Respiratory Therapy - What is Driving Pressure?

This video breaks down what driving pressure and how we define it.

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Reference:
Amato M, Meade M, Slutsky A, et al; Driving Pressure and Survival in the Acute Respiratory Distress Syndrome. N Eng J Med. 2015; 372(8):747-755

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*Information in this video is intended for educational purposes only, not medical advice.

[nrendon]

You are so awesome. Please don’t stop making these videos. I’ve been following you as a student and continue to watch as a working RT. Your videos have been so helpful!

[macha]

I don’t think I’ve ever seen those 3 graphs with plateau pressures and peep levels explained as “cleanly”, as clearly as you did. Awesome!

[hondapilot]

Amazing lecture ! You have an incredible gift of explaining highly complex concepts and breaking them down to simple easy explanations. Bless you.

[stewiegriffin]

Actually before I really didn't know about driving pressure, what that is and the significance of it. Now I understand the value of this in ARDS net protocol. Thanks a lot.

[jakesmith]

Coach! I can agree with you on this one too! I watched that same lecture 6 months ago and I feel like we should be going off of driving pressures especially knowing the data behind it. Thanks for the explanation!

[ManmeetKourAustralia]

driving pressures simplified. Appreciate the quality of your content🙏🏽

[justinworrilow]

This is an amazing video Coach! Another reason to do best PEEP.

[imadjurdi]

That was an empirical explanation.
Great performance coach. 👍

[antonrajneesh]

Thank you for the clean and crisp explanation… lots of Love from India….

[superproxy]

Can you explain to us how to calculate or to know our Optimal peep?

[sinclair]

Thank you very much, I hope this can be utilized more for all pt. with pulmonary complications related to lung injury and decreased compliance.

[dovewc]

Thank you again for your great explanation

[JulieSnyder-lz]

So, driving pressure multiplied by static compliance will give me my optimal tidal volume? Would you please explain that process? You've been such a help to me in my journey so far. Thank you.

[tonylugo]

How do you know when you have the correct peep and Vt for to avoid lung injuries?

[fuadfayyah]

Always amazing .. thank you coach !! ❤️

[bakuldada]

this was such a useful video for me..taking care of my mother on home NIV.. tried avaps ..but looks like its tidal volume based pressure delivery approach can be suboptimal too.

[katsunchung]

thank you coach! glad to see you post some useful videos online again! keep it going and i will stay tuned!

[angelomathew]

hi Coach can you help me getting some TMC practice questions

[greensahuaro]

So! depending on lung condition; and if the lungs are stiff as in ARDS, we can change driving pressure by increasing Peep; for better ventilations, get that Driving Pressure and Static Cl numbers and calculate Vt? But! I think only getting the numbers on Volume ventilation and applying it on Volume or Pressure and when ventilating keep an eye on the Plateau Pressure trend to watch for improvement and deterioration?

[greensahuaro]

But! To decrease Driving P with a stiff lung, we can increase peep to deliver a proper Vt and to decrease Driving pressure! Right? ...according to the bars shown earlier!