Alright, in this lesson we take a look at our basic vent modes that we will most often find being used with our patients. These basic ventilator modes will form the core understanding of the ways in which we are supporting our patients breathing.
We start off talking about the differences between the 2 mains types of ventilation, volume control and pressure control. In this lesson we are going to focus solely on volume control so we move on to talk about the different settings that we will find for our vents in this mode, as well as just a couple of the key bits of monitoring data that will be displayed on the vent.
From there we move in to talk about the different basic types of volume control modes. These modes we can think of as a hierarchy of support from the most supportive, with CMV, down to less and less support through Assist Control, SIMV, and ultimately ending in Pressure Support.
Hopefully by the end of this lesson you will have a good understanding of these basic modes of volume control, the settings that we will be using with each, as well as the differences between these modes and the settings being used. Having a good understanding of these modes will be the foundation needed to understand the concepts of the other advanced modes that we will discuss in the next lesson.
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A big thank you to @Respiratory Coach for helping to review over the information for this lesson. He has an awesome channel with great info related to respiratory care, so make sure and head over and check him out!
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Books I Recommend
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Barron’s CCRN Exam: https://amzn.to/2MFWIkH
Pass CCRN!: https://amzn.to/36apxgN
AACN Essentials of Critical Care Nursing: https://amzn.to/2F5riQs
Kaplan Adult CCRN Review: https://amzn.to/37igv1t
Marino’s The ICU Book: https://amzn.to/2ZzKP4Y
Some of My Favorite Nursing Gear
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3M Littmann Master Cardiology Stethoscope: https://amzn.to/2sn0wR5
Rip Shears – Trauma Shears: https://amzn.to/35diZwR
Leatherman – Raptor Shears: https://amzn.to/2MGF801
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Pilot FriXion Erasable Pens: https://amzn.to/2Qw9pQg
Apple Watch: https://amzn.to/356wKgF
Apple Watch Sport Band: https://amzn.to/37lroQ0
Takeya Vacuum Stainless Water Bottle: https://amzn.to/37lqIKq
Gear That I Use To Make These Videos
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Apple Pencil: https://amzn.to/368qS83
iPad Pro 12.9”: https://amzn.to/367s2QV
Blue Yeti Mic: https://amzn.to/2Q7vrK9
MacBook Pro 15”: https://amzn.to/2tcDegM
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Check out these other great lessons and series of lessons below!
Hemodynamics Principals: https://www.youtube.com/playlist?list=PL2oVjKTYocdMBZlcIcWlESbOFFaGugQS2
Shock: https://www.youtube.com/playlist?list=PL2oVjKTYocdPP0K8Fi49GfUgprICS-xMf
Arterial Blood Gases: https://www.youtube.com/playlist?list=PL2oVjKTYocdMz1qF-3iS6iUZ-R_fKbeJw
ECG/EKG Rhythm Interpretation: https://www.youtube.com/playlist?list=PL2oVjKTYocdPMaNwn4xbg6xAIaAnyraMj
Heart Failure: https://www.youtube.com/playlist?list=PL2oVjKTYocdNdFoS31yGhylKwib9lRf73
Endocrine System: https://www.youtube.com/playlist?list=PL2oVjKTYocdO74cmXgmKjexoq59j93-Wv
ICU Drips: https://www.youtube.com/playlist?list=PL2oVjKTYocdPLrS0odnyih8wf6zZ7WfVW
Blood Tubes – Order of Draw: https://youtu.be/mAmwdDdbkUI
Glasgow Coma Scale: https://youtu.be/zYwJVPIjW6I
Reversible Causes of Cardiac Arrest: https://youtu.be/HbU5B7iOSrA
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#ICUAdvantage #Ventilator #VentModes
simple and direct! thank you!
I think this video would be good for an intermediate person. But as a new grad working in ICU this was too much. I understood you to a certain point but then you lost me. But thank you
why do people use CPAP and PS interchangeably? CPAP is the non-invasive ventilation to help with hypoxemia right?
Thank you so much for this channel!!
With Covid 19 pts requires high PEEP thereby causing leaking in ETT and requires re-intubations … worst is tension pneumothorax which pt will need chest tube insertions…
Thankq very much for this video got to revise my basics about ventilator modes 👌
video starts at 1:44
Great video😊👌👍😁 ! Very easy to understand, concise, and really helpful. How about adding volume support mechanical ventilation (in relation to pressure support)?
New here tonight after another corona gate shift super helpful! Not sure if you briefly mention high flow ….
Iam a registered nurse anaesthetist and I love your teaching … From Africa_ kenya
Great lesson I am a Physical Therapist trying to add RT knowledge to my skills since I work in the ICU..more lessons like this please , thanks again
@ICU Advantage Thanks, as a PT at which areas do you suggest can I focus on with regards to respiratory care of patients in icu?
Awesome! Always good to expand our horizons. Glad you enjoyed it!
As someone with no medical training learning how to build ventilators I find your videos excellent.
Glad to hear you enjoy it!
This was an excellent and interactive lecture! I’m prepping to go to Seattle to help with COVID-19 and while I’m an acute care NP, have not had to manage vents in awhile as my last role was in MCS/HF. Do have a solid 9 year run as an ICU RN prior. So reviewing these lectures really helped a lot! Awesome job!!
So awesome Rayna! Glad you liked the videos! I have no doubt you will do great things and make sure and keep yourself safe. Will be interested to hear about your experience after it is all over.
Thanks alot .
You’re very welcome!
I like your video about ventilator. It is awesome.
Glad you like it!
It is the best one
Thank you!
Thank you.very clear, easy, perfect work..
Awesome! Thank you so much Ani!
Please xplain about prvc mode
@ICU Advantage I have seen that video …but can u pls xplain that mode in more simple way..if possible
I actually cover that in the next lesson on Advanced Vent Modes: https://youtu.be/yHg_ivGjch4
thank you, excellent video and nice presentation, made it easy
Awesome! So glad to hear this!
👍
🙂
Wow you’re so thorough!! I could even see that from your caption on the video w links to everything!! Thank you for this! It’s very informative and concise! Learned a lot!!
Thank you so much Kathy! I do my best to try and explain things full, yet as simply as possible.Glad that you enjoyed it!
FIo2 can’t go over 0.5 for more then 24 hours right? Because of o2 toxicity
At 60% and above we worry about damage from the high levels of oxygen. Its damage to the lung tissue, not toxicity. Think of it more like oxidation damage. Not quite the same, but simple comparison is the oxidative damage to metal (rust) that happens.
Thanks for this very informative class.
I am a novice. This may be a very stupid question: I would like to know with an artificial manual breathing unit (AMBU) operated by a medical professional which mode does it fall into in terms of a ventilator? I am assuming that the case when the medical person is compressing the self-inflating bag to the same extent each time. Does that make it a sort of “volume control mode”? The AMBU bag has an over-pressure valve which would limit the peak pressure.
I wouldn’t consider that a ventilator as a ventilator would be a machine that does the work of breathing for the patient. Using an AMBU bago, while it is ventilating, wouldn’t be considered a ventilator.
Like.
✌
AWESOME, concise and 100% accurate. Understandable, clear, perfect presentation. I haven’t worked in the field in 45 years, but understood everything you said. I like the use of the colored markers for categorization. Thank you! (Marty Wollner, BS, CRTT, RRT)
Thank you so much Marty! I really appreciate that feedback! And yes I really try to keep like topics or ideas in the same color to make it easier to follow. Glad you noticed!
thanks ! Was short , informative and to the point .
Awesome! Glad to hear that and thank you!
Pulled to ICU after 12 years, thanks!
You got this! Stay safe!
I am always terrify any time I think of MV and it’s setting, but u make it nothing compare to the fear I have for it. I love the way u simplify it thank u😊
Glad this was able to help!
Thank you for the information.
You’re welcome Michelle!
tell me, please,if we want to remove CO2 from blood,time of expiration should be prolonged or shortened? thanks <3
Its not necessarily the time of exhalation, but the total tidal volume. More volume exhaled, more CO2 cleared. While it can play a factor in that volume or complete emptying, in most cases its not at all what we look to control.
Thank you for the brake down of vent settings. Confidence builder for potential out of retirement ICU RN.
You’re welcome William! Glad that it was helpful for you and thanks for your willingness to help out in the mix of all of this! Godspeed!
I work with a doctor from India. She said that in India if they didn’t have a ventilator and a patient couldn’t breathe on their own, they would manually ventilate them with a BVM. The family of the patient would take turns helping the them breathe. They would keep this up for days…and some patients would recover. Do you think this possible to do in the States?
Thats a great question. I don’t know if our family structure here would be that committed. I actually have a nurse I work with who said the same thing about the Philippines. I’m sure some would, but I don’t think that most would be up to that task, for days.
Thank you , if I’m coming out of retirement for COVID I needed a refresher Course !
Good luck to you fellow doctor.
And you’re doing great work ICU Advantage.
Awesome! Thats fantastic what you are doing! Hope this video helped some.
Your videos/lessons are so concise with a great flow/structure! I like the use of different colors to pair/differentiate subjects. Loving all your videos! Thank you for them.
Thank you so much Kevin for the awesome comment! Glad that you enjoy the videos. I appreciate the feedback on the color grouping, as thats my main reason for doing it!
These videos are a great resource for non ICU nurses who will be caring for covid patients.
That’s why I’m here.
I’m glad to hear that Joan! I hope they are very helpful for you.
This is ICU for dummies. Thanks for breaking it down with all the key points. So easy to understand. Thank you.
Haha awesome! Glad you enjoyed the video Cailing!
Lesson starts at 2:00
Haha thanks Fabian! 😉
Hello, great video. I’m an ER RN and I am watching videos like this, because I think I may be in charge of lots of vented patients. I never realized how valuable RTs are.
Oh yes Tim, the RTs are a godsend to us nurses! We make a great team together.
Really useful video. I’ll be entering the NHS as a FY1 doctor soon, and thought it was important to gain a basic understanding of ventilator modes so that I can be of much use as possible. This is a great resource and I’ll be sure to share it with my fellow final year students.
This is awesome Alexander and congrats to you! Glad this video was helpful for you and others and best of luck on your journey in to medicine!
Love your videos😍
So glad to hear this! Thank you Ewelina!
Everybody’s gotta do what they decide to do, and hard work or hard study takes one a long ways. I’m a respiratory therapist retired and coming back for Covid19. When I saw you were a NURSE teaching about ventilators, I just hope you spent boatloads of time quizzing the true experts on ventilators, the folks who bring the vents when you call for one, the people who take long, involved mechanical ventilation theory and practice classes in school, the ones who have the vent salespeople in to inservice them and get them fully up to speed, the respiratory therapists. I never saw an ICU nurse who could troubleshoot very deeply into vent problems. Maybe you’re the exception. Meantime I’ll listen to the resp. care ventilator videos.
@Rheanna Hoffmann Rheanna thank you so much for your service from your Canadian neighbour <3 Have you ever heard of Dr Paul Mark? Chief of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School. He has a protocol for treating sepsis and pneumonia and now covid19 with standard treatments plus vit c. He has presentations on youtube, he has published 400 studies and he treats patients. China has used it in treating their patients as well. I just thought Id mention that since I know its being touted in the media as ridiculous.
ER RN here volunteering to leave my home and come to NYC to assist with the COVID crisis. I’m doing research to begin to learn vent basics, and prepare. I have to say Alan, your attitude as an RT is a nightmare: someone who looks down on colleagues and can’t be bothered to help a fellow team member take better care of patients. Good luck coming back into the field at this team-heavy time. I hope you get humbled and become willing to teach and offer your experience in a way that doesn’t turn your co-workers off. We’re in this together, especially now.
@ICU Advantage Keep it up no matter what anybody says. I’m a 3rd year Med Student and I am fully aware of how capable nurses are, especially if they are so willing to learn as you. This RT made the worst mistake anybody can do, underestimate and undervalue crucial members of a team, thank you for this amazing videos🙏🙏🙏
Alan you are so rude. Do you have any critiques of the video after watching it instead of critiquing a bunch of unknown variables? Why dont you make some videos on ventilators since there is going to be a huge demand and they are going to train a bunch of uncertified nurses because there is not enough certified HCPs who know how to use ventilators with the surge in severe Covid19 cases. Or make a comment adding some of your knowledge in places where the nurse making the video might have missed. I hope you don’t make your colleagues hate working with you with your negative attitude during this time of stress. We need to come together not have an I know more than you attitude.
It really saddens me to read this comment and to hear this attitude of yours. Had you even take the time to watch the video, you would see that this isn’t meant to be a knows all everything about vents but a good foundation of knowledge on which to continue learning and in fact I pay much respect to the RTs that we work along side while in the ICU as the experts of this domain.
I really hope you shake this attitude as you return to work because we are all going to have to rely on one another with what is coming and this attitude is toxic. If you think that RNs have no business having knowledge about vents and vice versa for RTs knowing about medical processes, then you are sadly mistaken. This isn’t a contest about who is better at what. Its recognizing our own strengths and working together as a team.
Hello!
I am Carol González, a surgeon at Hospital Clínic.
We are creating a website (http://covid19.aischannel.com) where we collect and share publications and useful information for patient management with COVID-19. This site is designed for helping professionals of those specialties that are not accustomed to handling this type of patient.
We believe that your videos would be perfect to share on this platform; obviously remaining under his name and authorship.
Feel free to reach out to me via email contact listed on this channel.
are we not gonna set the Peak Flow in AC mode and SIMV?
As a non-respiratory therapist, I preface my answer on that, BUT I think that is managed internally by the vent based on other settings that are set, such as Vt and I:E etc.
Please keep making more ICU videos these are very helpful and very similar to what I have seen on our floor! I love them.!
Awesome! Glad you like them Andrea!
Love ur video. But I think it a bit long. Just my personal take. U could make it into part 1 and 2. 10mins each. I am not trying to be negative just saying it is easier for me to click on a 6-10 minutes than a 20minutes .but there are really helpful.
Thank you! And if you had any idea how hard I have been trying to make my videos shorter. I’ve divided subjects up in to as small of pieces as I think make sense to have their own video. My goal is 12-15 min for a video, but I often go on longer. Know that I am well aware of this and I seriously am trying my best to make them shorter! lol
Nice vids. You should make one on blood product administration – the indications for each product, compatibility, and the differences between crossed and uncrossed blood.
Thank you Mike. Great suggestion! I’ll add it to the to-do list.
Love every video I have watched! Honestly best explained on youtube, in regards to drips, vents, physiology. AMazing work! Keep it up
Wow, thank you so much Gabe for the awesome comment! I’m humbled that you would say such nice things and I’m really glad that you like the videos. Thank you so much for taking the time to comment and let me know!
Really liked the video. Will you do some videos covering ECMO?!
Thank you so much for taking the time to let me know that you enjoyed the video. And yes, absolutely! It’s on the todo list for the fairly near future, so keep an eye out! 🙂
For the algorithm
This was a great video. Very simple with no distracting filler. Would have loved a little more on Pressure Control. Great channel. Subscribing!
Thank you so much James and welcome aboard! I really appreciate the awesome comment. If you actually watch the next video on “advanced vent modes” I cover pressure control more there. 😊
On point, as usual!!!!! Strong work my man!!
Thanks dude! Appreciate it!
Please do a video on respiratory waveforms!
Ok now we are getting in to some serious waveform analysis. Let me see what I can put together.
Please do scalar and loop waveform
Thanks for the suggestion Todd! Are you referring to the flow/pressure/volume waveforms from the vent, or something else?
Thanks for spending the time to make these informative videos!
You’re welcome Nathan and thank you so much for taking the time to watch and to leave a comment! I really appreciate that.