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The Peak Inspiration Podcast
by Nicholas Ghionni (@pulmtoilet)
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Latest episodes
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Breaking Down Waveforms Sent In!!!
August 27, 2026 · 14 minI go over 4 waveforms sent to me from followers! They quite bad so take a listen and let me know what you think! Only 2/4 are here-- go to my patreon (@pulmtoilet) for the full 4 waveforms and the accompanying PDF to download and annoate…
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June 10, 2026 · 20 minA clip of my webinar that I did on PRVC and why adaptive modes are generally bad in the ICU. Want full webinar? Email ME! pulmcritnick@gmail.com
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Ventilating Severe Acidosis: ResusX edition!
June 3, 2026 · 40 minRunning back my talk from ResusX about ventilating severe acidosis! I try to approach this from a pragmatic perspective! Nothing will work great so just do the least bad thing!!
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What is SIMV?
May 28, 2026 · 7 minWe all know SIMV sucks, but what exactly is the difference between SIMV and AC?
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Autopeep discussion from Instagram waveform!
April 22, 2026 · 11 minMy thoughts on a waveform question from April 17 on my Instagram @pulmtoilet !!! Go check it out !
About the show
I'm Nicholas Ghionni, a pulmonary and critical care physician with a passion for making mechanical ventilation easier to understand. Whether you're an EMT, nurse, respiratory therapist, APP, resident, fellow, attending, or simply someone who loves critical care physiology, this podcast is for you.
My goal is simple: break down complex ventilator concepts into practical, understandable lessons you can apply at the bedside.
For more complex waveform breakdowns and simple explanations of complex mechanical ventilation physiology: follow me on Instagram at @pulmotoilet