Listener Questions – Episode 1

Since we had the Kayexalate episode, I did not want to do a full podcast, so I thought I would just air some listener questions:

  • Adrian wrote asking about why A/C over SIMV when choosing a vent mode
  • Cory wanted to know if NIV is any good for COPD
  • Michael was worried about the level of dogma that has crept into EM/Critical Care podcasts
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Comments

  1. D. Shukla says:

    Please do continue this q&a section!

  2. Jonathan Henglein says:

    I always enjoy reading all the back and forth comments so hopefully that stays but I really enjoyed this Podcast Q&A as well. It answered some questions I had myself.

    Thanks again! Keep up the great work.

  3. Lance Lynch says:

    Hey Scott… I’ve been listening for about a week now and am absolutely hooked! Please do continue the Q&A sessions… Lots can be gained by having you expound on your ideas that cause confusion.

    Thanks Again,
    Lance

  4. Thanks for the feedback, Lance. Will do more of these.

  5. Anand Senthi says:

    Also agree re the benefit of this Q&A podcast – thanks. I have a 2 part question:

    1) With AC mode if you set RR =1o and TV 500ml, and the patient takes 3 spontaneous breaths in a minute, they will get those 3 breaths supported to 500ml by ventilator + 7 ventilator only breaths at 500ml. So 10 breaths x 500ml= 5000ml minute volume. Is that right?

    2) With same settings again (AC mode, RR = 10, TV = 500ml), if the patient takes 17 breaths will ALL 17 breaths be supported to 500ml by the ventilator? i.e they will get 17 x 500ml = 8500ml minute volume?

    So AC mode doesn’t care about overall minute volume but SIMV does – correct?
    thanks for your help

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