🎓‼ Earn CE Credits for this lesson at ICU Advantage Academy: 👉🏼 adv.icu/academy 🤩🆕 NEW Beautifully Designed Hemodynamics Notes 👉🏼 adv.icu/notes-hemodynamics 📝 Older Style NOTES available to members! ► RUclips: adv.icu/ym | ► Patreon: adv.icu/pm 💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10")
As a Med Surg nurse currently on the ICU transition residency program I thank you! I have had lectures about this but nothing like the way you explain…it just makes sense and sticks to my brain!!!
This is so great to hear! Really glad the explanation and lesson was helpful for you. Thank you so much for this comment and congrats of your transition to ICU. It's a heck of a journey!
You’re incredible man. I’m currently in an ICU transition program (stepdown nurse for ~3yrs) and your videos are so good at breaking down complex subjects and making it easily digestible. Thank you very much!!!
Wow, thank you so much Mitchell. Really glad to hear the videos have been helpful for you and happy to hear I was able to help make these complex topics easy to understand for ya!
I'm so glad that I found your channel just before starting my post graduate certificate in critical care. Actually I have watched a few videos of your earlier but now I'm trying to go system wise. Started with Cardiac, hope you have videos on all the other major systems or topics.Felt like I really needed to refresh all that I learnt. You are doing an amazing job in explaining and breaking it down to different little topics that are extremely important. I feel over the time I was just left with terminology in nursing and sometimes not really sure or forgot what it actually meant 😏.. Feels like this is the first time I'm enjoying studying. Thanks dear , stay happy 😊
You are so welcome! Happy to hear they are helping through those. Those modules are quite informative, but also quite cumbersome to work through. May to force be with you!
These are so much better than ECCO modules. I had to get out of ICU for the time being because I needed more time to transition but I am hoping to go back to IMCU sometime soon.
Great video. One thing I would add is another component of afterload is ventricular septal thickness, which can be a factor in patients with HOCM, TTR amyloid, etc.
Thanks Tyler. Glad you liked it. I think you are referring to more outflow obstructions though than basic physiological after load though. Definitely important points to consider, but beyond the scope of our basic hemodynamics.
Compliance will impact either preload and/or contractility, but not the force against which the heart beats against. Typically this is vascular resistance, although AS can contribute as well as HOCM could as well by limiting outflow.
When I go to notes it just has a folder for Hemodynamics, but it isn't broken up like you do for the videos. I was looking for the notes for this video. Did you combine all the Hemodynamic videos into one document?
Thank you so much man! This is amazingly simplified.. one question thu, you mentioned that in hypoxia= more resistance? I thought in hypoxia you’ll have vasodilation except in the lungs .. can you please explain that ? Thanks in advance man!
You are correct. Not sure what I was thinking here. Vasoconstriction in pulmonary vasculature to shunt away from area without good gas exchange. Dilation in the rest of the body to increase perfusion with decreased O2 supply.
Yay! So happy to hear this. You know, I used to borderline hate cardiac and then I started working in CVICU and really fell it love with its complexity.
if increased contractility and increased stroke volume is caused by fight or flight or things like exercise, AND an increased stroke volume = bradycardia..... but the fight or flight responses and exercise are correlated with tachycardia/low stroke volume. I genuinely am confused, so please explain this to me!!! thank you for your video.
You will only see bradycardia in patients with low stroke volume when they are at rest. Tachycardia doesn't necessarily mean low stroke volume, unless the rate is so fast that the ventricles don't have enough time to fill. Hope that clears things up.
Sorry but this was bad. Your other videos have been better.This one seemed like you were presenting something that someone else wrote and you didn't understand the material
🎓‼ Earn CE Credits for this lesson at ICU Advantage Academy: 👉🏼 adv.icu/academy
🤩🆕 NEW Beautifully Designed Hemodynamics Notes 👉🏼 adv.icu/notes-hemodynamics
📝 Older Style NOTES available to members! ► RUclips: adv.icu/ym | ► Patreon: adv.icu/pm
💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10")
As a Med Surg nurse currently on the ICU transition residency program I thank you! I have had lectures about this but nothing like the way you explain…it just makes sense and sticks to my brain!!!
This is so great to hear! Really glad the explanation and lesson was helpful for you. Thank you so much for this comment and congrats of your transition to ICU. It's a heck of a journey!
@@ICUAdvantage it is 😅. Thank you!
you simplify all of these beyond measure! thank you!
You are so welcome!
You’re incredible man. I’m currently in an ICU transition program (stepdown nurse for ~3yrs) and your videos are so good at breaking down complex subjects and making it easily digestible. Thank you very much!!!
Wow, thank you so much Mitchell. Really glad to hear the videos have been helpful for you and happy to hear I was able to help make these complex topics easy to understand for ya!
Super appreciate all the refreshers! Returning to Cardiology after having been away for years. So helpful in easing the anxiety.
Happy they have helped and welcome back! I'm sure you'll do great once you get back into it all.
I'm so glad that I found your channel just before starting my post graduate certificate in critical care. Actually I have watched a few videos of your earlier but now I'm trying to go system wise. Started with Cardiac, hope you have videos on all the other major systems or topics.Felt like I really needed to refresh all that I learnt. You are doing an amazing job in explaining and breaking it down to different little topics that are extremely important. I feel over the time I was just left with terminology in nursing and sometimes not really sure or forgot what it actually meant 😏..
Feels like this is the first time I'm enjoying studying.
Thanks dear , stay happy 😊
I am supplementing my ECCO modules with your videos and it has been so so helpful! Thank you thank you!
You are so welcome! Happy to hear they are helping through those. Those modules are quite informative, but also quite cumbersome to work through. May to force be with you!
Gosh, Im so glad these videos exist! currently struggling through the hemodynamic monitoring modules!
By far the best videos on RUclips for teaching this
So awesome to read this!
So very helpful. Your illustrations are perfect for me. Thank you so much for sharing.
Thank you. Got an exam monday 🙏🏽
OMG! Thank you so much. I've learned a lot watching your videos.
Awesome! So glad you found them useful!
God bless you ! You just summarized a whole chapter that took our prof. a week to explain (poorly explained).. Thank you ! ❤️
So amazing! Glad to hear you liked it! 😍
These are so much better than ECCO modules. I had to get out of ICU for the time being because I needed more time to transition but I am hoping to go back to IMCU sometime soon.
Yeah those ECCO modules are dry..... Glad you enjoy the videos and find them helpful. Best of luck in your transition back!
Thank you for this video. It was straight to the point, put in a very logical and understandable format.
Thanks!
Thank you so much Emily!
Thanks a million. Great bite size concepts to chew on.
You're very welcome! Glad you liked it.
All cleared out so nice on these concepts... Thankyou so much sir!❤️
Great video. One thing I would add is another component of afterload is ventricular septal thickness, which can be a factor in patients with HOCM, TTR amyloid, etc.
Thanks Tyler. Glad you liked it. I think you are referring to more outflow obstructions though than basic physiological after load though. Definitely important points to consider, but beyond the scope of our basic hemodynamics.
You are amazing for my brain. Thank you
Yes!!! Love it! 😍 Glad you enjoyed it.
You have a nice hand writing anyway...love it
Thank you! 😊
Best videos ever, easy to understand and explains as it is
Yay! So glad they were helpful for you!
The hemodynamics review is excellent
Glad to hear this. Thank you.
this may be a far stretch but would you be able to make a video on recovering open heart surgery?
Wouldnt L ventricular compliance also play as a factor in afterload. Eg, hypertrophy of myocardium reducing injection fraction and force of ejection
Compliance will impact either preload and/or contractility, but not the force against which the heart beats against. Typically this is vascular resistance, although AS can contribute as well as HOCM could as well by limiting outflow.
When I go to notes it just has a folder for Hemodynamics, but it isn't broken up like you do for the videos. I was looking for the notes for this video. Did you combine all the Hemodynamic videos into one document?
Yes. Some of the earlier videos I just did one big document before I started breaking each video out into its own separate one.
Awesome content and explanations!! Thanks so much!
Thanks Shannon! Glad you liked it!
Thank you so much man! This is amazingly simplified.. one question thu, you mentioned that in hypoxia= more resistance? I thought in hypoxia you’ll have vasodilation except in the lungs .. can you please explain that ? Thanks in advance man!
You are correct. Not sure what I was thinking here. Vasoconstriction in pulmonary vasculature to shunt away from area without good gas exchange. Dilation in the rest of the body to increase perfusion with decreased O2 supply.
@@ICUAdvantage awesome, thanks man!
I might like cardio after all your lectures...
Yay! So happy to hear this. You know, I used to borderline hate cardiac and then I started working in CVICU and really fell it love with its complexity.
Excellent video! Thank you so much.
Glad you enjoyed it! Thank you!
I love it! Thank you!
Yay! 😊 You're welcome.
How come the resistance increases when someone has hypoxia? Thank you in advance
Are you asking about pulmonary vasoconstriction in the presence of hypoxia?
@@ICUAdvantage I'd like to know why there is pulmonary vasoconstriction in the presence of hypoxia too - it seems counterintuitive for this to happen.
Great, great videos! Any new topics coming soon?
Thank you and glad you enjoy them! We are planning to make some more videos. Next will probably be ECG Rhythm Analysis. Any topics you'd like to see?
if increased contractility and increased stroke volume is caused by fight or flight or things like exercise, AND an increased stroke volume = bradycardia..... but the fight or flight responses and exercise are correlated with tachycardia/low stroke volume. I genuinely am confused, so please explain this to me!!! thank you for your video.
You will only see bradycardia in patients with low stroke volume when they are at rest. Tachycardia doesn't necessarily mean low stroke volume, unless the rate is so fast that the ventricles don't have enough time to fill. Hope that clears things up.
absolutely wonderful series
Thank you so much for this and glad you enjoyed it!
Stiffer vessels, high resistance- here we call that lead pipe syndrome
Thanks !!!
thank you so much.
Hello, I have a question could an increase in IVF increase the stretch per the Frank Starling Law?
Yup!
heart rate can be affected by electrolyte imbalance. Perhaps you said this and I may have missed it.
Thank you ☺️
You’re welcome!
Love it, many thanks.
Glad you enjoyed it
Thx alot😍
You're welcome! Glad you liked it!
Thank you
You're welcome!
Neonate cardiac output
Sorry but this was bad. Your other videos have been better.This one seemed like you were presenting something that someone else wrote and you didn't understand the material
Appreciate your feedback. This was one of the very first videos I made years ago, so glad to know I'm getting better over time.
Thank you
Welcome!