ICU REACH

Optimizing Inspiratory Pressure Rise Time on Mechanical Ventilation

Inspiratory Pressure Rise Time is a parameter in pressure-delivered breaths on mechanical ventilation that refers to the time it takes for the ventilator to reach the set inspiratory pressure. It is the duration from the start of the inspiratory phase to the point at which the pressure in the patient's airways reaches the desired level.
Optimizing Oxygenation on Mechanical Ventilation: Strategies for Improving MAP in Hypoxemic Patients
08:13
ICU REACH

Optimizing Oxygenation on Mechanical Ventilation: Strategies for Improving MAP in Hypoxemic Patients

This video provides a detailed explanation of the parameters of oxygenation and how to optimize them to improve patient outcomes. The video starts by introducing the importance of oxygenation in mechanical ventilation and the parameters that affect it, including FiO2 and mean airway pressure (MAP). Dr. Kherallah then explains how to maximize MAP to improve oxygenation in patients with severe hypoxemia who are on 100% FiO2. The video goes on to describe various methods of maximizing MAP, such as increasing positive end-expiratory pressure (PEEP), extending inspiratory time, increasing tidal volume or plateau pressure, increasing rise time (on pressure control mode of ventilation), and increasing respiratory rate. Dr. Kherallah explains the advantages and disadvantages of each method and how to choose the appropriate one based on the patient's condition. Throughout the video, the instructor uses clear and concise explanations, as well as visual aids, to help viewers understand the concepts of oxygenation and its optimization in mechanical ventilation. The video is an excellent resource for healthcare professionals who manage patients on mechanical ventilation.
Dynamic Hyperinflation Syndrome in Severe Asthma
06:36

Dynamic Hyperinflation Syndrome in Severe Asthma

The YouTube video on the detection and management of Dynamic Hyperinflation Syndrome (DHS) in severe asthma on mechanical ventilation is a tutorial that explains how to detect and manage DHS in patients with severe asthma, with a focus on prolonging the expiratory time to improve it. The video begins by providing an overview of DHS and its impact on respiratory function in patients with severe asthma on mechanical ventilation. The instructor then explains how to identify DHS by monitoring airway pressures, and flow shape in expiration. The video then focuses on the management of DHS on the ventilator and go over the steps used to prolong the expiratory time and allow the lung to fully exhale to reduce air trapping in the lungs. The instructor describes how to adjust ventilator settings, such as maximizing inspiratory flow time, decreasing the respiratory rate, tidal volume, and decreasing the inspiratory to expiratory (I:E) ratio, to prolong the expiratory time and improve DHS.
Progression of Dynamic Hyperinflation Syndrome on Mechanical Ventilation
10:15

Progression of Dynamic Hyperinflation Syndrome on Mechanical Ventilation

Dynamic Hyperinflation Syndrome, or auto-PEEP, occurs when air becomes trapped in the lungs during mechanical ventilation. This video explains progression of auto-PEEP in both volume controlled and pressure controlled mode of ventilation.
Understanding Mechanical Ventilator Scalars and Loops
01:03:13

Understanding Mechanical Ventilator Scalars and Loops

This video is a tutorial that explains scalars and loops in mechanical ventilation. The video starts by providing an overview of the basic principles of mechanical ventilation and the importance of monitoring ventilator parameters. The instructor then goes on to explain what ventilator scalars are and how they can be used to monitor the respiratory system's response to mechanical ventilation. The scalars discussed in the video include pressure, flow, and volume. The video then introduces ventilator loops, which are graphical representations of the relationship between pressure, flow, and volume during the breathing cycle. The instructor explains how ventilator loops can be used to assess lung mechanics, optimize ventilator settings, and diagnose problems with the respiratory system. Throughout the video, the instructor uses clear and concise explanations, as well as visual aids, to help viewers understand the concepts of ventilator scalars and loops. The video is an excellent resource for anyone who wants to learn more about mechanical ventilation and respiratory monitoring.
Basic Mechanical Ventilation Modes
01:06:11

Basic Mechanical Ventilation Modes

Advanced session on basic mechanical ventilation modes including CPAP, PS, SIMV, and CMV for critical care fellows.
Automatic Tube Compensation
42:57

Automatic Tube Compensation

Automatic tube compensation (ATC) is an option to compensate for the non-linearly flow-dependent pressure drop across an endotracheal or tracheostomy tube (ETT) during inspiration and expiration. Join us for an open discussion and detailed explanation!
Volume Control vs. Pressure Control on Mechanical Ventilation
06:24

Volume Control vs. Pressure Control on Mechanical Ventilation

Volume Control and Pressure Control are two common modes of mechanical ventilation used to support critically ill patients with respiratory failure. In volume control mode, the ventilator delivers a set tidal volume with each breath, while in pressure control mode, a set pressure is delivered with each breath. In volume control mode, the tidal volume remains constant, while the peak inspiratory pressure may vary depending on the compliance and resistance of the patient's respiratory system. In contrast, in pressure control mode, the peak inspiratory pressure remains constant, while the tidal volume may vary depending on the compliance and resistance of the respiratory system.
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