❗️❗️CORRECTION: ❗️❗️I apologize as I flipped the terminology for sensitivity! The higher the mV, and thus the higher the "fence", the LESS sensitive we are and the LESS chance we will see the rhythm. As we lower the mV thus lowering the "fence" we become more sensitive to the underlying rhythm and have a better chance of seeing it. If we go too low, then we become TOO sensitive and would see all electrical activity as a heartbeat instead of just, for example, the peak of the QRS complex. Hence our threshold is the least sensitive setting (highest mV) to just barely begin to see the underlying rhythm. In the next lesson on troubleshooting, I will correct this and make sure to explain this better. Sorry for any confusion! 😔
@sheejachacko9753 жыл бұрын
U
@biomedicalequipments2032 жыл бұрын
👍🏻
@hannahprice62122 жыл бұрын
i was about to ask about 30:20 haha
@FormationER-ICUCIUSSS-ODIM8 күн бұрын
Your video is awesome!! Superbly well explained. Its concise dans straight to the point! Im a "Old" 24 years ER nurse and been a paramedic for 11 years.
@ICUAdvantage5 күн бұрын
Thank you! Really happy to hear this. Sometimes I feel like I drone on but also really trying to make the points that need to be made so I'm glad to hear you enjoyed it
@chamoundong82002 жыл бұрын
Thank you Eddie Watson for your instructional videos. It has definitely helped me learned complex topics in my ICU residency as a new grad. Please keep making new videos. It was a shock to know that you were a grunt. Semper fi.
@annnguyen5043 жыл бұрын
Can you do videos about taking care post op open heart surgery patient such as CABG, valve replacement?
@ICUAdvantage3 жыл бұрын
Yes! I do have both on my todo list!
@eduardodiaz9354 Жыл бұрын
@@ICUAdvantage Still waiting for those videos
@feibanh7057 Жыл бұрын
I’m also waiting for this lesson. 😊
@ditzywallflwr9714 Жыл бұрын
Me too
@mamtabegum6145 Жыл бұрын
Me too
@arseniypetrov58573 жыл бұрын
I absolutely admire your videos. I am a medical student from Germany preparing for my last Board exams. Every textbook I have ever read has always been delivering theoretical knowledge. However, the examinations always expect APPLIED knowledge and understanding the exact steps. Your stuff has been an enormous help
@ICUAdvantage3 жыл бұрын
So awesome to hear this! I've happy to hear my videos have been helpful for you and congrats on reaching this point. That's amazing work. Wishing you all the best!
@krankguy11 Жыл бұрын
I'm very thankful for this lesson. I've gone into lots of articles but I've never grasped the concepts like i did with your help. Keep up the good work! Greetings from Mexico City.
@ICUAdvantage Жыл бұрын
Awesome! Really glad to hear this Diego. It doesn't always come easy, but once it clicks, it makes so much more sense!
@nastiaa55023 жыл бұрын
I wish my attendings and professors could explain these as clear as you do Good job man God bless you for this channel
@ICUAdvantage3 жыл бұрын
Really glad to hear you are enjoying the channel! My pleasure to be able to help.
@judypeng47483 жыл бұрын
I am a nursing student now taking critical care class. Thank you for your amazing videos lol!
@ICUAdvantage3 жыл бұрын
Best of luck to you Judy. Almost there! Glad you liked the videos.
@gregsellin3 ай бұрын
Another amazing video Eddie. Just started as new grad on days in mixed ICU that gets post-op CABG. Like others have mentioned, we would love more vids on that topic. Thanks for all your great work and hello from San Francisco!
@twinklelight13622 жыл бұрын
Omg, I understand the very complicated concepts of modes and settings thanks to your very detailed and very clear explanation! 👏👏👏❤️
@ICUAdvantage11 ай бұрын
I don't know how I missed this comment. So great to hear that this videos was able to help make sense of this topic for you. Truly happy to be able to help!
@alexisdinerosvillegasbsnrn60303 жыл бұрын
New grad RN here about to start working on the floor with my preceptor next week.. you help ease my anxiety and improve my confidence in my knowledge. Thank you so much!
@ICUAdvantage3 жыл бұрын
So happy to read this Alexis! Congrats on the new position by the way and happy to know I've been able to help in some way!
@WiamKhader5 ай бұрын
best explaination i had so far about this topics. Thanks
@andreawong52253 жыл бұрын
You explain it so well. More than 'like', love it. Thank you so much,Eddie. Keep it up.
@neethumekkalathdevasia27582 жыл бұрын
Highly informative, good job, you're simply explained the more complicated modes of temporary pacing
@ICUAdvantage2 жыл бұрын
Glad to hear the lesson was received so well!
@larobey79613 жыл бұрын
I'm new to CCU and I had a patient with a temp pacer. This helps me to understand so much.
@ICUAdvantage3 жыл бұрын
Awesome! This is my whole goal with these videos! 😊
@ninetales893 жыл бұрын
Fantastic tutorial, really well explained with great examples thank you. The asynchronous modes are used for example in cardiac surgery when you want to pace and you have a lot of other activity going on during an operation such as diathermy / handling of the heart, when you don't want the pacemaker to sense everything but still want to pace.
@ICUAdvantage3 жыл бұрын
Yes! Thank you so much for sharing!
@JadecaneArtsАй бұрын
Thanks you very much for the clear explanation!
@dimahjar2 ай бұрын
Thanks! very helpful 🙏🏻
@goharali21623 жыл бұрын
We love your lectures and the way you explain everything
@ICUAdvantage3 жыл бұрын
Awesome to hear!
@xx_thor_user_xx63269 ай бұрын
Ecg graph at time 21.00 was super helpful!!
@theresafrancis90962 жыл бұрын
This video was really helpful. I am confused at the 3nd with the sensitivity,threshold,sensing. It would be helpful to see the buttons you are. Talking about with demonstration and examples to better understand. Thank you
@lufefesomkala484 Жыл бұрын
Thank so much Eddie for this lesson
@ICUAdvantage Жыл бұрын
You are very welcome. Glad you liked it!
@irishrose7053 Жыл бұрын
I went in last Thursday for an ablation surgery for AFib. While doing the procedure I went into a 3rd degree heart block and the team immediately went into life saving mode. Airway and placing one of these external pacemaker in my femoral vein until my permanent pacemaker was placed next day. Thank goodness for this technology or I wouldn't be here typing this.
@user-nq8hz7hx5y3 жыл бұрын
Thx! I pleased with your presentation as usually. I've struggled with mV and sensitivity as you said. I thought "i don't understand there smth" 😅
@ICUAdvantage3 жыл бұрын
Thank you! I'm going to better explain sensitivity in the "Troubleshooting" video coming next week. I flipped the terminology as higher mV is less sensitive.
@rajthapa19974 ай бұрын
Thank you
@kevinzhuang4484 ай бұрын
Great lecture, but I am lost in the last part 😢
@76TomD10 ай бұрын
I hated that thing after my surgery and the nurses messing with the settings then telling each other to put it back to a previous setting. Then asking me 'you could feel that?'. UM YES!
@cristinavasta8014 Жыл бұрын
Thank you Eddie. Your videos are amazing!
@ICUAdvantage Жыл бұрын
You are very welcome! Happy to be able to help
@mgvillacin26362 жыл бұрын
A big thank you to you also ❤
@Tausendmedmarketing8 ай бұрын
Great video- have you produced any instructions for rapid pacing during TAVR?
@karendenis-hayes9804 Жыл бұрын
This was very helpful! Thank you!
@ICUAdvantage Жыл бұрын
Happy to hear!
@rogervanbommel10863 жыл бұрын
Really nice new intro, great job, love your videos, very easy to understand but not too oversimplified
@ICUAdvantage3 жыл бұрын
Thank you Roger. I'm really glad to hear this. Also glad to hear you like the new intro. I just love it!
@patriciatenner69113 жыл бұрын
Great lesson! Will definitely share.
@ICUAdvantage3 жыл бұрын
Thank you so much Patricia!
@Angelusloco153 жыл бұрын
Amazing! Very well explained Sir! Thank you!!!
@ICUAdvantage3 жыл бұрын
Yay! Thank you and glad you liked it!
@hashemidris2877 Жыл бұрын
Great explanation
@ICUAdvantage11 ай бұрын
Thank you!
@maiyaniroshan47632 жыл бұрын
Thanks!
@ICUAdvantage2 жыл бұрын
Thank you so much for this Maiyani!
@rma38993 жыл бұрын
Thank you for the amazing job. Highly informative
@ICUAdvantage3 жыл бұрын
Thank you!!! 😊
@mirandaalexis3 жыл бұрын
helpful to my little ER nurse self
@ICUAdvantage3 жыл бұрын
Yes, definitely useful there!
@sarahleos80383 жыл бұрын
YOU MADE THIS MAKE SENSE!!!
@ICUAdvantage3 жыл бұрын
YYAAASSS!!! :)
@barshabaram6275 Жыл бұрын
Woww, you are just awesome, hats off to you 😇😇
@ICUAdvantage11 ай бұрын
You are too kind. Thank you!
@goharali21623 жыл бұрын
Very informative. Thanks a lot!
@ICUAdvantage3 жыл бұрын
You are welcome!
@cvanvolk12 жыл бұрын
Can you show making the changes in the temporary pacemaker?
@arvinkaru84602 жыл бұрын
Great tutorial
@ICUAdvantage2 жыл бұрын
Thank you!
@byebye5907 Жыл бұрын
Hi! Can you use AAI when a patient has a sick sinus syndrome?
@Tamara-kt6bt2 жыл бұрын
Thank you very much .
@ICUAdvantage2 жыл бұрын
You are welcome!
@etherealeric88892 жыл бұрын
Thanks for your help
@ICUAdvantage2 жыл бұрын
You're welcome!
@PREDATOR01403 жыл бұрын
There's actually a mode called DVI in our pacemakers that I didn't see listed here.Btw our patients (in the cardiac surgery ICU) all come out with 2 wires not just one.But as I understood from the doctors, one is just the "body" and the other one actually delivers and senses.That wire usually comes with a noch on it.
@ICUAdvantage3 жыл бұрын
Interesting. Thats on temporary pacers? I've never seen it. I tried looking up info on it, but not a ton of stuff out there.
@PREDATOR01403 жыл бұрын
@@ICUAdvantage yes.Temporary ones.I found info about it on this site : link.springer.com/chapter/10.1007/978-3-642-72367-4_67
@kiks04122 жыл бұрын
thank you very informative
@ICUAdvantage2 жыл бұрын
My pleasure
@padoomama11 ай бұрын
At minute 27:35 you said we want to set the mA output at 2-3 times of the threshold we just figured out. But in a previous video about temporary pacing (I believe in The Shocking Truth) you said to set it to 10% above that threshold. Which one is correct? Thanks in advance, and I chime in, your videos help me learn in a way that textbooks cannot, and they can be played in the car while driving (and watching the road, not the video), inundating me with the knowledge I need as an ICU nurse.
@ICUAdvantage11 ай бұрын
The output settings on a defibrillator vs pacing box are vastly different. The outputs have a much wider range on the pacer box but at much less mA than the defibrillator, so we have different parameters for setting these limits. Hope that makes sense.
@manalalothman54152 жыл бұрын
Thank you for your amazing video But I have confusing about meaning of trigger mode what does it mean Is it the same asynchronous?
@philippw.31452 жыл бұрын
Danke!
@ICUAdvantage2 жыл бұрын
Thank you so much for this Philipp!
@wijedasabadraperera19533 жыл бұрын
thank you
@ICUAdvantage3 жыл бұрын
You're welcome!
@user-hy1qr2jo9k2 жыл бұрын
Thanks
@ICUAdvantage2 жыл бұрын
Welcome
@MACARIO813GAMER3 жыл бұрын
¡Gracias!
@ICUAdvantage3 жыл бұрын
Muchos gracias Alan!
@SarasMane2 жыл бұрын
This is just so well explained. Thank you!
@Spotlight.773 жыл бұрын
Great 👌
@ICUAdvantage3 жыл бұрын
Thanks 😊
@kyleserafico3803 жыл бұрын
I'm still having a hard time with DDI at 19:52. How does it prevent high ventricular rates in afib? The heart has erratic atrial activity that propagates to the ventricles -- and if the pacemaker is sensing all those ventricular beats, wouldn't the pacemaker just decide not to pace? Having a difficult time conceptually applying the nomenclature with afib and pacing. Thanks again for the video as always
@ICUAdvantage3 жыл бұрын
Great question Kyle. So remember that the "I" means that it is going to inhibit. Therefore, it is not going to pass the sensed beat on to the ventricle from the atrium. Now, I think what you are getting at is if they have an intact AV node pathway. In that case, the atrial activity will naturally make it to the ventricles and there is not much we can do about it. You are correct that in this situation, the pacemaker would sense all these beats and just not fire. But, in the case of AV pacing, we typically will do this when the AV nodal pathway is not intact or compromised. The ventricle is relying on our pacemaker sensing the atria beat, to then tell it to fire via a pulse. Hope that makes sense?
@kyleserafico3803 жыл бұрын
@@ICUAdvantage Thanks!
@pinkypinky99827 ай бұрын
Is lecture notes available??for temporary pacemaker
@ICUAdvantage6 ай бұрын
Yes to members
@survivingmedicine18383 жыл бұрын
Thank you so much for these videos. They are really helpful. Can you please tell me what software do you use to make these videos?!
@survivingmedicine18383 жыл бұрын
That blackboard, how do you write at it?!
@ICUAdvantage3 жыл бұрын
Its simple. Just Adobe Photoshop screencast to my iPad to write with the Apple Pencil. 😊
@misterlogik81633 жыл бұрын
Can a pacemaker do the job of regulating heart beat or at least overall improve the heart after Myocardial infarction???
@ICUAdvantage3 жыл бұрын
Great question. Its actually preferred for bradycardia post MI
@misterlogik81633 жыл бұрын
@@ICUAdvantage Thanks for reply but what is bradycardia?
@soyebsekh18978 ай бұрын
@@misterlogik8163Bradycardia is the low heart beat when your heart beat less than 50 then it's called Bradycardia and when your heart beat above 100 that called tachycardia
@rogervanbommel10863 жыл бұрын
29:22 should it not be max milivolt setting -> detect heartbeat, you said that higher means less sensitive
@ICUAdvantage3 жыл бұрын
Well I defiantly messed this one up. The higher the mV setting the LESS sensitive. The higher the mV, the higher the fence, hence less likely to see the underlying rhythm making it LESS sensitive... sorry for the confusion. You would be correct that the threshold is the highest mV setting to still see the underlying rhythm, but this would be the minimum sensitivity to see it. If the "fence" is lowered, it becomes more and more sensitive and eventually too sensitive and detects too much as the intrinsic HR, instead of just the peak of, for example the QRS complex. Sorry for the confusion. I certainly messed it up here hence the confusion. I will better explain this in the next lesson where I go over troubleshooting.
@wholeNwon Жыл бұрын
@@ICUAdvantage I don't think you are really a "defiant" person.
Did not think you did a lot of editing, not to criticize, it all looks like one continuous clip
@ICUAdvantage3 жыл бұрын
@@rogervanbommel1086 In order to get the writing to line up perfectly with my talking I have to edit and speed up the writing. Saves people from watching me just write.