Diagnosis and Management of Acute Respiratory Distress Syndrome (ARDS)

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  • Опубліковано 22 гру 2024

КОМЕНТАРІ • 85

  • @rollinjohnson2234
    @rollinjohnson2234 8 місяців тому +14

    So my 24 year old son currently is in the icu with ards.This is so hard because he is still young and has his whole life ahead of him.i pray he can hopefully get better.

    • @9651366
      @9651366 5 місяців тому

      Hi there I hope things improved; how is your son?

    • @tubesrn
      @tubesrn 5 місяців тому

      How is your son now..I hope he has been discharged and in good health

    • @Mztastyish
      @Mztastyish Місяць тому

      🙏🏾

  • @leah_slv
    @leah_slv 2 роки тому +18

    It's almost like you have a copy of my critical care nursing syllabus - you put out these videos just when i need them, thank you!!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +2

      Haha awesome. Don't tell your professor... lol I kid. I love when the timing works out like this!

  • @amandalynn8157
    @amandalynn8157 Рік тому +2

    So far I've only watched your ARDS videos, but they are EXTREMELY helpful in understanding the pathophys and why we're doing what we're doing to help our patients. Your explanations are simple and to the point. Thank you!! I've shared with my entire nursing class.

  • @RileyAicher1
    @RileyAicher1 2 роки тому +2

    I recently began working in the ICU and these videos are so great for explaining the concepts. Really love the vids!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Awesome. Congrats on the new ICU gig and glad you enjoyed the video.

  • @cameliaa8069
    @cameliaa8069 2 роки тому +3

    Perfect, as always! Thank you so much! I wrote 4 pages out of this video, it is a very good conclusion after many books read I think.

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Appreciate that Camelia! And wow thats a lot of notes lol. Glad you enjoyed it.

  • @paigeaspinwall5835
    @paigeaspinwall5835 2 роки тому +2

    ICU Advantage is a great source for info! I love it!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +1

      Woohoo!! Really happy to hear this Paige! Thank you so much!

  • @abigaildelfierro1622
    @abigaildelfierro1622 2 роки тому +2

    So helpful to watch your videos as a new ICU RN! Thank you for your great content. ICU is a lot but you manage to teach it in an "easily digestible" way.

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Thank you so much Abigail! Really appreciate hear that. It IS a lot at first, but it all comes with time. Happy to be of help in some way.

  • @jeannemori1320
    @jeannemori1320 4 місяці тому

    Breaking down simply and diagrams help so much, thank you

  • @marlenechicoine4005
    @marlenechicoine4005 Рік тому

    I've had 2 respiratory distress events, the most recent with covid and ventilation. I look for videos that are for patients rather than for medical persons. I haven't found any! I'm a 62 yr old woman with stage 4 COPD, although barely beyond stage 3. Thank you. I find copd videos but nothing on ARDS or respiratory failure. The last event, my O2 was around 40%.

    • @doesitreallymatter8010
      @doesitreallymatter8010 8 місяців тому

      What was ur treatment?? Mom in icu now with admission o2 @ 70%

    • @marlenechicoine4005
      @marlenechicoine4005 8 місяців тому

      I was unconscious when brought to ICU. I was intu 0:05 bated for about 24 hrs. unconscious. Then, the tube was removed when I could breathe on my own. I stayed in the hospital general for another two weeks. I was released with instructions raising the numbers on the supplemental oxygen that I use at home. I'm a shut-in, basically, so only go out to medical appointments, as I live alone. Best wishes to you and your Mom! ❤

    • @marlenechicoine4005
      @marlenechicoine4005 8 місяців тому

      ​@@doesitreallymatter8010 I'm here if you have more questions!😊

  • @ICUAdvantage
    @ICUAdvantage  2 роки тому +1

    ❤️🙏🏼 Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support
    Notes for this lesson (and all previous lessons) are availably only to UA-cam and Patreon members. Links to join both here ⬇
    ► UA-cam: adv.icu/ym | ► Patreon: adv.icu/pm
    DON'T FORGET TO CHECK OUT THE EXTENSIVE LIST OF REFERENCED VIDEOS IN THE VIDEO DESCRIPTION!

  • @SeishiroSakura
    @SeishiroSakura Рік тому +1

    These videos are very much appreciated sir. Thank you for the work you put in them. Do you have a plan on making similar videos concerning Ventilation strategies (maybe some sort of case report/quiz format) where you'd go in depth in the escalation options (primarily interested in the ventilation aspect)?

  • @jackiep8792
    @jackiep8792 Місяць тому

    Thank you for a wealth of information on ARDS. I had a question about the hemoglobin is that a normal route that physicians take to keep a lower hemoglobin I’m a respiratory therapist and I have never heard of that.

  • @jordane2036
    @jordane2036 2 роки тому +1

    Your videos are SO helpful. Thank you so much!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      So great to hear this Jordan! Glad you enjoyed it!

  • @Dreamsofahomesickalien
    @Dreamsofahomesickalien 2 роки тому +3

    Going into my preceptorship in the ICU and love these videos! ! Any tips on what to study prior to critical care? Do you have a bundle to purchase of study materials, or have any suggestions? Thank you for all you do; you rock!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +1

      How exciting Savannah! Wishing you the best in your preceptorship. As for studying, I usually just suggest people look up and learn about things after they encounter them. Especially once you get hired, there is a lengthy process to get you oriented. As you are exposed to stuff, afterwords take the time to look it up and learn more about it. You can certainly overwhelm yourself so I don't really suggest just blanket studying, unless theres a particular area you are having difficulty with.

  • @touseefbeig915
    @touseefbeig915 Рік тому

    Best video on ARDS

  • @amaracharya3628
    @amaracharya3628 11 місяців тому

    Wow super insightful and easy to understand ❤

  • @F9oo9h
    @F9oo9h 2 роки тому +3

    That's amazing. Thanks a lot .. I have one question only regarding driving pressure .. What are your thoughts about it.

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +2

      Appreciate that. Glad you liked it. As for driving pressure, I think theres more needed in the area, specifically when it comes to ARDS. There aren't any good trials using it for management and even the application clinically at the bedside is at best a guessing game. Current recommendations just focus on plateau pressure, but perhaps in the future more guidance may come about. It is correlated with mortality, but again, targeting driving pressure goals is difficult at best.

    • @davematics5292
      @davematics5292 2 роки тому

      using exh TV / C Stat will give you a good reference. Mortality is proportional to calcs >20

  • @drnezarrefaat6898
    @drnezarrefaat6898 11 місяців тому

    Perfect and more than excellent. Thank y veryyyy much

  • @MigraineScienceCT
    @MigraineScienceCT 2 роки тому +1

    Another excellent video!

  • @azlxx9868
    @azlxx9868 11 місяців тому

    Great explanation Thank you

  • @MsSamyam
    @MsSamyam Рік тому

    @15:04 I thought it was vasodilation of Vessels with excess CO2. pls correct me if I'm wrong.

    • @ICUAdvantage
      @ICUAdvantage  Рік тому +1

      True, except in pulmonary vessels, in which CO2 typically causes vasoconstriction. (It does get a bit more complicated, but as a general rule, think pulmonary vessels = vasoconstriction).
      But systemically, we see vasodilation, which is why for elevated ICPs one potential treatment is to increase minute ventilation to blow off CO2 to prevent vasodilation of cerebral arteries to try and reduce ICP.

    • @MsSamyam
      @MsSamyam Рік тому

      @@ICUAdvantage Sweet! thank you for the response! Yeah I think I was thinking of ICP when I wrote the comment. Makes sense that CO2 causes vasoconstriction in pulmonary vessels - this is how COPD patients can develop pulmonary HTN.

  • @tomsjose4u
    @tomsjose4u 2 роки тому +3

    Great content 👍.
    Does high CO2 cause vasoconstriction or is it vice versa? ie a high CO2 causing vasodilation and thus increase cerebral blood flow and ICP

    • @dr.atuchukwubensonazubuike9109
      @dr.atuchukwubensonazubuike9109 Рік тому

      CO2 CAUSES VASOCONSCRPTION IN THE PULMONARY ARTERIES LEADING TO GREATER PRESSURE ON THE RV. CEREBRAL VASODILATION CAN BE CAUSED BY CO2.

  • @jrz2flgrl169
    @jrz2flgrl169 3 місяці тому

    Love this!

  • @sassy77823
    @sassy77823 11 місяців тому

    Loved the video.

  • @gabbyhurtado1029
    @gabbyhurtado1029 2 роки тому

    Thank you for these videos!!

  • @lujain5048
    @lujain5048 8 місяців тому

    Just perfect !

  • @drriteshsharma6448
    @drriteshsharma6448 2 роки тому

    You are the encyclopedia of ICU management...

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Haha thank you! Definitely trying to eventually have a very extensive collection for critical care

  • @toniencheff4046
    @toniencheff4046 8 місяців тому

    Thank you

  • @kahloodsyeda7534
    @kahloodsyeda7534 2 роки тому

    THANK YOU

  • @doesitreallymatter8010
    @doesitreallymatter8010 8 місяців тому

    Prognosis???

  • @lobarita
    @lobarita 2 роки тому +1

    hello sir i thought co2 was a vasodilator but at 1449 you mention that is has vasoconstriction properties can ou elaborate please

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +4

      Good catch. I messed that up somewhat. In the pulmonary vasculature, CO2 along with hypoxia causes pulmonary vasoconstriction, while outside the pulmonary system it causes vasodilation.
      The pulmonary vasoconstriction increases PVR and thus is detrimental to RV failure, while the vasodilation increases cerebral blood flow, which is increases ICP and thus is detrimental there as well. Ultimately, we want low CO2 levels but for different reasons, which I def did not explain well there.

    • @lobarita
      @lobarita 2 роки тому

      @@ICUAdvantage Thank you much for the answer and video, very useful!!!!! fav videos on youtube.

    • @adr5617
      @adr5617 Рік тому

      😅 i was looking for answers on google and to no avail. Good thing i checked the comment section. Amazing!!!

  • @allahhuakbar7362
    @allahhuakbar7362 4 місяці тому

    Great

  • @williamdituri6899
    @williamdituri6899 2 роки тому +1

    Those who worked in the ICU during COVID be getting flashbacks to the trenches

  • @thepalettewhispererasmr1227
    @thepalettewhispererasmr1227 Рік тому +1

    Note: he just told ICU nurses to listen to what RT has to say...which I didnt think ICU nurses could take advice from anybody 😂😂

  • @Bunicutaintelectuala
    @Bunicutaintelectuala 2 роки тому +1

    1:35

  • @TaylorTaylor-m1x
    @TaylorTaylor-m1x 5 днів тому

    I lost my mom to ARDS,so sad

  • @MohammedBalla-x5e
    @MohammedBalla-x5e 6 місяців тому

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 2 роки тому

    👏💯

  • @mahmoudmaher4397
    @mahmoudmaher4397 2 роки тому

    👍👏

  • @mastawet3499
    @mastawet3499 3 місяці тому

    Dr I am so happy please Dr don't do fast and and also your writing no visbl please thank you so much

    • @ICUAdvantage
      @ICUAdvantage  3 місяці тому

      Thanks for the feedback. You can also slow the playback down and/or pause it if needed. As for the writing, its always a battle I fight to have it the right size to get a bunch of info on screen without too small. I'll continue to work on it.

  • @chemaha1
    @chemaha1 2 роки тому

    Change your intro song please lol

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +2

      Sorry I don't anticipate that happening anytime soon

    • @chemaha1
      @chemaha1 2 роки тому

      @@ICUAdvantage lol I’m a big fan but that song is just too loud but the knowledge I get from you is worth it.

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +1

      @@chemaha1 I’ll see if I can adjust the volume

  • @asifparray9777
    @asifparray9777 8 місяців тому

    Boring video