Basic Cardiac Hemodynamics (CVICU/Open Heart Recovery)

In this video we cover some basic cardiac hemodynamics, specifically regarding the recovery of the open-heart surgical patient in the CVICU.
If you'd like more in-depth case studies and examples of how these hemodynamics are intertwined, let me know!
Subscribe if enjoyed!
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The views and opinions expressed on this channel and/or in the videos on this channel are that of myself and not of any educational institution and/or employer. In compliance with HIPAA and to ensure patient privacy, all patient identifiers in all videos have been deleted and/or altered. The views expressed on this channel and/or in the videos on this channel are personal opinions. The information I present is for general knowledge purposes only.

[@fermincruz5454]

Thank you. I'm taking my AGACNP test on Tuesday and I needed a brush up in cardiac hemodynamics. Easy to understand and to the point.

[@bonsaibaby8257]

Nurse Bass!!!! I just graduated nursing school this past Tuesday!! I thought about you when the speaker said to remember the people who encouraged you to keep going, it could be a partner, parent, classmate, or even a stranger and the first person I thought of was you. I came across your videos when I wanted to give up. I failed nursing school but decided to go back and finally finished! Thank you so much for your videos and encouraging words!! Much love!!❤️ For anyone else struggling right now: You can not fail unless you quit! Keep pushing and don’t give up on yourself!!

[@NurseBass]

I can’t tell you the honor and how humbling this is. I really appreciate you and CONGRATSSSSSS! SO sick, and you accomplished everything you hoped to when you first set out! Beastmode! 👊🏽

[@juliushakkarainen3325]

Starting in the CSICU as a new grad in about a month! Could definitely use more of this in the case study format like you mentioned! Cheers

[@njones182]

More in depth look at the "Why" we see what we see aka hemodynamic changes and nursing interventions would be wonderful. I vote for a Hemodynamic Series or at least one, as you mentioned, that takes us a step further. Please strongly consider. Thanks

[@NurseBass]

Thanks so much, I definitely will.

[@brycerowell5898]

More in depth would be great! Especially with interpreting cardiac thermodilution profiles. I am a former ER nurse and now work in CVICU, probably about 9 months now. Just started taking devices and open hearts. I struggle with the thermodilution profiles the most out of everything

[@shanique876able]

Thank you for this awesome short and informative video

[@taushaburton3937]

Definitely a fan! Would love a more in depth video

[@jasmineturner3174]

Thanks so much for sharing! I'm a recent graduate nurse working in open heart recovery. I'd love for you to go into more detail or scenarios to help with learning all this!

[@anitagonzalez6642]

This was awesome so helpful!

[@NurseBass]

I appreciate you!

[@amadeusj.2127]

More of this please!!!

[@NurseBass]

Just might have to!

[@AkulaShark4748]

Cool,really cool presentation. Thank you so much for your great inspiration.Please continue with the topics that you mentioned.

[@NurseBass]

Thank you so much!

[@theman3443]

Nurse Bass! Proud to say I got my RN license in February.. thanks for all the help from day one of nursing school my brother!

[@NurseBass]

So dope to hear buddy! Congratulations! Just playing my part!

[@kelseymorris1027]

Thanks for the video! I have an interview tomorrow for cvicu

[@daloonies]

Nice bro !! Keep making them 🙏🏼🙏🏼

[@NurseBass]

👊🏽👊🏽

[@Ashley-vp8jb]

Please offer more in-depth case studies!

[@user-if6zm2wj2g]

hi can u please do more videos on hemodynamics foe fresh post op cabg and valves i am a new nurse in the CVICU and this is super helpful thank u

[@leacampbell1625]

Hi!!! so i just graduated nursing school and accepted a position in the cardiothoracic intermediate unit I eventually want to go over to the CTIC I just came across your videos and would love to hear more info on hemodynamics and what really happens once they come out of the OR and to the CVICU like maybe a more in depth video on some scenerios and what u do as soon as they get to u like what meds they are on and what u are monitoring and why? like what could go wrong? super interested in CVICU nursing Thanks again for your video!!! your great Lea C

[@ThatGurlSKY]

Please do more I just got accepted into the Cticu!

[@NurseBass]

Congratulations!

[@iris201000]

Please do a bunch a case studies

[@mommyandme5162]

Definitely loved the word vomit and if you can break this information down a little bit more

[@jacklynkendall9134]

Hi, I work in the CVICU, about 8-9 months in. I would love to see case studies as mentioned in the video. Thanks!

[@porcelaindolli3]

what was your experience before cvicu?? When did you feel ready? Do you still feel like a dumbA 8-9 months into CVICU? planning my jump over.

[@jacklynkendall9134]

@@porcelaindolli3 My experience prior to CVICU was med-surg for 2.5 years. I've been in the CVICU for one year now, and I absolutely love it. I don't think I would ever work on another unit. The learning curve is steep, but very rewarding when you start putting the pieces together. Just in the year, I've been there, I've gained extensive knowledge on CV. I supplement my learning with Barron's CCRN review, ICU Advantage, and current literature. I think everyone feels like an idiot sometimes, but those feelings subside as you start to get acclimated. Make the move, and never look back! Best decision I ever made. Good luck!

[@porcelaindolli3]

@@jacklynkendall9134 thank you for taking the time to reply. I'm very focused and serious about getting to cvicu. I'm currently on cv pcu. I'm just a baby. I will flood myself with all of the resources you provided. I'm scared sh!tless but the fear is going to come regardless of my inevitable move over. thanks for your encouragement :))

[@oOBionncazOo]

Thank you for this. I've worked in surgical, trauma, and medical icus but never cvicu. Those number just scare me hahaha 🤣

[@heartofthematter247]

I work it now and I def understand you! You really have to know your stuff! Thx Nurse BOSS for this video ✨✨

[@NurseBass]

Haha it's all wonderfully fun stuff! Learning the intricate connections of them all is the goodies!

[@NurseBass]

Lol of course my friend! Hope it helps :D

[@dtrell1265]

I’m a nursing student about to start my externship on a cardiac step down unit. Please go in depth if you don’t mind. Thank you!

[@NurseBass]

Appreciate the feedback! And congrats!

[@NurseBass]

Appreciate the feedback! And congrats!

[@chriswiseman5143]

Is this screen from a simulator or a live patient? If it's live data, I'm impressed that they're able to generate that BP and index while only being v-paced. Makes me wonder how much dobutamine and/or rocket fuel is infusing. That PA pulse pressure is really narrow too. Not sure what to make of that without considering the patient. Thanks for the video, NB!

[@NurseBass]

Quite often if a patient is sick enough whenever they exit the OR, then they are on a bit of rocket fuel for a period of time. To your point, the patient is only being V paced and doesn’t have the atrial kick, but may be on vasoactive and/or inotropic drips such as epinephrine or milrinone. Also keep in mind as a side note, if the patient were on dobutamine then we should likely see the patient with their own intrinsic rate high enough to not require pacing. Of course all patients are different 👊🏽 Also, I know practices vary from facility to facility but in the few Surgical CVICUs I’ve worked in, dobutamine isn’t typically used in the open heart surgical population as it typically contributes to cardiac irritability 🤙🏽 Love to see the wheels turning! Grind on!

[@francishubertovasquez2139]

A vehicular accident patient with spinal injury and with pneumothorax to atelectasis due to lung puncture of something, tracheally deviated compressing either side if heart is compromised but managed to ICU, can a device or some sort of powerful sensor with control implanted function like in holter monitor operated remotely be of a 2nd option connected to heart specialists, and a severed spine grey matter and severed nerve fibers be replaced by the other grey matters in other parts of the brain by the use of adjacent receptor motor inducer supposedly former connections of nerve fibers now severed, new signalling created from the manipulations of sensors from glial cells and and organ nerve receptors augmented by new nannotechnology created organ receptors because nannotechnology can do that now and with modified neuroengineered Schwann cells all signals in that patient body emmanating from the other grey matters in the brain other than the butterfly spinal grey matter? Monitoring hemodynamics sensor based.

[@moseleych]

Those numbers all look great, but MAN, that PA diastolic is concerning 🤣

[@NurseBass]

Does it give my dude the itch to hop back in the trenches? Haha

[@moseleych]

@@NurseBass NOPE. Not in the slightest 🤣🤣🤣