Jessica Bunin
Jessica Bunin
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Optimizing Patient Care in the ICU During COVID Using the ABCDEF bundle
Using the ABCDEF bundle improves care and outcomes for our ICU patients. In this video, I describe how this bundle can be optimized during COVID.
Переглядів: 3 400

Відео

Airway Pressure Release Ventilation (APRV)
Переглядів 47 тис.4 роки тому
This video will explain the basics of Airway Pressure Release Ventilation, an option for mechanical ventilation, that is helpful as an oxygen salvage therapy for patients with Acute Respiratory Distress Syndrome (ARDS). This video is dedicated to my amazing Father-in-law, Dr Alejandro Albano, who contracted COVID while caring for his patients and succumbed to the disease. Love you, Lolo!
Ventilator Tutorials PB840 & V500 Drager
Переглядів 6 тис.4 роки тому
This video will teach you to assemble and set ICU ventilators
ARDS Diagnosis and Management
Переглядів 14 тис.4 роки тому
This video will provide you with a brief introduction to the diagnosis and management of ARDS.
Sepsis in the Age of COVID
Переглядів 8 тис.4 роки тому
This video will discuss the management of Sepsis and address specific considerations for the COVID pandemic
MultiD Preparation for Intubation
Переглядів 5 тис.4 роки тому
In this video, a doc and nurse will talk you through preparing to intubate a patient. At the end of the video we highlight some special considerations for intubation in the context of COVID.
Sedation and Analgesia in the ICU in the setting of COVID 19
Переглядів 24 тис.4 роки тому
This video is intended to assist healthcare providers with the care of critically ill patients only. It is to be used as a guide ONLY for patients who have breathing tubes and are mechanically ventilated (on breathing machines). It will introduce you to sedative and analgesic medications that are used in the intensive care unit setting only. It will provide recommendations for use of sedation a...
ICU Nursing - Assembling Pressure Tubing for Alines and Central Lines
Переглядів 30 тис.4 роки тому
In this video, Mavis Bean will teach you to assemble pressure tubing transduce pressures and waveforms from arterial lines and central lines. She will also teach you to attach to an ICU monitor.
Awakening Trials, Breathing Trials, and Extubation
Переглядів 30 тис.4 роки тому
This video covers safety screens and failure criteria for Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs). These together form the ABCs of daily care of ICU patients on vents (Airway and Breathing Coordination). Additionally, it covers the criteria that should be met prior to attempting extubation (my favorite procedure in all of critical care).
Transport Vent Tutorial - ParaPAC
Переглядів 28 тис.4 роки тому
This vent will teach you to set up a ParaPAC transport ventilator.
Vent Basics for Non-Intensivists Part 2 (ACPC and PS)
Переглядів 17 тис.4 роки тому
This video is an introduction to pressure control and pressure support ventilator settings. If you have not yet viewed 'Vent Basics for Non-Intensivists (ACVC/VAC)", please watch that video first. This video is not intended to be all encompassing. It is intended to educate non-intensivists on basic vent settings and vent mechanics. Thank you.
Acid Base for the Non-intensivist (focus on Metabolic Acidosis and Mixed Disorders)
Переглядів 25 тис.4 роки тому
This video will teach you the etiologies for the various acid-base disorders as well as teach you how to interpret an ABG with a focus on metabolic acidosis and mixed disorders. This will teach you little to nothing about buffering, organic chemistry, biochemistry, etc. This is for practical application at the bedside.
Set up of V500 Drager Ventilator - Doll
Переглядів 34 тис.4 роки тому
Quick rundown of how to set up Drager V500 vent
Vent Basics for Non-Intensivists (ACVC/VAC)
Переглядів 66 тис.4 роки тому
Vent basics (one mode) for non-intensivists for when it hits the fan.
IV Vasoactive Medication Basics for the Non-Intensivist...in the age of COVID-19
Переглядів 16 тис.4 роки тому
This video provides a refresher/introduction to the basics of inotropes and vasopressors that may be helpful in the context of treating COVID-19 patients. It is not intended to be all-encompassing.
Shock Basics for the Non-Intensivist...in the age of COVID-19
Переглядів 9 тис.4 роки тому
Shock Basics for the Non-Intensivist...in the age of COVID-19

КОМЕНТАРІ

  • @desmondbryant8735
    @desmondbryant8735 Місяць тому

    Solid work

  • @Ab7358i
    @Ab7358i Місяць тому

    Awesome. I am grateful for this. thanks for posting this video.

  • @CS-bh4ur
    @CS-bh4ur 7 місяців тому

    I am a lead respiratory therapist and when we get new employees, APRV is always an intimidating mode of ventilation. Now, with your beautiful video, it no longer has to be, and I absolutely love the dropping and stretching to wean the patients just brilliant.

  • @charlotte98209
    @charlotte98209 9 місяців тому

    Excellent explanation and demo

  • @carlose0318
    @carlose0318 Рік тому

    Fantastic lecturer with clinical relevance and high yield info. Also props to the great questions by the students, I had some of the same ones

  • @AboSami99
    @AboSami99 Рік тому

    Today my patient reached the maximum setting on ACPC mode which is (45P- 18peep-40RR-100fio2) and I decided to try the last card..APRV, pray for my patient my god help me

  • @DeviantMotives
    @DeviantMotives Рік тому

    The failure criteria doesn’t make sense because anyone that’s restrained and has a breathing tube down. Their throat is going to freak out the agitated and their heart rate is going to shoot up.

  • @nonal4223
    @nonal4223 Рік тому

    Thank you

  • @somyzacharia8515
    @somyzacharia8515 Рік тому

  • @heemun6443
    @heemun6443 Рік тому

    Thank you so much! I really love your UA-cam channel. There is one thing I want to add, though. I believe that at 22:17, the patient is experiencing pure AG metabolic acidosis(AGMA). If you calculate the delta ratio, it is less than 2, which indicates that it belongs to pure AGMA. The delta ratio is calculated as follows: delta ratio = (31-12) / (24-10) = 19 / 14 = 1.37 If AGMA is due to ketones, then a value of 1.2 above indicates the presence of AGMA and metabolic alkalosis. However, in this case, the lab glucose was 94. For AGMA due to other reasons to be present with metabolic alkalosis, the delta ratio would have to be above 2.

  • @RyanLyman-ux6pu
    @RyanLyman-ux6pu Рік тому

    You are a fantastic professor. Thank you for these videos!

  • @ronelgallon6949
    @ronelgallon6949 Рік тому

    Really great discussion, can you discuss pressors and inotropes please

  • @crispryergo7695
    @crispryergo7695 Рік тому

    guys there is defiantly racist thinking out there I'm not sure if its racist and or extremist but the drugs they have to give people cancer, pituitary tumors (antipsychotics), using wards for it to conduct these acts of terrorism (you need psychdrugs to edit dna), guys there is cook books to take eyes out, livers, etc..if someone finds one health problem about you, knows your job, or your race, or know what drugs you have they have TOR to run an i2p tunnel to drug coma people, run cartels, buy guns, you can watch hospital tapes (psychwards because theyre corrupt), pay to kill someone, traffic people, get drugs (silk road reference), anything you want just have a good vpn proton vpn and or murad is good its untraceable. They are going after jocks they have chemist now that can stop hearts, make a shot to make someone shit liquid like they have aids, probably give someone hiv aids with cas crispR. It is 100% serious and a problem, everyone should use TOR. See why psychwards, psychnurses, greedy lawyers, greedy cops, are the reason mass shootings exist. Idk if its racist thinking or what but athletes, artist and rap artist rap about it (probably better off having a rapper than a nurse), and tech people they come after for kill money on TOR. We should all use it to get what we want these rich people think they can commit someone just because they have money. Terrorism is casual now

  • @amiles64
    @amiles64 Рік тому

    Thank you for this!

  • @greensahuaro2834
    @greensahuaro2834 Рік тому

    Thanks, you are aweasome.

  • @netflixingdubbo
    @netflixingdubbo Рік тому

    Well explained ❤ I would like to know little more explanation about PIP based on Pi if possible .

  • @jaimeguadian5558
    @jaimeguadian5558 Рік тому

    Thank U

  • @bilalkayani8510
    @bilalkayani8510 Рік тому

    Hey , please continue Go on & on with your video series . It made my concepts clear

  • @charliefraih5158
    @charliefraih5158 Рік тому

    Why the P low has to be at 0 and why can't we keep it at 5. Wouldn't that lead to more recruitment of the alveoli??

  • @huyproluvthanh
    @huyproluvthanh 2 роки тому

    Died last week because he caring for his patients who had covid? Seriously blaming it on your patients? Damn

  • @adesuaodihirin6688
    @adesuaodihirin6688 2 роки тому

    Hello Mam Please do you have any Teaching Courses???

  • @dom4638
    @dom4638 2 роки тому

    Wow, amazing job

  • @st05002125
    @st05002125 2 роки тому

    Psi?? Isn’t it 50 bar?

  • @adesuaodihirin6688
    @adesuaodihirin6688 2 роки тому

    This is amazing and easy to understand. Please please do you have more teaching real life Videos I am a new ICU Nurse Please I need real life Scenario teachings

  • @ventilator98
    @ventilator98 2 роки тому

    I LOVE your ICU videos! I WANT MORE!! You know, this is the way I look at it. When you put a patient on CPAP/PS, and you set the PEEP at 5, and the PS at something such as 5-8, you're essentially using the ventilator as a glorified high flow device. You have the tube resistance compensated with the PS, and you have the FiO2 you want, AND you have the humidification. It's a glorified high flow humidification device, because you can monitor your volumes, and your rate, as well as the ETCO2, and of course your pressures. If they're in distress, and they're breathing at a rate of 40, with a VT of 190, You'll see it, and You will know, "Better not extubate that patient. He'll end up intubated again!"

  • @zayyaandollie9097
    @zayyaandollie9097 2 роки тому

    Wow. This helped so much! Appreciation from south Africa!

  • @jankollner9768
    @jankollner9768 2 роки тому

    Very good and understandable even for me as a German. Thank you very much! Will you publish any more videos?

  • @msme9790
    @msme9790 2 роки тому

    Exactly what I needed

  • @Raveness445
    @Raveness445 2 роки тому

    So my question is a patient suppose to be awake during intubation. I remember my grandma in icu begging me to help her.. for 5-6 days..and I can never get that image out of my head and being a nursing student I’ve realized she was suppose to be sedated..? This was before the pandemic .. in 2016. So there wasn’t a shortage of medication. The icu dr also told me he didn’t understand why the the ER Dr had ordered her intubation.. 😮 She also asked the Er doctor to please not intubate her because of her heart.. and they held her down and did it anyway.. then didn’t sedate .. ? Stuck her in a room in the icu where family had to watch her jumping off the bed.. awake begging us to help her ..

  • @dayalbha108
    @dayalbha108 2 роки тому

    Good

  • @UMBUBA
    @UMBUBA 2 роки тому

    Respiratory therapists usually take care of bagging, preparing ETT, laryngoscopes, ventilator, airway in general

  • @____g____y4974
    @____g____y4974 2 роки тому

    Thx so much

  • @drazizalrajhi
    @drazizalrajhi 2 роки тому

    My deepest Condolences for the lose of your father in Law, may his soul Rest In Peace

  • @rnw4468
    @rnw4468 2 роки тому

    I just had my ICU rotation, this is a great video shared. Can I have a quick qn which is why we set FiO2 max out at 100%, dont you worry about diffuse alveoli injury? If FiO2 set to 100%, what duration is ideal? Many thanks.

  • @nasserburhan2696
    @nasserburhan2696 2 роки тому

    Thank you very much for sharing this amazing info for us Gratings.

  • @nola-jae8619
    @nola-jae8619 2 роки тому

    Awesome tutorial!

  • @isharasooriyaarachchi3872
    @isharasooriyaarachchi3872 2 роки тому

    how to determine the fio2 percentage from patient to patient?... what are the considered factors ?

  • @isharasooriyaarachchi3872
    @isharasooriyaarachchi3872 2 роки тому

    thank you very much for this amazing work, little suggestion, please ask your student to speak louder or give him a mic too...

  • @LuxuriousFactsForYou
    @LuxuriousFactsForYou 2 роки тому

    I wish I could hug you. Your lectures are amazing. The way you explaining things are making easy to absorb information

  • @simoncoope9653
    @simoncoope9653 2 роки тому

    whats the survival rate for fentanyl and itubation, why would you give a drug they have to withdraw from that suppresses breathing. Sounds like silence and not a treatment. vit c d zinc and I cant say others due to censorship, work better results. None of this is treatment, its keeping em quiet, yet media dont attack this method, $$$$$$$ why media tells my doctor hes wrong, yet he keeps ending up the right one 9mnth later.

  • @JohnWMichell
    @JohnWMichell 2 роки тому

    thank you for the teaching. i am new in icu, in my training i always try to learn these meds comprehensively but no one can give me a teaching like this in this hospital. i am trying everyday to collect information and make summary. and your lecture makes it so clear just in 15min. i am very appreciate that.

  • @greensahuaro2834
    @greensahuaro2834 2 роки тому

    Thank you!

  • @may5588
    @may5588 2 роки тому

    I had septic shock. I survived. 7 bags of fluid, vancomycin, blood pressure of 70/40. Was in ICU and given vasopressor. My kidneys were failing, my liver was failing, I made it through because an astute nurse diagnosed it as septic shock. Docs were looking at heart issue. She saved my life. A doc came in when I was alone and asked me to sign a DNR. My faith said no. My kidneys and liver are perfect now. I fought back with the help of a very special nurse. I have to Guard my health very much now. I came through Covid with the help of monoclonal antibodies. I am vaccinated. Best to all. Don’t let this virus hurt your soul. Fight back. If you feel like something is wrong trust your instinct. Speak up. Get the good treatment that you deserve. Especially be aware that urinary infections can lead to sepsis. Most especially in those over 60.

  • @may5588
    @may5588 2 роки тому

    Fever. Low. Or high. Vital sign. Blood oxygen level.

  • @FacundoMD
    @FacundoMD 2 роки тому

    Amazing ! ER doctor here starting Surgical ICU tomorrow. Needed the review ! May he rest in peace ! COVID sucks !

  • @lkiforever1
    @lkiforever1 2 роки тому

    I am an ICU nurse, no one ever taught me about this I went with my gut feelings, it's good to know that I'm doing right😁

  • @travesjohnson6850
    @travesjohnson6850 2 роки тому

    This is short, sweet and to the point! I absolutely love it!

  • @greensahuaro2834
    @greensahuaro2834 2 роки тому

    many thanks!

  • @viktoriousextensions394
    @viktoriousextensions394 2 роки тому

    Great video. Thanks!

  • @adesolaodunayo2774
    @adesolaodunayo2774 2 роки тому

    Thank you for your videos. I am a veterinary intensivist and I am learning so much!