The Peak Inspiration Podcast

Pulm Toilet
  • 5.0 (2)
  • MEDICINE
  • UPDATED SEMIMONTHLY

A ventilator podcast for all who want to understand mechanical ventilator basics. This podcast is meant for educational and entertainment only. While generally listener discretion is not needed, it is always advised. Find me on Instagram under the handle @pulmtoilet

Episodes

  1. 5D AGO

    Vent management in the obese ARDS patient and COPD

    Podcast I did with Escola de Intensiva about vent management in the obese ARDS patient and COPD!

    1h 9m

  2. JAN 23

    Pressure Control Webinar Sample!

    First 45 min of the PC webinar!!!

    46 min

  3. JAN 15

    Is the A-F bundle dead?

    Response to a reel that Kali Dayton posted about a nurse who is burned out in the ICU due to poor A-F bundle implementation. TLDR: We need to do better

    12 min

  4. JAN 9

    How Do We Trigger The Vent?

    Triggering the ventilator is how the ventilator knows to go from expiration to inspiration. Theres a few ways we can trigger the breath and some dssynchronies associated with it. In this episode, I go over these concepts!

    14 min

  5. 12/23/2025

    PPV in Heart Failure

    Positive Pressure & the Failing Heart  Positive pressure ventilation is one of the most powerful tools we use at the bedside. In this episode, I sit down with critical care cardiologist Willard Appelfeld, MD to unpack how positive pressure ventilation interacts with the failing heart. We break down preload, afterload, venous return, RV–LV interactions, and why CPAP, BiPAP, and invasive ventilation can dramatically improve patients with acute decompensated heart failure. We move beyond dogma and into physiology—connecting ventilator settings to pulmonary edema. If you’ve ever wondered why positive NIPPV settings to flash pulmonary edema and how PPV affects the RV and LV.  Cardiac mechanics Positive pressure as therapy Real ICU decision-making

    46 min

  6. 12/15/2025

    Is this lung protective ventilation?

    When we are aiming for a lung protective strategy, it's important to note what exactly we mean when we say lung protective. Its also important that we follow the ventilator waveforms to ensure we are protecting the lungs with the settings we provide. You can call a vent strategy lung protective… but the alveoli will be the judge. We dive into the importance of reading waveforms and being able to spot if we are violating our goals.

    11 min

  7. 12/12/2025

    APRV Webinar Sample (30 of 90 min)!!!

    This is a small sample of the APRV webinar I did on December 9th ! Reach out to me on Instagram, @pulmtoilet, or pulmcritnick@gmail.com for more information !!

    31 min

  8. 12/04/2025

    The Time Constant-A Case Based Discussion!!

    Whether you're a seasoned intensivist or just beginning to decode ventilator waveforms, this case-driven episode will give you the confidence to recognize and reverse auto-PEEP before it snowballs into hemodynamic collapse????

    19 min

  9. 11/14/2025

    Vent talk with Ashley Adkins!

    Ashley and I go over some ventilator questions that were sent in by you ! We take a deeper look into some settings, what about the managment of the ventilator is most challenging, and how we can all work better together to deliver the best patient care in the setting of invasive mechanical ventilation !

    1h 3m

  10. 10/29/2025

    How To Read The Vent with @pulmtoilet !!

    Ever stared at a ventilator screen and felt like it was speaking another language? You’re not alone. In this episode of The Peak Inspiration, we break down the mystery behind every number, waveform, and alarm flashing on that monitor. We’ll cover what each parameter means, how to find what you need to report on rounds or to an attendings, and a little known secret of the alarms that is often overlooked!!!

    8 min

  11. 10/06/2025

    The Physiology Of Autopeep

    In this episode, we go over the fundamentals of autopeep starting with the basics including the mathematical fundamentals that underpin this concept

    9 min

  12. 09/02/2025

    Episode 1: How do we breath?

    We start off The Peak Inspiration Podcast with "how do we breath". A quick primer on negative pressure breathing, which is where we will build to positive pressure breathing and the mechanical ventilator!

    6 min
  • 12 Episodes

Ratings & Reviews

5
out of 5
2 Ratings

About

A ventilator podcast for all who want to understand mechanical ventilator basics. This podcast is meant for educational and entertainment only. While generally listener discretion is not needed, it is always advised. Find me on Instagram under the handle @pulmtoilet

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