I just passed my CCRN exam and I wanted to say THANK YOU 🎉 You are absolutely amazing and have helped me so much! If I get into CRNA school it will be because of you!
❤️❤️❤️ This is so awesome to hear! Congrats on the CCRN. You should be incredibly proud! And also best of luck on CRNA. Happy to know I have helped in some way!
Current stepdown nurse wanting to try ICU for the longest time but was so scared to even apply. Your content makes me excited to finally start and learn in high acuity settings!!! THANK YOU!!!
Go for it! The majority of stepdown nurses are all badasses and need to give themselves more credit, and I’m sure that if you’re watching content like this, then you will be a great asset for ICU
Eddie!!!! This video is fantastic and I love how you organized it. I'm a PGY-1 on my ICU rotation and this is helping shed so much light on what we've been doing for our ICU patients. THANK YOU!!! Please keep making these videos. I've subscribed
Thank you so much for the kind words! Welcome to the world of medicine. Such a cool and interesting line of work, especially critical care. I've absolutely loved it. So glad to hear these videos have been helpful for you. I do have a lot of good, wide variety of topics so far and many more on the todo list. Welcome aboard!
I just want to say THANK YOU so much for making this channel. I am currently doing the ECCO program and I have felt so confused and lost. Since finding your channel, I am finally starting to understand whatever ECCO is terribly trying to tell me. You have a really great way of condensing big concepts into easy to understand, digestible information. YOU ARE THE BEST!
Thank you so much for the kind words Kristina! While I haven't completed the full ECCO course, I have looked through parts of it over the years, and I agree that it is not very easy or enjoyable to sit through. I'm so glad to hear that my videos have been helpful in explaining the information to you and I really appreciate you taking the time to leave such an awesome comment! 😍
I love your channel and watched so many of your videos to help me study for the CCRN. The hemodynamics series in particular was so helpful to me, and tonight I passed the exam! Thank you so much ❤
🎓‼ Earn CE Credits for this lesson at ICU Advantage Academy: 👉🏼 adv.icu/academy 🤩🆕 NEW Beautifully Designed Hemodynamics Notes 👉🏼 adv.icu/notes-hemodynamics 📝 Older Style NOTES available to members! ► UA-cam: adv.icu/ym | ► Patreon: adv.icu/pm 💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10")
So the intrathoracic pressure during normal inhalation is negative while if it is with the vent(with positive pressure), the intrathoracic pressure is positive? im confused, pls enlighten me. thank you.
Hey Drew! Thanks so much for your support with the membership! To access the notes, go to the main ICU Advantage UA-cam channel and then go to the "Community" tab. Look for the most recent link to the Dropbox which will have the current password, which changes each month for the whole Dropbox. In there are the notes for every lesson. Thanks again and feel free to shoot me an email if you have any issues. -Eddie
So you would need individual pressure cables for your CVP, PCWP, PA pressure, and BP? So if a patient has all 4, you would 4 pressure bags theoretically?
Good question. PA and PCWP come from the same port. So 3 pressure cables, yes. You could do 3 individual pressure bags, but there is the swan transducer kit which takes one pressure bag and Y's out to 3 separate pressure lines to each of the ports (CVP, PA, Art) but yes, you'd need 3 cables for each one going to the monitor.
I don't understand the high is dry. We were taught in CVICU high means fluid overload/retention or cardiac dysfunction. Low CVP means they don't have enough fluid. Is the stroke volume variance inverse to CVP?
Correct. SVV is the opposite of CVP. The more variance, the higher the value, means potentially fluid responsive. Less variance, lower number, means potentially adequate intravascular volume.
So there are many factors that can play in to this such as the patients HR, their cardiac output, the SVR impacting blood pressure, but at the end of the day the end goal is about perfusion and thus if we have a MAP less than 60/65 that would be the biggest indicator. Then its a matter of figuring out why the BP is low and finding the cause and hopefully fixing it. Hope that makes sense.
My ICU patients are alive by the grace of your explanations. Thank you!
Wow, means the world to me that I'm able to help in some way!
Amen 🙏🏿!!❤
I just passed my CCRN exam and I wanted to say THANK YOU 🎉 You are absolutely amazing and have helped me so much! If I get into CRNA school it will be because of you!
❤️❤️❤️ This is so awesome to hear! Congrats on the CCRN. You should be incredibly proud! And also best of luck on CRNA. Happy to know I have helped in some way!
Current stepdown nurse wanting to try ICU for the longest time but was so scared to even apply. Your content makes me excited to finally start and learn in high acuity settings!!! THANK YOU!!!
Go for it! The majority of stepdown nurses are all badasses and need to give themselves more credit, and I’m sure that if you’re watching content like this, then you will be a great asset for ICU
Eddie!!!! This video is fantastic and I love how you organized it. I'm a PGY-1 on my ICU rotation and this is helping shed so much light on what we've been doing for our ICU patients. THANK YOU!!! Please keep making these videos. I've subscribed
Thank you so much for the kind words! Welcome to the world of medicine. Such a cool and interesting line of work, especially critical care. I've absolutely loved it. So glad to hear these videos have been helpful for you. I do have a lot of good, wide variety of topics so far and many more on the todo list. Welcome aboard!
I just want to say THANK YOU so much for making this channel. I am currently doing the ECCO program and I have felt so confused and lost. Since finding your channel, I am finally starting to understand whatever ECCO is terribly trying to tell me. You have a really great way of condensing big concepts into easy to understand, digestible information.
YOU ARE THE BEST!
Thank you so much for the kind words Kristina! While I haven't completed the full ECCO course, I have looked through parts of it over the years, and I agree that it is not very easy or enjoyable to sit through. I'm so glad to hear that my videos have been helpful in explaining the information to you and I really appreciate you taking the time to leave such an awesome comment! 😍
Yes I have to agree this has been helping me with the ECCO modules. I am new to the ICU and looking forward to learning so much more.
@@aleshabee7386 so happy to hear this!
Thanks!
Thank you so much for this Diane!
These videos are great for teaching clinical staff from all clinical backgrounds.
Thank you so much Kimberly! Really happy to hear that feedback. I truly do my best to make them understandable for anyone at any point. :)
I love your channel and watched so many of your videos to help me study for the CCRN. The hemodynamics series in particular was so helpful to me, and tonight I passed the exam! Thank you so much ❤
Best video on UA-cam that covers invasive monitoring. Thank you so much
Love your videos bro. Helping me ace critical care and adult health. And hopefully one day get into CRNA school.
This channel is so Awesome! I’m really happy that I found it! ❤️
Yay!! So glad you found it Heloísa and that you enjoy the videos! Thanks for stopping by. 😊
I will be following you as I am presently in icu and do feel very lost at times! God bless you for sharing your knowledge. I want to join!
You made me finally understand this concept after reading the AACN book and trying to figure it out myself. Thank you!! Great job.
That's awesome! So glad you were able to get it to click! Its a fun topic once you get your head wrapped around it.
This lesson was LIT AF!
lol thanks!
Great brief and basic overview of the current invasive hemodynamic monitoring options in ICU
Thank you so much for this comment Val!
Thank you so much for this!!!! I wasn’t understanding until I found this
You are very welcome! Glad this video was able to help it click!
🎓‼ Earn CE Credits for this lesson at ICU Advantage Academy: 👉🏼 adv.icu/academy
🤩🆕 NEW Beautifully Designed Hemodynamics Notes 👉🏼 adv.icu/notes-hemodynamics
📝 Older Style NOTES available to members! ► UA-cam: adv.icu/ym | ► Patreon: adv.icu/pm
💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10")
Really Clear and Helpfull
I'm a better nurse because of you.
Truly my goal is to help others to understand things a bit more! Happy to hear this.
Thank you so much!! better than my instructor
Thank you for that Brenda!
Masterfully presented 👍🙏
Thank you so much!!!
this was a great series, thank you so much!
Awesome to hear! Glad you liked it! :)
Hey, thanks for the videos!! Please clarify; I thought inspiration increases venous return to the heart@15:08
This video is amazing. Thank you for making this it helped me SO much!!!!!!!!
Awesome! Glad you enjoyed it!
I just stumbled across this-this is wonderful. Thanks so much
Glad you like it!
Your channel is amazing!!! Thank you so much!!! I am a Flight Paramedic and I was wondering if you could do an IAPB lesson.
Wow, thank you so much! I do actually have IABP planned very soon :)
@@ICUAdvantage awesome!!! I cant wait for that lesson!!!
THANK YOU SO GD MUCH FOR THESE VIDEOS
Could you cover PICCO monitoring as well?
Great video btw!
+1, that would be great
Fantastic lecture!!
Glad you liked it!
So the intrathoracic pressure during normal inhalation is negative while if it is with the vent(with positive pressure), the intrathoracic pressure is positive? im confused, pls enlighten me. thank you.
Thank you for the videos
You are welcome Ogechi! Thank you for taking the time to leave a comment!
❤ this video.ty for being so detailed
Awesome. My pleasure. Glad you liked it.
Great video thank you so much!!
Youre welcome!
Plz sir can you explain respiratory monitoring cardiovascular monitoring renal monitoring
Thanks a million. My book state different values. Are these the latest measurements?
Everywhere you look will have slightly different numbers. They are generally within just a few and thus in reality can be used interchangeably
Thank u so much I'm picu fellow but it is helping me alot
Very cool! Glad you find them helpful!
How can I access to the notes for your videos? Also, this is an amazing channel and very much enjoying the content! Keep up the outstanding work.
Hey Drew! Thanks so much for your support with the membership!
To access the notes, go to the main ICU Advantage UA-cam channel and then go to the "Community" tab. Look for the most recent link to the Dropbox which will have the current password, which changes each month for the whole Dropbox. In there are the notes for every lesson.
Thanks again and feel free to shoot me an email if you have any issues. -Eddie
For the CVP decrease in ICU - high PEEP as well, right?
Edit:
Okay that is talked through a bit later, nvmnd. :) Great lessons btw!
Looks like you beat me too it! lol Thank you and glad you enjoyed the lesson!
Is that because of high intrathoracic pressure leading to decrease venous return to the heart ?
All your videos are great sir. Can you please do videos on Blood disorders sir.
Thank you Soma. Anything in particular you'd like to see?
@@ICUAdvantage on leukemia and it's types sir
CVP should ONLY be taken off the distal (brown) port of a central line!!!! Closet to the R atria.
Ty!
Is central line monitoring the same set-up as an A line? Same tubing, pressure bag at 300, leveled at phlebstatic access?
Yup!
So you would need individual pressure cables for your CVP, PCWP, PA pressure, and BP? So if a patient has all 4, you would 4 pressure bags theoretically?
Good question. PA and PCWP come from the same port. So 3 pressure cables, yes. You could do 3 individual pressure bags, but there is the swan transducer kit which takes one pressure bag and Y's out to 3 separate pressure lines to each of the ports (CVP, PA, Art) but yes, you'd need 3 cables for each one going to the monitor.
Thank you very much for this
You're very welcome! 😊
Great videos thank you so much
So what are the normal values of SVR and in what units it is measured?
Non-indexed normal SVR is 800-1200 dynes/sec/cm^-5
I don't understand the high is dry. We were taught in CVICU high means fluid overload/retention or cardiac dysfunction. Low CVP means they don't have enough fluid. Is the stroke volume variance inverse to CVP?
Correct. SVV is the opposite of CVP. The more variance, the higher the value, means potentially fluid responsive. Less variance, lower number, means potentially adequate intravascular volume.
1:49 if you remain calm you use significantly less oxygen
Hi im not sure if you mentioned it in another video, but when can you say someone is hemodynamically unstable? what are the numbers
So there are many factors that can play in to this such as the patients HR, their cardiac output, the SVR impacting blood pressure, but at the end of the day the end goal is about perfusion and thus if we have a MAP less than 60/65 that would be the biggest indicator. Then its a matter of figuring out why the BP is low and finding the cause and hopefully fixing it. Hope that makes sense.
@@ICUAdvantage ok great! Thank you!
I just got a question, can you please answer it
What if the patient stays in Fowler's 90 with CVP on???
Is it allowed
It won't be truly accurate, but you can use the value to trend which can be helpful. Flat for your true reading.
PE will cause increased CVP
Make a podcast and talk about this.
I've thought about this. Perhaps in the future if I have more time available.
I’ll subscribe
Really great to read this. Glad you liked this lesson and hope you enjoyed the others as well!