I am a med/surg adult RN, turned Peds stepdown ICU RN, turned adult and peds trauma RN, turned Pediatric ER/Trauma charge RN, turned Flight nurse. I have been around for to many years now and I am completely obsessed with your channel! Thank you both so much! I am finally grasping these concepts that my amazing Cardiac ICU friends know so well! If there is an award for best podcast/channel you've earned it!
I’m a new grad ICU nurse and I’ve been going through UA-cam videos all day trying to understand PA catheters and your video was the only one that finally made the concept click! Thank you for posting this video!!!! 🙏🏻
I watched this video last week and had my hemodynamic monitoring lecture in my critical care class today. It helped me so much to understand what my professor was teaching us!
Great video wish I would’ve had this kind of information when I became a critical care nurse more than 30 years ago I had to learn all this overtime very few physicians take the time to disseminate this kind of information except the intensivist pulmonologist that I worked with.
shouldn't your CVP (the ability of right side to stretch) be lower with patients having increased intrathoracic pressure due to ventilation? m thinking in terms of heart squeezed n not be able to stretch to its full capacity?
Great question and common misconception! Although we use CVP as a surrogate to look at right heart function, at the end of the day it is really just measuring right atrial pressure - even though venous return is decreased during times of increased intrathoracic pressure, the pressure in the chest cavity itself will be reflected in the CVP reading (under normal conditions on a non ventilated patient have negative intrathoracic pressure so CVP should reflect the right atrium- but adding that positive pressure changes the total landscape of the thoracic cavity itself) - I find it easiest to remember CVP is simply a pressure monitor that can reflect many different variables. We describe this in depth in the swan lecture in the CCA memebership definitely check it out!
I am a med/surg adult RN, turned Peds stepdown ICU RN, turned adult and peds trauma RN, turned Pediatric ER/Trauma charge RN, turned Flight nurse. I have been around for to many years now and I am completely obsessed with your channel! Thank you both so much! I am finally grasping these concepts that my amazing Cardiac ICU friends know so well! If there is an award for best podcast/channel you've earned it!
Wow that is a HIGH compliment! So glad you love it - thanks for all you do for our profession
I’m a new grad ICU nurse and I’ve been going through UA-cam videos all day trying to understand PA catheters and your video was the only one that finally made the concept click! Thank you for posting this video!!!! 🙏🏻
yay so glad it was helpful!
I watched this video last week and had my hemodynamic monitoring lecture in my critical care class today. It helped me so much to understand what my professor was teaching us!
this is exactly why we do what we do. We want you to feel confident and prepared. Thank you for listening
Great video wish I would’ve had this kind of information when I became a critical care nurse more than 30 years ago I had to learn all this overtime very few physicians take the time to disseminate this kind of information except the intensivist pulmonologist that I worked with.
what icu / critical textbooks do you recommend reading on for critical cardio care? :0
shouldn't your CVP (the ability of right side to stretch) be lower with patients having increased intrathoracic pressure due to ventilation? m thinking in terms of heart squeezed n not be able to stretch to its full capacity?
Great question and common misconception! Although we use CVP as a surrogate to look at right heart function, at the end of the day it is really just measuring right atrial pressure - even though venous return is decreased during times of increased intrathoracic pressure, the pressure in the chest cavity itself will be reflected in the CVP reading (under normal conditions on a non ventilated patient have negative intrathoracic pressure so CVP should reflect the right atrium- but adding that positive pressure changes the total landscape of the thoracic cavity itself) - I find it easiest to remember CVP is simply a pressure monitor that can reflect many different variables. We describe this in depth in the swan lecture in the CCA memebership definitely check it out!
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