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PODCAST

Respiratory HQ"s Journey to Success

The journey to becoming a successful respiratory therapist goes beyond textbooks! Each week, Tonya Piehl breaks down what it takes to successfully complete a respiratory therapy program, gain the RRT credential. and to transform into a leader in the Respiratory Therapy profession.

education medicine

All Episodes

27:48

Episode 69: Noninvasive Ventilation

Respiratory HQ"s Journey to Success ·

2025/07/05

This is an AI generate podcast of Tonya Piehl's lecture notes. This handout explains Noninvasive Ventilation (NIV), a medical support system that assists breathing without an artificial airway. It defines NIV and differentiates between Negative and Positive Pressure Ventilation, highlighting the widespread use of positive pressure methods like CPAP and Bilevel PAP (BiPAP). The document outlines goals for NIV in both acute and long-term care settings, details patient selection and exclusion

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12:20

Episode 68: Ventilator Weaning & Extubation

Respiratory HQ"s Journey to Success ·

2025/06/16

AI generated podcast to Tonya Piehl's lecture notes. The provided source outlines the comprehensive process of discontinuing ventilatory support, often referred to as "weaning" or "liberation," for patients on mechanical ventilation. It details a multi-stage approach, beginning with a pre-weaning phase that assesses a patient's readiness based on their underlying condition, oxygenation, hemodynamic stability, and ability to breathe spontaneously. Various pre-weaning indices such as the CROP

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10:29

Episode 67: I:E Ratio

Respiratory HQ"s Journey to Success ·

2025/06/07

This is an AI generated podcast of T.Piehl's lecture notes.These documents explain key concepts in mechanical ventilation, beginning with theI:E ratio, which compares inspiratory to expiratory time and is typically maintained within a specific range, altered by adjusting factors like flow rate and tidal volume. It is shown how changing these variables affects the I:E ratio. The text then describes variousflow waveforms, such as square, accelerating, decelerating, and sine, outlining their

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14:37

Episode 66: Compliance & Resistance

Respiratory HQ"s Journey to Success ·

2025/05/31

This is an AI generated podcast of Tonya Piehl's lecture notes. These texts discuss the mechanical properties of the lungs, specifically focusing on compliance and resistance. Compliance measures the ease with which the lungs expand, explaining that low compliance makes expansion difficult while high compliance hinders exhalation; both can impair gas exchange. The texts differentiate between dynamic and static compliance, explaining how they are measured and what factors influence each,

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15:32

Episode 65: Hazards of Mechanical Ventilation

Respiratory HQ"s Journey to Success ·

2025/05/24

This is an AI podcast from T. Piehl's lecture notes. This source outlines the potential complications associated with mechanical ventilation, emphasizing that issues become more likely with prolonged use. It details pulmonary effects like altered gas distribution and tissue damage, along with cardiovascular, renal, hepatic, and gastrointestinal impacts. The document also addresses ventilator and artificial airway problems, as well as potential issues stemming from medical professionals and

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11:45

Episode 63: Ventilator Alarm Settings

Respiratory HQ"s Journey to Success ·

2025/04/23

This AI generated podcast explains the crucial role of ventilator alarms in preventing life-threatening situations by alerting clinicians to technical malfunctions or changes in a patient's condition. It categorizes alarms into input (power), control circuit, and output types, detailing specific examples within each category, such as loss of power, incompatible settings, and unacceptable output states. The handout further describes individual output alarms, including those for low exhaled

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18:35

Episode 63: Traditional Modes of Mechanical Ventilation

Respiratory HQ"s Journey to Success ·

2025/03/31

This is an AI generated podcast of Tonya Piehl's lecture notes. This lesson outlines key aspects of mechanical ventilation, beginning with definitions of trigger, limit, and cycle variables that govern breath delivery. It then details various modes of ventilation, including controlled mandatory ventilation (CMV) where the machine dictates all aspects of breathing, and assist-control (A/C) ventilation where the patient can trigger machine-delivered breaths. Synchronized intermittent

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20:58

Episode 62: Initial Ventilator Settings

Respiratory HQ"s Journey to Success ·

2025/03/24

This is an AI generated podcast of Tonya Piehl's lecture notes.This educational material outlines the fundamental principles for initiating and managing mechanical ventilation. It emphasizes establishing a secure airway and initial ventilator settings based on patient specifics, followed by thorough assessment and goal setting. The text highlights the importance of ongoing monitoring and systematic adjustments to ventilator parameters, including the differences between volume and pressure

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17:56

Episode 61: Indications for Mechanical Ventilation

Respiratory HQ"s Journey to Success ·

2025/03/17

This is an AI generated podcast of Tonya Piehl's lecture notes.Mechanical ventilation becomes necessary when a patient cannot adequately breathe on their own to maintain sufficient oxygen and carbon dioxide levels. This need arises from conditions such as acute or impending ventilatory failure, marked by a rapid rise in CO2 or an inability to sustain normal blood gases despite increased breathing effort. Severe hypoxemia, characterized by dangerously low oxygen levels, also necessitates

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18:11

Episode 60: Extubation & Decannulation

Respiratory HQ"s Journey to Success ·

2025/03/08

T Piehl's AI generated podcast from her lecture notes outlines the process of extubation and decannulation, detailing the criteria for determining patient readiness. It emphasizes assessing airway control, oxygenation, and secretion clearance before removing the artificial airway.The document lists necessary equipment and a step-by-step procedure for extubation, including suctioning, oxygenation, and cuff deflation.It also addresses potential complications like laryngospasm, sore throat,

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16:52

Episode 59: Suctioning

Respiratory HQ"s Journey to Success ·

2025/03/06

T. Piehl lecture notes to correspond with NBRC Detailed Content Outline 2020. New episode will be produced in 2026 with next Detailed Content Outline. Suctioning is a technique used to clear airway obstructions caused by retained secretions or foreign materials. It is indicated when retained secretions lead to increased breathing effort, hypoxemia, or visible secretions and should be performed with caution in mechanically ventilated patients. Contraindications are relative, with the need to

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39:42

Episode 58: Airway Maintenance & Troubleshooting

Respiratory HQ"s Journey to Success ·

2025/03/04

Tonya Piehl's lecture notes provide details essential aspects of airway maintenance for patients with endotracheal and tracheostomy tubes. It covers securing the tube, confirming its proper placement via chest x-ray, and facilitating patient communication. Maintaining adequate humidification and minimizing infection risks are key concerns. The document addresses cuff pressure management to prevent tracheal damage, highlighting the use of high-volume, low-pressure cuffs, but cautioning that

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17:54

Episode 57: Tracheotomy & Tracheostomy Tubes

Respiratory HQ"s Journey to Success ·

2025/02/18

AI generated podcast of Tonya Piehl's lecture notes.This document is a handout on tracheotomies and tubes, covering the procedure's indications, surgical and percutaneous techniques, types of tracheostomy tubes and associated complications. It details potential short-term and long-term complications, including bleeding, infection, and airway obstruction. The handout also discusses laryngeal and tracheal lesions that can result from endotracheal intubation and tracheostomy tubes, ranging

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12:52

Episode 56: The Intubation Procedure

Respiratory HQ"s Journey to Success ·

2025/02/14

AI generated podcast of Tonya Piehl's lecture notes.This document outlines the procedure for endotracheal intubation, a critical medical intervention. It details the necessary equipment, preparation steps, and techniques for successful intubation, including both direct visualization and blind passage methods. The guide also addresses predictors of difficult airways and potential complications, ranging from minor tissue trauma to life-threatening events like cardiac arrest. Emphasis is

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14:31

Episode 55: Oral VS Nasal ET Tubes (Pro's and Con's)

Respiratory HQ"s Journey to Success ·

2025/02/11

AI generated podcast of Tonya Piehl's lecture notes. This podcast outlines various methods of endotracheal intubation, comparing and contrasting orotracheal and nasotracheal intubation, detailing their respective advantages and disadvantages. It also describes tracheotomy as a procedure for long-term ventilation, highlighting its benefits and drawbacks. Finally, it briefly explains endobronchial intubation, a technique utilizing double-lumen tubes for specialized lung ventilation

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6:36

Episode 54: Classification & Treatment of Asthma

Respiratory HQ"s Journey to Success ·

2025/02/09

This is an AI generated podcast of Tonya Piehl's lecture notes. This document outlines the National Asthma Education and Prevention Program (NAEPP) and Global Initiative for Asthma (GINA) guidelines for asthma classification and treatment. It details asthma severity levels, ranging from intermittent to severe persistent, and describes a stepwise approach to management, including medication choices and peak flow monitoring. The guidelines also provide information on assessing asthma

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8:20

Episode 53: Asthma

Respiratory HQ"s Journey to Success ·

2025/02/08

This is an AI generated podcast using Tonya Piehl's lecture notes. Asthma is characterized by chronic airway inflammation and variable respiratory symptoms. It details the diagnostic criteria, including variable expiratory airflow limitation and a history of symptoms like wheezing and coughing. The text covers both extrinsic (allergen-related) and intrinsic (non-allergen-related) risk factors, along with assessment methods (physical exam, lab tests, imaging). Finally, it lists treatment

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20:48

Episode 52: Artificial Airways

Respiratory HQ"s Journey to Success ·

2025/02/01

This is an AI generated podcast using Tonya Piehl's lecture notes. This document details various artificial airways, including oropharyngeal, nasopharyngeal, and endotracheal tubes, along with less common devices like the laryngeal mask airway and Combitube. Each airway type's insertion, proper sizing, advantages, disadvantages, and indications are described. Specific examples like the Berman and Guedel oropharyngeal airways are highlighted. The text also covers tracheostomy and

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9:47

Episode 50: Manual Resuscitation

Respiratory HQ"s Journey to Success ·

2025/01/24

This is an AI generated podcast from T. Piehl's lecture notes. This document is a lesson manual on manual resuscitators, devices used for artificial ventilation. It details the two main types—flow-inflating and self-inflating—explaining their mechanisms and components. The manual also covers proper mask application techniques, troubleshooting common issues like airway pressure problems and valve malfunctions, and methods to adjust oxygen levels (FiO2 and PaO2). Different sizes for various

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8:02

Episode 51: COPD

Respiratory HQ"s Journey to Success ·

2025/01/24

AI generated podcast from Tonya Piehl's lecture notes. The document describes chronic obstructive pulmonary disease (COPD), detailing its diagnostic criteria, which include symptoms, risk factors, and spirometry results. It outlines the disease's pathophysiology, encompassing chronic bronchitis and emphysema, and explains the characteristic physical examination findings. Furthermore, it lists common causes, such as smoking and air pollution, and details various treatment approaches,

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