logo
episode-header-image
Dec 2021
58m 32s

Ventilation; Roadside to Resus

Simon Laing, Rob Fenwick & James Yates
About this episode

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

Up next
Nov 10
Resuscitation Guidelines 2025; Roadside to Resus
Whether you're just stepping into your first cardiac arrest or you've been running them since the days of paddles, this one's for you. The 2025 resuscitation guidelines have landed after further collaboration between ILCOR, the ERC and the Resuscitation Council UK and in this epi ... Show More
56m 30s
Nov 1
November 2025; papers of the month
This month we've got four cracking UK-led studies that really speak to how pre-hospital and emergency medicine continue to evolve, not just in the kit and skills we use, but in how we think about the whole patient journey. We'll start with a paper fromAnaesthesia with Pallavicini ... Show More
33m 26s
Oct 20
Pre-Alert '25; Roadside to Resus
How, when and why to make the call… The pre-alert is one of the most powerful and sometimes most painful parts of emergency care. It can feel like the Spanish Inquisition, trigger tension between pre-hospital and ED teams, or drop another challenge into an already overflowing dep ... Show More
52m 31s
Recommended Episodes
Apr 2020
Splitting a Ventilator: Multipatient Ventilation for COVID?
Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was brought forward was putting multiple patients on a single ventilator. This is a lot harder than merely attaching a plastic splitter ... Show More
16m 16s
Apr 2020
Episode 1 - Acute Respiratory Failure I: Mechanisms & Pathophysiology
In this, our inaugural episode, we explore common mechanisms underlying acute hypoxemic and hypercapneic respiratory failure. Concepts discussed include the oxygen delivery equation, differentiating hypoxia from hypoxemia, and a discussion of V/Q mismatch and shunts. In the follo ... Show More
36m 36s
Feb 2023
How to Breathe Correctly for Optimal Health, Mood, Learning & Performance
In this episode, I explain the biology of breathing (respiration), how it delivers oxygen and carbon dioxide to the cells and tissues of the body and how is best to breathe—nose versus mouth, fast versus slow, deliberately versus reflexively, etc., depending on your health and pe ... Show More
2h 14m
Apr 2019
Non-Invasive Ventilation
<p>In this episode I cover Non-Invasive Ventilation (NIV).<br/><br/>If you want to follow along with written notes on non-invasive ventilation go to https://zerotofinals.com/niv or find the respiratory section in the Zero to Finals medicine book.<br/><br/>This episode covers the ... Show More
6m 1s
Nov 2023
the healing power of somatic breathwork [preview]
<p>We don’t tend to think much about our breath in our day-to-day lives. It just… happens, right? Not exactly. Taking the process of breathing for granted would be a mistake, which is exactly what we’re exploring in this episode.Science is only just beginning to validate the extr ... Show More
13m 34s
Sep 2017
How to Breathe Less to Do More with Patrick McKeown, King of Oxygen - #434
<p>Did you know you can improve your heath significantly, simply by breathing through your nose? World-renowned breathing expert and prolific author, Patrick McKeown, has spent the past 15 years working with thousands worldwide, who experience breathing disorders, sleep disordere ... Show More
1h 9m
Feb 2021
Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management
Back to the basics! In this episode we review the evolving criteria,  etiologies, and pathophysiology of ARDS. A brief review of ventilator induced lung lung injury and initial vent setup provide the groundwork for future episodes exploring how to troubleshoot the vent and therap ... Show More
22m 17s
Apr 2024
Respiratory Interventions
<p>Richard is a 75-year-old male patient being treated by physical therapy. In educating a patient with chronic obstructive pulmonary disease (COPD) about managing exacerbations at home, what advice should the physical therapist emphasize as MOST important?</p> <p> A. Use of an i ... Show More
10m 43s
Aug 2023
O2 Saturation
<p>Jaquay is treating a patient with chronic obstructive pulmonary disease (COPD) who complains of dyspnea during daily activities. The patient&#39;s SpO2 levels tend to drop below 88% with mild exertion. In addition to continuing with a general exercise program, which of the fol ... Show More
13m 2s
Dec 2021
Scott Schwenk: Why We Breathe
If you don't like how you are feeling, change the rhythm and depth of your breath. Because how you are breathing is how you are living. In this episode, Jeff and Scott discuss the science of the breath as well as delve into the more subtle spiritual and psychological aspects of t ... Show More
1h 59m