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@andy1payne3 жыл бұрын
awsome series thanks! none of the nurses on my unit could explain to me what a square test was, so thank you for being there when they couldnt!
@ICUAdvantage3 жыл бұрын
Truly glad to be able to help Andrew!
@elizabethdiaz972026 күн бұрын
This was such a thorough review. I love love love your videos. Thank you so much ❤
@ICUAdvantage26 күн бұрын
Really glad to hear this Elizabeth! This series is one of my favorite :)
@DrRussell4 ай бұрын
Fantastic work Sir
@munaabed83364 ай бұрын
Great explanation! I need to ask you about the patient's position (e.g. lateral position, high Fowler's position) and its relationship to leveling and accuracy of BP readings. Thanks!
@baileybunsen80442 жыл бұрын
Awesome job! as a new civic nurse I greatly benefit from your videos. If possible could u maybe go over stopcocks ?
@michaelquarshie34662 жыл бұрын
This was very useful, especially tonight. My patient’s A line waveform began to flatten out of nowhere. My initial thought was low pulse pressure. I watched this video which taught me how to do a square wave test, then zeroed, then checked the alignment to make sure the transducer was at phlebostatic axis, all to be certain it wasn’t a problem with the A line. Turned out I was right.
@ICUAdvantage2 жыл бұрын
Awesome to hear this! Thats exactly why I make these. To try and give people the knowledge they need to be success and ultimately to be able to help the patients. Really glad you were able to make use of this info and advocate for your patient.
@LifeRNhungrynursetravels3 жыл бұрын
This is great! Thanks for the overview!
@ICUAdvantage3 жыл бұрын
You're welcome! Glad you enjoyed the lesson.
@dhruvipatil4353 Жыл бұрын
Best explaination
@shaimaa67802 жыл бұрын
perfect explanation 🤩 thank u
@ICUAdvantage2 жыл бұрын
Awesome. Glad you enjoyed it!
@rosswillison67302 жыл бұрын
Thank you Eddie for these excellent educational videos. I really appreciate it. Quick question, where did you get the information about it not mattering where the transducer is located when zeroing the ART line? I tried explaining this to some colleagues, but would like to back it up with a reference. Thx. Also could you discuss the reasonihg behind using a separate extension line w a stop cock and why you hand it to the MD separately from the pressure line itself? Thx.
@Flippinpinoy093 жыл бұрын
@5:15 we use those Velcro foley straps to keep the transducer at phlebostatic axis. We use it for a lines more than foleys in my ICU lol Works great
@ICUAdvantage3 жыл бұрын
Hey whatever works! What do you velcro it to?
@Flippinpinoy093 жыл бұрын
@@ICUAdvantage the strap Velcro onto itself
@slgallow2 жыл бұрын
Our policy is to Velcro the transducer to the patient’s upper arm
@DarshanaRokade-mh6tb Жыл бұрын
Wonderful wonderful explanation, Thank you so much for explaining in such an amazing way . Question - why to keep 300 mm hg pressure in the pressure bag??
@emiato8850 Жыл бұрын
Maintains pressure bag at 300mmHg to deliver 3-5ml per hr of flush solution to prevent clotting and backfliw of blood
@joshmccord95073 жыл бұрын
Do you have any videos on insulin drips and what all needs to be corrected before the drip can be discontinued??
@ICUAdvantage2 жыл бұрын
Not yes, but it is on the todo list
@isabelhovig Жыл бұрын
My patient’s wave was over damped, and everything on this checklist was fine. For the square wave, I did a hard flush at the stop cock closest to the pt. It would whiten the palm of his hand and send searing hot pain into his wrist/hand for a few seconds (but the hard flush corrected the wave form and BP reading). What could have the palm pallor & pain indicated?
@wesamzaen54633 жыл бұрын
Great as usual, I worked in cardiac surgery unit for 4 years , still you adds a lot to me. Thank you.
@slgallow2 жыл бұрын
Thanks for the great video! I’m wondering, is a “whipped” waveform the same as an under damped one or is that something different altogether?
@ICUAdvantage2 жыл бұрын
Same thing! Glad you liked the video
@mbalimamba57292 жыл бұрын
Thank u
@ICUAdvantage2 жыл бұрын
You're welcome
@guitarloungechannel2 жыл бұрын
You rock!
@ICUAdvantage2 жыл бұрын
Thanks Milton!
@1ayhrhish3 жыл бұрын
Do PA line please.
@somzm80373 жыл бұрын
Pleaaaase!
@KCZ94 Жыл бұрын
Sir, as u have clearly explained that there well be a changes in blood pressure with change in the level of the transducer with respect to the phlebostatic axis. Can you please tell if there will be any changes in blood pressure recording if the site of cannulation is kept above or below the level of the phlebostatic axis?
@ICUAdvantage Жыл бұрын
Nope. The insertion site doesn't matter, just make sure you keep the transducer at the proper position.
@SuperMCKlappstuhl Жыл бұрын
Great Content, Thank you! 😊What's your opinion about removing a clot from an arterial line via a syringe?
@ICUAdvantage Жыл бұрын
Thank you. And I don't think I've ever seen that done. I wouldn't imagine it would be too easy to do either as the catheter is quite small. If its clotted off, probably just need a new one.
@SuperMCKlappstuhl Жыл бұрын
@@ICUAdvantage To be honest, I did that just recently, but it was a freshly inserted FlowSwitch 20G, not older than an hour. I observed that the arterial system wasn't showing any blood pressure, saw that there's no pulsating at the tip of the arterial canula, so I put the FlowSwitch on "off", disconnected the system, put on a 2ml syringe, put it back on "on", withdrew 2ml of blood, back on "off" , connected the arterial line back, "on" again and put the system back in place. En voilá! We had a pulsating system and a blood pressure on our monitor. To be honest, this was more a hunch than a scientific backed decision, but it worked. I guess it has to be done as fast as possible.
@riveriajamming11 ай бұрын
what happens in the case of leveling transducer to the tragus in the case of TBI?
@ICUAdvantage11 ай бұрын
I think you're thinking of the transducer on the EVD and not the art line. Different concepts which I'll eventually get around to when I cover EVDs.
@riveriajamming11 ай бұрын
@ICUAdvantage nope definitely not. We position arterial line transducer at tragus level for traumatic bleeds and measure BP from tragus level
@themindsetsecret2 жыл бұрын
Hi thank you so much for this, amazing help!! I just have a stupid question- pressure bag is supposed to be 300mmhg to prevent backflow. I got that but why 300? It delivered 3mls/hr flush but why 300?, it could be 200 or 250?? Lol I just can't find any answer for this. Could you please help me? Thank you so much!
@ICUAdvantage2 жыл бұрын
I don't know if I have an answer for that question. I'm not entirely sure!
@nimochoudhary62653 жыл бұрын
Assalamualaikum. Edy sir. Well defined as usual. 👍❣️
@ICUAdvantage3 жыл бұрын
Appreciate that! Glad you liked the video. Thank you.
@gracep29102 жыл бұрын
Is there any chance you could do more PICU-specific videos? Thank you!
@ICUAdvantage2 жыл бұрын
Unfortunately I just don't have any experience there.
@josephcapucetti5193 жыл бұрын
Amazing content. Do you have a Patreon to support??
@ICUAdvantage3 жыл бұрын
Thank you so much Joseph! Really glad you are liking it. I do have a Patreon, but it looks like you are a KZbin member. There are some different tiers on Patreon, but the $5 Patreon is the exact same as the KZbin membership.
@janearc57882 жыл бұрын
Hi Eddie, I love all your videos. I also wanted to know where do you place the transducer when the art line is located in femoral artery. Thanks
@ICUAdvantage2 жыл бұрын
Same spot. Phlebostatic axis regardless of insertion site.