I’m excited to have my first guest here on The Elective Rotation Podcast. In this episode we’ll be talking with one of the most talented and patient focused respiratory therapists I know. He is also a tremendous advocate for bedside pharmacy services in emergency situations, and he spends a considerable amount of time helping to train pharmacy students and residents that are on rotation with me. I am happy to introduce to Pharmacy Nation “RT Pete”!
Below is an outline of the topics/questions from the interview:
1:00 Negative pressure ventilation.
I found this video which demonstrates negative pressure ventilation:
2:00 The Iron Lung
2:40 Positive pressure ventilation
4:05 Siemens Maquet ventilator
4:17 Pressure-regulated volume control (PRVC): A hybrid setting on the ventilator that maintains pressure and volume.
10:22 Pressure Control (PC): Most common ventilator setting to maintain pressure.
15:32 Pressure Support Ventilation (PSV): A setting to help patients wean from the ventilator. Patient’s inspiration effort is assisted by the ventilator. The patient determines their own respiratory rate, inspiratory time, and tidal volume on this setting.
19:00 Signs of failed ventilator weaning.
21:50 Pain control to facilitate weaning.
24:20 Positive End-Expiratory Pressure (PEEP): Elevated baseline pressure. Maintains open alveoli.
24:50 How do you know it is safe to attempt vent weaning?
26:25 When do respiratory therapists look for pharmacy to help them?
28:03 How can you tell if the patient is not oxygenating properly?
29:28 How can you tell if the patient is fighting the vent?
31:03 What Pete wishes more pharmacists knew about mechanical ventilation.
33:37 Pete’s view on teamwork.
You can download a 2 page PDF of what a pharmacist should know about mechanical ventilation inside the free Pharmacy Nation Community.
Pete and I talked for about 75 minutes – here is the entire interview: