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Jessica Bunin
Registrace 25. 06. 2013
Optimizing Patient Care in the ICU During COVID Using the ABCDEF bundle
Using the ABCDEF bundle improves care and outcomes for our ICU patients. In this video, I describe how this bundle can be optimized during COVID.
zhlédnutí: 3 390
Video
Airway Pressure Release Ventilation (APRV)
zhlédnutí 46KPřed 4 lety
This video will explain the basics of Airway Pressure Release Ventilation, an option for mechanical ventilation, that is helpful as an oxygen salvage therapy for patients with Acute Respiratory Distress Syndrome (ARDS). This video is dedicated to my amazing Father-in-law, Dr Alejandro Albano, who contracted COVID while caring for his patients and succumbed to the disease. Love you, Lolo!
Ventilator Tutorials PB840 & V500 Drager
zhlédnutí 6KPřed 4 lety
This video will teach you to assemble and set ICU ventilators
ARDS Diagnosis and Management
zhlédnutí 13KPřed 4 lety
This video will provide you with a brief introduction to the diagnosis and management of ARDS.
Sepsis in the Age of COVID
zhlédnutí 8KPřed 4 lety
This video will discuss the management of Sepsis and address specific considerations for the COVID pandemic
MultiD Preparation for Intubation
zhlédnutí 5KPřed 4 lety
In this video, a doc and nurse will talk you through preparing to intubate a patient. At the end of the video we highlight some special considerations for intubation in the context of COVID.
Sedation and Analgesia in the ICU in the setting of COVID 19
zhlédnutí 24KPřed 4 lety
This video is intended to assist healthcare providers with the care of critically ill patients only. It is to be used as a guide ONLY for patients who have breathing tubes and are mechanically ventilated (on breathing machines). It will introduce you to sedative and analgesic medications that are used in the intensive care unit setting only. It will provide recommendations for use of sedation a...
ICU Nursing - Assembling Pressure Tubing for Alines and Central Lines
zhlédnutí 30KPřed 4 lety
In this video, Mavis Bean will teach you to assemble pressure tubing transduce pressures and waveforms from arterial lines and central lines. She will also teach you to attach to an ICU monitor.
Awakening Trials, Breathing Trials, and Extubation
zhlédnutí 30KPřed 4 lety
This video covers safety screens and failure criteria for Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs). These together form the ABCs of daily care of ICU patients on vents (Airway and Breathing Coordination). Additionally, it covers the criteria that should be met prior to attempting extubation (my favorite procedure in all of critical care).
Transport Vent Tutorial - ParaPAC
zhlédnutí 28KPřed 4 lety
This vent will teach you to set up a ParaPAC transport ventilator.
Vent Basics for Non-Intensivists Part 2 (ACPC and PS)
zhlédnutí 17KPřed 4 lety
This video is an introduction to pressure control and pressure support ventilator settings. If you have not yet viewed 'Vent Basics for Non-Intensivists (ACVC/VAC)", please watch that video first. This video is not intended to be all encompassing. It is intended to educate non-intensivists on basic vent settings and vent mechanics. Thank you.
Acid Base for the Non-intensivist (focus on Metabolic Acidosis and Mixed Disorders)
zhlédnutí 25KPřed 4 lety
This video will teach you the etiologies for the various acid-base disorders as well as teach you how to interpret an ABG with a focus on metabolic acidosis and mixed disorders. This will teach you little to nothing about buffering, organic chemistry, biochemistry, etc. This is for practical application at the bedside.
Set up of V500 Drager Ventilator - Doll
zhlédnutí 33KPřed 4 lety
Quick rundown of how to set up Drager V500 vent
Vent Basics for Non-Intensivists (ACVC/VAC)
zhlédnutí 66KPřed 4 lety
Vent basics (one mode) for non-intensivists for when it hits the fan.
IV Vasoactive Medication Basics for the Non-Intensivist...in the age of COVID-19
zhlédnutí 16KPřed 4 lety
This video provides a refresher/introduction to the basics of inotropes and vasopressors that may be helpful in the context of treating COVID-19 patients. It is not intended to be all-encompassing.
Shock Basics for the Non-Intensivist...in the age of COVID-19
zhlédnutí 9KPřed 4 lety
Shock Basics for the Non-Intensivist...in the age of COVID-19
Solid work
Awesome. I am grateful for this. thanks for posting this video.
I am a lead respiratory therapist and when we get new employees, APRV is always an intimidating mode of ventilation. Now, with your beautiful video, it no longer has to be, and I absolutely love the dropping and stretching to wean the patients just brilliant.
Excellent explanation and demo
Fantastic lecturer with clinical relevance and high yield info. Also props to the great questions by the students, I had some of the same ones
Today my patient reached the maximum setting on ACPC mode which is (45P- 18peep-40RR-100fio2) and I decided to try the last card..APRV, pray for my patient my god help me
The failure criteria doesn’t make sense because anyone that’s restrained and has a breathing tube down. Their throat is going to freak out the agitated and their heart rate is going to shoot up.
Thank you
❤
Thank you so much! I really love your CZcams channel. There is one thing I want to add, though. I believe that at 22:17, the patient is experiencing pure AG metabolic acidosis(AGMA). If you calculate the delta ratio, it is less than 2, which indicates that it belongs to pure AGMA. The delta ratio is calculated as follows: delta ratio = (31-12) / (24-10) = 19 / 14 = 1.37 If AGMA is due to ketones, then a value of 1.2 above indicates the presence of AGMA and metabolic alkalosis. However, in this case, the lab glucose was 94. For AGMA due to other reasons to be present with metabolic alkalosis, the delta ratio would have to be above 2.
You are a fantastic professor. Thank you for these videos!
Really great discussion, can you discuss pressors and inotropes please
czcams.com/video/XvTTEr9SsLk/video.html
Hope that helps! Have a great day!
guys there is defiantly racist thinking out there I'm not sure if its racist and or extremist but the drugs they have to give people cancer, pituitary tumors (antipsychotics), using wards for it to conduct these acts of terrorism (you need psychdrugs to edit dna), guys there is cook books to take eyes out, livers, etc..if someone finds one health problem about you, knows your job, or your race, or know what drugs you have they have TOR to run an i2p tunnel to drug coma people, run cartels, buy guns, you can watch hospital tapes (psychwards because theyre corrupt), pay to kill someone, traffic people, get drugs (silk road reference), anything you want just have a good vpn proton vpn and or murad is good its untraceable. They are going after jocks they have chemist now that can stop hearts, make a shot to make someone shit liquid like they have aids, probably give someone hiv aids with cas crispR. It is 100% serious and a problem, everyone should use TOR. See why psychwards, psychnurses, greedy lawyers, greedy cops, are the reason mass shootings exist. Idk if its racist thinking or what but athletes, artist and rap artist rap about it (probably better off having a rapper than a nurse), and tech people they come after for kill money on TOR. We should all use it to get what we want these rich people think they can commit someone just because they have money. Terrorism is casual now
Thank you for this!
Thanks, you are aweasome.
Well explained ❤ I would like to know little more explanation about PIP based on Pi if possible .
Thank U
Hey , please continue Go on & on with your video series . It made my concepts clear
Why the P low has to be at 0 and why can't we keep it at 5. Wouldn't that lead to more recruitment of the alveoli??
Died last week because he caring for his patients who had covid? Seriously blaming it on your patients? Damn
Hello Mam Please do you have any Teaching Courses???
Wow, amazing job
Psi?? Isn’t it 50 bar?
This is amazing and easy to understand. Please please do you have more teaching real life Videos I am a new ICU Nurse Please I need real life Scenario teachings
I LOVE your ICU videos! I WANT MORE!! You know, this is the way I look at it. When you put a patient on CPAP/PS, and you set the PEEP at 5, and the PS at something such as 5-8, you're essentially using the ventilator as a glorified high flow device. You have the tube resistance compensated with the PS, and you have the FiO2 you want, AND you have the humidification. It's a glorified high flow humidification device, because you can monitor your volumes, and your rate, as well as the ETCO2, and of course your pressures. If they're in distress, and they're breathing at a rate of 40, with a VT of 190, You'll see it, and You will know, "Better not extubate that patient. He'll end up intubated again!"
Wow. This helped so much! Appreciation from south Africa!
Very good and understandable even for me as a German. Thank you very much! Will you publish any more videos?
Exactly what I needed
So my question is a patient suppose to be awake during intubation. I remember my grandma in icu begging me to help her.. for 5-6 days..and I can never get that image out of my head and being a nursing student I’ve realized she was suppose to be sedated..? This was before the pandemic .. in 2016. So there wasn’t a shortage of medication. The icu dr also told me he didn’t understand why the the ER Dr had ordered her intubation.. 😮 She also asked the Er doctor to please not intubate her because of her heart.. and they held her down and did it anyway.. then didn’t sedate .. ? Stuck her in a room in the icu where family had to watch her jumping off the bed.. awake begging us to help her ..
wow did she come out of it ok??
Good
Respiratory therapists usually take care of bagging, preparing ETT, laryngoscopes, ventilator, airway in general
Thx so much
My deepest Condolences for the lose of your father in Law, may his soul Rest In Peace
I just had my ICU rotation, this is a great video shared. Can I have a quick qn which is why we set FiO2 max out at 100%, dont you worry about diffuse alveoli injury? If FiO2 set to 100%, what duration is ideal? Many thanks.
Thank you very much for sharing this amazing info for us Gratings.
Awesome tutorial!
how to determine the fio2 percentage from patient to patient?... what are the considered factors ?
thank you very much for this amazing work, little suggestion, please ask your student to speak louder or give him a mic too...
I wish I could hug you. Your lectures are amazing. The way you explaining things are making easy to absorb information
whats the survival rate for fentanyl and itubation, why would you give a drug they have to withdraw from that suppresses breathing. Sounds like silence and not a treatment. vit c d zinc and I cant say others due to censorship, work better results. None of this is treatment, its keeping em quiet, yet media dont attack this method, $$$$$$$ why media tells my doctor hes wrong, yet he keeps ending up the right one 9mnth later.
thank you for the teaching. i am new in icu, in my training i always try to learn these meds comprehensively but no one can give me a teaching like this in this hospital. i am trying everyday to collect information and make summary. and your lecture makes it so clear just in 15min. i am very appreciate that.
Thank you!
I had septic shock. I survived. 7 bags of fluid, vancomycin, blood pressure of 70/40. Was in ICU and given vasopressor. My kidneys were failing, my liver was failing, I made it through because an astute nurse diagnosed it as septic shock. Docs were looking at heart issue. She saved my life. A doc came in when I was alone and asked me to sign a DNR. My faith said no. My kidneys and liver are perfect now. I fought back with the help of a very special nurse. I have to Guard my health very much now. I came through Covid with the help of monoclonal antibodies. I am vaccinated. Best to all. Don’t let this virus hurt your soul. Fight back. If you feel like something is wrong trust your instinct. Speak up. Get the good treatment that you deserve. Especially be aware that urinary infections can lead to sepsis. Most especially in those over 60.
Fever. Low. Or high. Vital sign. Blood oxygen level.
Amazing ! ER doctor here starting Surgical ICU tomorrow. Needed the review ! May he rest in peace ! COVID sucks !
I am an ICU nurse, no one ever taught me about this I went with my gut feelings, it's good to know that I'm doing right😁
This is short, sweet and to the point! I absolutely love it!
many thanks!
Great video. Thanks!
Thank you for your videos. I am a veterinary intensivist and I am learning so much!