Phenomenal video. You break this concept down perfectly, so easy to follow. You are great; have seen many of your lectures. They are applicable to so many different viewers -- resident, attending, respiratory, nurses, med student, etc. Please continue to make more!
good way to explain in you made it simpler than the average, that's what medicine needs people that know how to explain stuff to learn this material faster.
Was a bit confused re difference in Scvo2 vs SVO2. Doesn't normal brain metabolism result in higher O2 extraction than lower extremities? Hence SVC o2 content is lower than IVC, and not the other way around like you suggested; AKA Scvo2 is generally lower than SVO2 physiologically. During shock however Scvo2 is higher than SVO2 due to combination of splanchnic vasoconstriction, decreased cerebral o2 extraction etc ??
nice video, thanks for posting. kind of a dumb question about SvO2 being normal at ~75%. Does this mean that we, under normal circumstances only use ~25% of oxygen carrying capacity if the venous blood is coming back 75% saturated?
Question: so where about do you insert the pulmonary catheter to get the Svo2? I'm trying to see images on Google, and I'm seeing you can insert at the subclavian or brachial artery? Maybe I'm not getting the right results. Can you please clarify? Also for the Scvo2 that goes in the jugular vein or the subclavian, correct?
Is a simple fingertip pulse oximeter measuring both arterial and venous blood? If so, could a high reading be bad if oxygen is not being utilized and just recirculating? Also, What about using thiamine and Methylene Blue to increase oxygen consumption by the mitochondria? What would you say is happening when after breathing 90% oxygen for a few minutes and a pulse oximeter reads 100‰ , this 100% can be hit for many minutes afterwards, when normally it would be much lower? Any ideas?
@@eddyjoemd can you do a video on fluid status of pts? I dnt fully understand when Drs say things like "oh this is pt is 7L ahead etc" . Sincerely appreciate all your work!
My pleasure. I use very simple stuff. My iPad where I record the screen. The notes app and my Apple Pencil. I upload it onto final cut (although iMovie would do the same) and upload. 20 minutes total. Does that help?
Phenomenal video. You break this concept down perfectly, so easy to follow. You are great; have seen many of your lectures. They are applicable to so many different viewers -- resident, attending, respiratory, nurses, med student, etc. Please continue to make more!
good way to explain in you made it simpler than the average, that's what medicine needs people that know how to explain stuff to learn this material faster.
My pleasure!
Listened to this for a refresher before CRNA Interview :)
Good luck!
Was a bit confused re difference in Scvo2 vs SVO2.
Doesn't normal brain metabolism result in higher O2 extraction than lower extremities? Hence SVC o2 content is lower than IVC, and not the other way around like you suggested; AKA Scvo2 is generally lower than SVO2 physiologically.
During shock however Scvo2 is higher than SVO2 due to combination of splanchnic vasoconstriction, decreased cerebral o2 extraction etc ??
Amazing class . Great video. Thanks .
Phenomenal video Doc! Exactly what I was looking for. Thank you!
Great new format, Eddy Joe! Keep it up!
Trying new things! Your channel is doing great!
Very useful! Thanks a million and stay safe!
my pleasure! you too!
Thank you Doc , just subscribed will be looking forward to new content . Kenny RRT, Respiratory Therapist
Greattttt my broth! You are a top teacher ! Thanks for sharing
Thanks and my pleasure!
nice video, thanks for posting. kind of a dumb question about SvO2 being normal at ~75%. Does this mean that we, under normal circumstances only use ~25% of oxygen carrying capacity if the venous blood is coming back 75% saturated?
I like how you explained it. thanks
I would do one thing… talk about what the values or reading will look like in relation to consumption and delivery…
So simple and easy, nice work
Glad you enjoyed it!
Question: so where about do you insert the pulmonary catheter to get the Svo2? I'm trying to see images on Google, and I'm seeing you can insert at the subclavian or brachial artery? Maybe I'm not getting the right results. Can you please clarify? Also for the Scvo2 that goes in the jugular vein or the subclavian, correct?
Is a simple fingertip pulse oximeter measuring both arterial and venous blood?
If so, could a high reading be bad if oxygen is not being utilized and just recirculating?
Also,
What about using thiamine and Methylene Blue to increase oxygen consumption by the mitochondria?
What would you say is happening when after breathing 90% oxygen for a few minutes and a pulse oximeter reads 100‰ , this 100% can be hit for many minutes afterwards, when normally it would be much lower?
Any ideas?
Wow~~~ Thank you so much!!
09:30 there is strong correlation between acidotic state and low C.O/SVO2 - might be a good idea to give bicarb if base deficit is > 4 on ABG
Thank you ! This was great, will use on rounds tomorrow lol.
You'll be a rockstar!
Thank You Eddy great video!
My pleasure!
THANKS A LOT ❤❤
💪🏼💪🏼💪🏼
Great explanation!
💪🏼💪🏼💪🏼
Thanks!
My pleasure!
Thank you
My pleasure!
Soo good! Thank you!
Glad you enjoyed it!
@@eddyjoemd can you do a video on fluid status of pts? I dnt fully understand when Drs say things like "oh this is pt is 7L ahead etc" . Sincerely appreciate all your work!
Actually, I’m working on that lecture right now.
Hey Eddy, thanks for the material! What is the software that you use for the lectures and your other videos? Looks extremely helpful
My pleasure. I use very simple stuff. My iPad where I record the screen. The notes app and my Apple Pencil. I upload it onto final cut (although iMovie would do the same) and upload. 20 minutes total. Does that help?
@@eddyjoemd Helps a lot! Keep the grind and thank you very much.
💪🏼💪🏼💪🏼
Great 👍👍👍👍👍👍
Thanks 👍
In sepsis, the ScvO2 would be above 70%?
That's what the Rivers paper shoots for but you can't look at use one number to make clinical decisions.
what range do you want ScvO2 to be in sepsis? and what interventions do you implement ?