The Arterial Line Waveform EXPLAINED!

[@ICUAdvantage]

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[@SG-mo6yg]

Hello I m yt member, where can I download notes ?

[@ICUAdvantage]

@@SG-mo6yg to find the notes, go to the ICU advantage KZbin page (www.KZbin.com/icuadvantage) and then click the community tab. There you will see all the posts for members. For each post with a link to the lesson I also include the link to the DropBox for the notes including the password for the month. Let me know if you have any issues finding it and thank you so much for your willingness to show me and this channel support!

[@TypedinWhatever]

ICU is intense (no pun intended) your lessons help me study on my days off and come back with a better understanding each shift. Thank you so much

[@ICUAdvantage]

Haha yes, it is sometimes! Glad the videos have been helpful for you!

[@JC-xk8vh]

Facts. I am in the same boat. I am watching these vids to catch up to my peers.

[@Cheptabgaa]

Meeee too !

[@COMEDY_JUNKIE89]

New to practice nurse right to the ICU. I wish we could pick a “major” in nursing school so we could focus on what floor we wanted to go to. Spent a whole semester on PEDS and Mother/ baby- which was a waste bc I’ll never take care of either. We learn so little about ICU in school and it would have been such an advantage if I was exposed to more.

[@ICUAdvantage]

Haha I felt the same way. Totally could do without PEDS and especially L&D! I think critical care is quickly glazed over because you could truly spend the whole 2 years just covering it. Just to plant some seeds and then really learning more once you start working and orienting there.

[@Aliciachism9]

Just transferred into the ICU and having this video to watch off the floor helps make my work much more understandable! Thank you and keep them coming!

[@ICUAdvantage]

Congrats on the new ICU position. Happy to hear you enjoyed this video! Thank you!

[@bianca_1005]

Thank you so SO much. These lessons are a lifesaver. I'm a nurse and over 50, just started working in cardiology ICU. Coming from quite a different background I feel like a confounded nursing student sometimes...you know, the usual: little time to learn and fit in, a lot of work to do, few, often tired colleagues who already know everything (and think you do, too, heh)... I don't know how I would manage without the help of clear, no-fuss lessons like yours. Really grateful. Grazie! From Italy ♥️🇮🇹

[@ICUAdvantage]

This is so great to hear Bianca! Really glad that the lessons have helped you to find your own. Definitely a lot to learn and I could only imagine how tough it would be without the support of those around me. Happy to have been able to help!

[@bianca_1005]

@@ICUAdvantage it is a great help, indeed. I recommended your channel (to colleagues who are good with English, that is). Really, I watched a lot of videos here and there, but yours stand out, congratulations 👏👏👏

[@ICUAdvantage]

@@bianca_1005 that’s so awesome. Thank you so. Icu for helping to spread the word. It’s great knowing the content is received well. I really appreciate the kind words!

[@msme9790]

This channel was a godsend during the Covid crisis as many of us new icu nurses needed a better understanding of how to care for these patients with a lack of a true nursing orientation. I still find myself reviewing these videos to continue to improve my practice.

[@ICUAdvantage]

So glad to hear this! I can't even imagine being in school during all that and just happy that I've been able to help in some way through it.

[@nihadmohammed6395]

I started pediatric cardiac ICU a month ago... and I felt very dump like verrry😥😥..I just came across your channel and now I feel like crying so much 😭😭😭..you're a lifesaver ...thank you soooo much

[@katharinaphilpotts6196]

I am currently a cardiovascular technology student, and we are going over hemodynamics and waveforms. I find it very hard for me to understand waveforms and your videos really help explain it better than my professor. Thank you so much!!

[@michaelspine5744]

Excellent lesson! ER nurse here, your lessons keep me fresh and up to speed. 10/10

[@ICUAdvantage]

Sweet! Really appreciate that Michael!

[@WVclogger]

Fantastic, easy to understand presentation! I'm a nurse of 20 years and these are great refreshers! Perfect content for a nurse new or veteran! Keep up the amazing work!

[@ICUAdvantage]

Thank you so much Kevin! Really glad to know the content is received well by a wide variety of experience.

[@srivatsa234]

I’m fresh into pediatric intensive care residency here in India and you make my life so much easier. You teach me so much. Thank you.

[@ICUAdvantage]

Very cool! Happy to know these videos have been helpful for ya!

[@Vikingblood1]

The beginning of systole is the closure of the mitral/tricuspid valves (S1) and the commencement of isovolumetric contraction. However, it makes sense to think of systole as the opening of the AV when thinking about "systolic" blood pressure.

[@ICUAdvantage]

Yes very good point! I do think practically we usually are thinking of the relation with BP. Thanks for adding some perspective!

[@simoned.6993]

Lots of detail and excellent review. Often times we loose this perspective so it's great to revisit what the wave represents and of course can we rely on the information.

[@ICUAdvantage]

Yes! Always great to go back and "re-learn" things as we often get bogged down with the day to day and forget some of these things. Best thing about doing this channel is relearning things I had forgot.

[@kevmitch04]

Excellent session, easy to follow and grasp the concept of ART BP readings

[@ICUAdvantage]

Really appreciate that! I must say, this is one of my favorite series of lessons I did. Had a lot of fun with them and I think they came out pretty good. Glad you enjoyed it.

[@bianca_1005]

(I just noticed I commented twice...but I'll leave the comments because you deserve all the praise and thanks!) Thank you SO much for this lesson. I have just completed my first month in cardiac ICU and am supposed to know everything by now... of course I'm studying like a madwoman and your clear and concise lessons are a blessing. Thank you for letting this old aunt feel young and knowledgeable, haha. I hope life is treating you kindly. Ciao! E grazie! From Italy

[@ICUAdvantage]

Very cool to hear Bianca! Congrats on getting this far. But don’t think you are expected to know everything. Even the most experienced still bounce ideas and questions off each other. Don’t ever be afraid to ask if you aren’t sure. We expect that when you are new! Def keep me posted on how it’s all going

[@bianca_1005]

@@ICUAdvantage thank you so much for the encouraging words!

[@turtlesoup13075]

You make everything easy to understand! Thank you!!

[@ICUAdvantage]

Yay!! Really happy to hear this!

[@krissyandsunny]

This 👏channel👏 is 👏more informative👏 than👏 my 👏entire ECCO 👏 training! Eddy THANK YOU.

[@ICUAdvantage]

Wow! Thank you so much Astro! Those ECCO modules... are long and dry. Glad to hear my videos are NOT! :) And thank you so much for your support as well!

[@amandamyers9028]

this was an extremely helpful lesson in determining damping! THANK YOU

[@apanda1122]

Explained the necessary information in a very good way. Liked it a lot.

[@ICUAdvantage]

So great to hear Anjan! Thank you and really glad you liked it!

[@mykellacarter7322]

Thank you for your videos. This is helping me understand waveforms as I care for more complex pts

[@ICUAdvantage]

Yay! Happy to be able to help Mykella!

[@arshadhussain8797]

👍...plz make videos on Protocols in ICU, management of specific cases like liver failure , CKD,stroke in ICu.... thanks

[@ICUAdvantage]

I'll think about how to cover some of this stuff. Thanks for the suggestions

[@terrellgrant2758]

I Love Love Love your channel. My only request would be that you make longer video quizzes or more video quizzes. I've found the video quizzes to be very helpful in forcing me to recall the information. Just a suggestion. Thank you so much for all that you do.

[@ICUAdvantage]

Thank you so much Terrell! I appreciate the feedback and I'll consider it. My hope is for a quick review quiz but they take some time to put together on top of all the time for each video so its tough.

[@gagiksargsyan7387]

Starting the ICU next month as a new grad PA. THANK YOU SOO MUCH

[@ICUAdvantage]

Awesome! You got this!!

[@RickyC2107]

This video was amazing!!!! This is very informative and the visuals help the learning tremendously. Thanks for the explanation!

[@veraaurelis8931]

Thank you for your lesson. Your note taking is very beautiful :)

[@RN583764]

Thank you! Very helpful and easy to understand!

[@ICUAdvantage]

Awesome. Really glad you found it helpful

[@marthavasquez4125]

Thank you do much!! You made this topic easy to understand !

[@ICUAdvantage]

So happy to hear this Martha!

[@peytonbetcher7461]

OMG...this video was amazing. Thank you for saving me the night before my exam

[@ICUAdvantage]

Woohoo!! Happt to help!

[@georgiacohen2009]

Love the hair analogy, finally dampening makes sense to me!!

[@ICUAdvantage]

Perfect!!

[@minahmotsitsi6629]

Thanks for the video.I have share it with my students

[@ICUAdvantage]

Awesome. Thanks so much for helping to spread the word!

[@umesh5699]

Very well explained , thanks

[@eyadfateen6458]

impressive presentation , Thank you

[@ICUAdvantage]

Glad to hear you liked it Ahmad!

[@AleksanderP]

Love the way you explaining things.

[@ICUAdvantage]

Thanks a lot Alec!

[@nickisnyder3450]

Helps me understand the damping of A wave during Left heart caths....when blood flow is blocked by catheter😮

[@beautifulspirits2402]

Extremely clear and helpful. Thank you

[@ICUAdvantage]

Awesome. Glad to hear this.

[@thesimplewonders1918]

Very helpful..easy and clear way ..thank you

[@ICUAdvantage]

Glad it was helpful!

[@twinklelight1362]

Very clear explanations and superb presentation all in all!👏

[@ryansuits8456]

That was so awesome. Recommending your page to my resident class

[@ICUAdvantage]

Amazing! Thank you Ryan!

[@chesleecockerham7144]

Favorite channel on KZbin! Thank you!

[@ICUAdvantage]

Woohoo!!! ❤️

[@lindamunoz5223]

Thank you for another excellent lesson!

[@danishshams8232]

Excellent presentation

[@zainabkrayem6113]

Super helpful tysm!!

[@prasanthms318]

Very well explained sir, thanks.

[@BlueLineRider]

Over damp is the same trace if your vamp chamber is full of blood (I.e. when sampling for ABG) ... Makes sense because there is lesser energy transfer as the fluid is thicker ... just need to see a square waveform of blood filled blood chamber next time for my own academic reasons . Nice upload . More! Please!

[@shamatorchon5690]

amazing, thank you so much! you explained it perfectly

[@PålMortenMellemstrand-Paulsen]

Easy to follow.

[@ICUAdvantage]

Thank you!

[@joefolsom6755]

Thanks for the video! Can’t wait to be in critical care one day!

[@ICUAdvantage]

Glad you liked it Joe, and you certainly can be if you put your mind to it!

[@leinaddf]

Thank you for the video.

[@clinicalworld5077]

Very very good lesson

[@a_rcreationstatusvideosbig977]

thank you bro its great usefull

[@ICUAdvantage]

Glad it helped

[@TheAlphatop]

You are GENIUS

[@KC60622]

Not in ICU. I'm in the Step down unit and this came in handy as we also have to deal with this.

[@ICUAdvantage]

Yes! A lot of these videos are helpful in many other areas, and especially in a step-down unit as you guys do a lot

[@nadeemazeez5989]

Clearly explained

[@hibi4091]

I recommend you to all our new starters :) (and watch myself!)

[@ICUAdvantage]

So cool! Thank you!!

[@evapuspawati2456]

Very helpful, amazing, thank u sir

[@ICUAdvantage]

Happy to help Eva! Thank you!

[@rozhankarwan1538]

Thank you

[@akhilathomas9633]

This was much needed. Thank you 🥺♥️

[@ICUAdvantage]

Woohoo!! Truly happy to be able to help Akhila! 😊

[@kimberlyray-ajayi9852]

I'm learning alot from your vidoes

[@ICUAdvantage]

Yay! So happy to hear this Kimberly!

[@maiamajaliamacarambon909]

I ain't a med stude, I just needed to understand the essence of waveform.. I have a palpitating problem and my neuro said the oximeter and ECG are irrelevant to detect wether I need to take my med.. when I feel the palpitation I should take the med.. So each time I use the oximeter I watch the waveform haha! The question is how can the waveform tell if there is something wrong? When the pulse rate seems to be normal (88-96) so here I am being led here.. thank u for the lesson, sir.. big help..

[@minhazahmed197]

Thank you so much

[@ICUAdvantage]

You're most welcome

[@АрестАрест-ш8й]

Thank u, Eddie

[@naciamaj]

Great review

[@ICUAdvantage]

Thank you!

[@rma3899]

Thank you for the wonderful video.

[@ICUAdvantage]

And thank you as always!

[@Kartracer6]

New CCT Paramedic looking for more info on art lines as they aren't something I got to mess with much during class. Do you have any videos on the steps needed to access an art line that's already in place prior to transport?

[@zaidalawaj8638]

Excellent

[@gr8ofnetwork289]

Waoooooo. More to know, thanks for this

[@muzikluva86]

Love this channel. ❤️

[@kazangajohanna9803]

Thank you very much for your explanations, very helpful indeed. Kindly go a bit slower on when explaining some concepts.

[@nishadrangana3727]

Explained well... thankss

[@ICUAdvantage]

Glad you liked it!

[@WVclogger]

What about placement of the transducer at level of nipple? Any tips for this? I've used a physical level when patient is stable and during trauma or an MI, just eyeball it.

[@aroshakottege9238]

New subscriber! Great content thank you

[@MindofSteelSaladin]

On the square test, if you see a perfect square wave, and a single oscillation, but the oscillation is much taller than the square wave... What does it indicate?

[@shawnowen5771]

I joined, but I am unable to access notes. I looked at the "community tab" but unable to access. Indicating 'invalid password," I have really enjoyed your channel. Studying for CCRN and it is really helping.

[@ICUAdvantage]

Hey Shawn. First off thanks for the support with membership. Sorry for the issues. Shoot me an email at [e-mail] and I can help troubleshoot. Make sure you are using the most recent password. The password changes for the whole Dropbox each month so look for the most recent post for the current password.

[@shawnowen5771]

@@ICUAdvantage I figured out what I was doing wrong. Using old link. Thanks!

[@Kay_the_Baum]

My facility uses heparin/pavarine infusing over an IV pump at 1-3mL/hr rather than a NS pressure bag. Is there a way to preform a proper square wave test in this case?

[@bakertex]

Well done

[@ICUAdvantage]

Thank you!

[@melissabrown1443]

Awesome!

[@ICUAdvantage]

Thanks!

[@mahnoorirfan6752]

I have a question why is there another bump before dicrotic notch?

[@louispichardo662]

what does it mean to have a small waveform WHILE flushing? (pulling the pig tail)

[@learnwithveer]

Hello sir..if the dicrotic wave is because of reflected wave , isnt the reflected wave supposed to move in the opposite direction of incident wave?

[@kellyfrances9435]

This was dead useful!

[@ICUAdvantage]

Awesome!

[@jackbarlow11]

can we fix an A line from being over or under damped?

[@ICUAdvantage]

Potentially, yes. I will be covering that in the last lesson in this series when I talk about troubleshooting 😉

[@parmnurse85]

I just started icu after doing Ed for 5 years. And I have never felt so dumb and I feel so dumb in ICU, didn’t realize how much I do not know.. any resources that you guys suggest? Iam nervous but I know I can do it

[@ICUAdvantage]

I'd recommend getting the AACN Essentials of Critical Care. Don't over do it though and just take time to learn a little after each shift. It can be a whole new world and you already will be good at recognizing normal and abnormals and just lean on those around you as you learn what to do in those situations. I've got a lot of great videos on this channel too that you would probably find helpful. Just take it a day at a time and know that its a process. Everyone feels that same way starting out. You got this!

[@mohammedrashidy4783]

dicrotic notch is due to closure of aortic valve not AV valve

[@ICUAdvantage]

AV is shorthand for aortic valve, not the A/V (atrioventricular) valves I think you are assuming.

[@mohammedrashidy4783]

@@ICUAdvantage AV valve is an international abbreviation for atrioventricular valve so i misunderstand , no problem i get it

[@henriquelopes9596]

Thanks.

[@ICUAdvantage]

As always, you are welcome Henrique!

[@ozzyis_satk4207]

GOATED

[@carme4614]

I became a youtube member is it better to be a Patreon member.

[@ICUAdvantage]

Hey Carme! Thanks so much for the support with membership! For the $5, Patreon and KZbin membership are exactly the same, no difference. The only difference is that Patreon has 2 other levels that offer other things that I'm not allowed to offer on KZbin. If those aren't something you are interested in, then here or there, its the same :)

[@zaidalawaj8638]

Nice

[@ICUAdvantage]

Thanks

[@gabrielleczajkowski4877]

Paid for membership and I put in the passcode for the notes and it is not working.

[@ICUAdvantage]

Hey Gabrielle. First off, thank you so much for your support with membership. For the password, it changes every month for the whole Dropbox. If you go to the "Community" tab from the main ICU advantage KZbin channel, look for the most recent post and use that password. If you are having any issues still, please shoot me an email which you can find under the "About" tab there.

[@MrM49901]

謝謝！

[@ICUAdvantage]

Thank you so much for that Shern!

[@Rayyanking909]

Sir Is your book for icu available?

[@ICUAdvantage]

?

[@SG-mo6yg]

@icu advantage I m pro member... where can I download lessons notes 📝?

[@ICUAdvantage]

I replied to you under the pinned comment but please let me know if you are having trouble finding the link. Feel free to shoot me an email. Thank you again!

[@SG-mo6yg]

@@ICUAdvantage gotcha thx 😊

[@caiyu538]

👍

[@snow86241]

how do you fix the art line if it's over or under damped?

[@ICUAdvantage]

I actually talk about that in this lesson :) kzbin.info/www/bejne/hYippHiNqpKsm6M

[@K33176]

Told my attending the patient had a defined dinotic crotch. He said 6/10 at best

[@ICUAdvantage]

So close..... 😂😂😂

[@FY-ot5vp]

this was hard to understand I did not understand this ):

[@ICUAdvantage]

Im sorry. It is a lot. What did you not understand? Sometimes it helps to re-watch/re-read things to see if it helps it stick

[@kohlrabenschwanz]

hey u Critical Care Dudes. ... is there any way to calculcate the stroke volumen / cardiac output via the Monitor/Aterial Curve ?

[@ICUAdvantage]

Not sure about by hand (although Im sure you can), but there are algorithms in devices like the FlowTrac that do that.

[@sexybandboy]

God I love you

[@ICUAdvantage]

Haha thanks Troy!

[@fanmkreyol26]

Thank you so much

Thank you

[@ICUAdvantage]

You're welcome

[@sinclair657]

Thank you

[@ICUAdvantage]

You're welcome