Ventilation; Roadside to Resus
The Resus Room
Simon Laing
4.9 • 708 Ratings
🗓️ 15 December 2021
⏱️ 59 minutes
🧾️ Download transcript
Summary
Critically unwell patients often present with inadequate oxygenation and ventilation, in this episode we're going to explore some of the physiology of critical illness, look at how we can improve oxygenation and ventilation, take a look mechanical ventilation and have a think about how we can deliver this to a really high level.
We'll be covering the following;
- Type 1 & 2 respiratory failure
- Breathing assessment
- Optimising patients own ventilation
- Mechanical ventilation
- Modes of ventilation
- Setting up a ventilator; tidal volume, RR, FiO2, I:E ratios, dead space
- End tidal CO2
- Optimising oxygenation & ventilation
- Hand ventilation
- Ventilation in cardiac arrest
Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Enjoy!
Simon, Rob & James
Transcript
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| 0:00.0 | Welcome to the recess room podcast. |
| 0:03.5 | Five, four, three, two, one, fire. |
| 0:12.0 | So hi, and welcome back to the recess room podcast. |
| 0:15.7 | I'm Simon Lang. |
| 0:17.2 | I'm Rob Fenwick. |
| 0:18.3 | And I'm Jane Jades. |
| 0:19.5 | And welcome to a festive episode on Roadside to Reesis on ventilation. |
| 0:25.1 | Yeah, absolutely. I bet everyone is chomping at the bit for a bit of festive ventilation, aren't they? |
| 0:30.0 | But what a great topic and, you know, I think from my perspective, this can be definitely pretty daunting, |
| 0:36.2 | but I think and I hope we are going to make this a really useful overview of what it is and how we can as a team make sure that we're delivering it safely to our patients. |
| 0:45.8 | I'm just looking forward to what the festive bit is because I hadn't seen that in the notes anywhere. |
| 0:50.2 | I'm eating a mince pie. That's as festive as it gets. |
| 1:06.5 | Excellent. Well, before we get into it, a big thanks as always to S.J. Trem, the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Medicine, who partner with us on this podcast and make this all free and open access. So if you want to have a look at some articles that are all open access online on the sorts of topics we cover here on the podcast. |
| 1:12.5 | Make sure you go over and check out their website, which is hyperlinked to on the podcast site. |
| 1:18.6 | So, without further ado, let's crack on with ventilation. |
| 1:25.5 | Right, so just to give a bit of an idea of what we're going to cover in this episode. |
| 1:29.1 | So the idea is that we're going to run through a bit about oxygenation and ventilation, |
| 1:34.7 | talk about the different types of respiratory failure, and then talk about what ventilation |
| 1:39.7 | or providing optimum ventilation to our patients really entails. |
| 1:44.0 | And that's both with a ventilator and also to patients with a bag valve mask. |
| 1:49.6 | But we're going to be covering both and using principles from mechanical ventilation |
| 1:53.2 | to optimise hand ventilation as well. |
... |
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