Evoking Epiphany : What’s Your Opinion?

We are going to start posting questions or statements to start a significant discussion group.

Our goals are to :

  • Start a wide berth of discussions.
  • establish synergies of thought.
  • improve patient care.
  • improve interdisciplinary communications.
  • introduce varied approaches to healthcare.
  • decrease length of intubation.
  • decrease length of time to liberation from mechanical ventilation.
  • decrease length of hospital stay.
  • decrease the cost of health care.
  • introduce new or variant concepts of ICU care.

Here is the first 2 of many thought provoking statements.

Evoking Epipheny – 2019-05-001




eLibrary – FREE



Build up your eLibrary starting with this gem – great hemodynamic tutorial. Hemodynamics is a huge part of our jobs as respiratory therapists and being proficient is key to being a great practitioner.

Anyone and everyone should get this booklet if you are interested in hemodynamics.

It is free to download.

Google search “edwards hemodynamics pdf” and then select the search item I have identified in the inset.

If you go to the Edwards website’s homepage, there are other good booklets for free.

There is a lot of good stuff out there for free from our vendors.

As I have opportunities, I will post them – I will use the key search words eLibrary or FREE so the references can be found.

Respiratory Therapist – Professional Physician Extender

I am strongly looking forward to hearing Garry W. Kaufman’s presentation – the key phrase

that drew my attention is PROFESSIONAL PHYSICIAN EXTENDER.

We all know it … first sign of trouble (desat, cardiac arrest, strange noise, etc.)  and the first words out of anyones mouth is “get respiratory”.



I really am looking forward to this and other’s commentary that know the respiratory therapist’s role in the medical field.

(MORE TO FOLLOW … from my soap box).


To ALL (RN, RT, MDs).

QoW 2015 – 001 (REALLY understanding a patient using NAVA’s Edi signal).

2015 nov - NAVA - 7 novel cases - j 013

I have heard a  lot of people (if not everyone I have known) tell patients “it is really hard breathing thru that small tube (i.e. ETT) but hang in there and we will have that tube out in a little bit”.

Using the graph of Edi, explain why breathing thru the ETT is actually easier than post extubation.

Hint : compare #3 vs #5 (the assumption is that the higher the microvoltage that the brain sends down to the diaphragm, the more distressed the brain “feels”).

Good luck !

Looking forward to the answers.

(As of Sunday, 11/7, we are starting our first giveaway! Please respond to this week’s QotW here on the post. As long as we get 20 or more responses by next Sunday we will randomly draw a winner. Prize to be announced this week! Sorry, we can only ship within the U.S.A., but please answer the question anyway!)