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What is an A-line? Arterial Line Basics EXPLAINED! 

ICU Advantage
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Explaining the basics of what an arterial line is. 📝 Free Quiz: adv.icu/3eBn70O
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Close monitoring of the critically ill patient is a staple of care in the ICU. One of the simplest and most common ways that we can do that is with an arterial line. This arterial catheter gives us the most accurate and real-time reading on our patient's blood pressure. In this first lesson in a new series looking at Arterial Lines, we talk about what they are, why we use them, and some risks that come along with their use.
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Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
✅ ICU Drips: • ICU Drips
✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
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0:00 Intro
1:54 What/Why?
4:17 Accuracy
8:35 Mean Arterial Pressure
11:23 Complications
14:12 Monitor
15:43 Wrap up
#ICUAdvantage #ArterialLine #Aline

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1 июн 2024

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Комментарии : 124   
@ICUAdvantage
@ICUAdvantage 2 года назад
🎓‼ Earn CE Credits! Pre-order ICU Advantage Academy: 👉🏼 adv.icu/academy 💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10") 💲 10% off EACH Month @ Nurisng Mastery membership: 👉🏼 adv.icu/mastery 📝 NOTES available to members! ► RU-vid: adv.icu/ym | ► Patreon: adv.icu/pm
@jackiecosgrove1630
@jackiecosgrove1630 3 месяца назад
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@jackiecosgrove1630
@jackiecosgrove1630 3 месяца назад
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@jackiecosgrove1630
@jackiecosgrove1630 3 месяца назад
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@jackiecosgrove1630
@jackiecosgrove1630 3 месяца назад
q😊q😊
@TypedinWhatever
@TypedinWhatever 2 года назад
ICU is intense (no pun intended) your lessons help me study on my days off and come back with a better understanding each shift
@lisakaye3935
@lisakaye3935 Год назад
Thank you! I’m new to anesthesia where I work as a technician in a training hospital. My IVs are right on. I started A Lines today. Pray for me 😂
@vkov0
@vkov0 Год назад
I'd just like to applaud you for doing such a great job with this channel. Your lessons are great, and as an Intensivist, I certainly would recommend this channel to any students or new graduates. There is a TON of great information on various conditions, treatment models and procedures for CC medicine. Great work!! I'd also like to give a thanks to all the nurses, techs and clerical staff on the CCU floor. You guys make the world turn. I'm proud to work with such professionals. Reason for edit: Spelling correction.
@Hananner
@Hananner 23 дня назад
Thank you for this videoI learned so much more than I did in class and your way of explaining this topic really helped things click for me.
@ICUAdvantage
@ICUAdvantage 22 дня назад
Yay! So glad to hear this and happy that it spoke to you!
@naomibalka5930
@naomibalka5930 6 месяцев назад
Just started in SICU as a new grad and your videos have been guiding me through this journey. Thank you for being so clear!!!
@germandimplez
@germandimplez 2 года назад
In my last semester of Nurse School. Instructor who taught ER/Crit Care was horrible. Barely passed her exam. Final exam soon. Thank you for this vid. Explains a lot!!! I want to work Critical Care when I graduate. No doubt about it, its what I want to do!!! Subscribed. Liked. I truly hope this helps other student who just aren't quite understanding this concept. Again, thank you and God Bless!!!
@andreamiller8684
@andreamiller8684 Год назад
Great overview of A-lines. Thank you.
@ashishchoudhary4906
@ashishchoudhary4906 2 года назад
THIS CHANNEL IS AMAZING !!
@jonb4639
@jonb4639 2 года назад
Just had an art line with “whipping” effect last weekend overestimating systolic and underestimating diastolic with a very sharp peak to the waveforms. Thankfully the cardiologist was kind enough to explain what was happening when I called him and I looked it up later.
@terimeredith5228
@terimeredith5228 8 месяцев назад
Thanks for the great explanation and description. I am an RN who recently transferred to PACU and needed a crash course on arterial lines. Thanks for the info!
@MaiShanley1024
@MaiShanley1024 3 месяца назад
❤❤❤ this really helps. Thanks so much!
@ashtonwilson5526
@ashtonwilson5526 2 года назад
Pediatric CVICU nurse here! Can’t wait for the next lesson :)
@andreawong5225
@andreawong5225 2 года назад
Thank you so much. A definite good lesson and refresher training for us all.
@ICUAdvantage
@ICUAdvantage 2 года назад
You are very welcome Andrea. Glad you liked it! :)
@MegaMrskatie
@MegaMrskatie Год назад
Great information for a new ICU RN! Thank you
@ICUAdvantage
@ICUAdvantage Год назад
Welcome to the ICU! Glad you liked it
@ronmanson3000
@ronmanson3000 Год назад
ICU Advantage crawled so confident care academy could run. Eddie for president
@ICUAdvantage
@ICUAdvantage Год назад
Thanks Ron!
@jeffersonemiliano6619
@jeffersonemiliano6619 Год назад
Great Eddie!!! I'm moving on in my internship and Art line is the next topic.
@thuygens712
@thuygens712 8 месяцев назад
You do a great job man 🙏🏻
@ICUAdvantage
@ICUAdvantage 8 месяцев назад
Thank you so much 👍 Apprecitre that.
@caftanatii
@caftanatii 2 года назад
thanks for this video. new grad started in icu 5 mos ago. very clarifying and easy to understand.
@ICUAdvantage
@ICUAdvantage 2 года назад
Awesome! Congrats on the new position Olga! Glad you liked it.
@vanessasantana1934
@vanessasantana1934 2 года назад
The way you explain these topics PLUS the structure/outline + color of the visuals makes it extremely helpful to learn + retain such complex content! I'm not even sure I'm going into ICU Nursing, but the information is just too good not to subscribe :D Thank you for all you do!!
@ICUAdvantage
@ICUAdvantage 2 года назад
Thank you for that Vanessa! Glad you liked it!
@rebelsofthelight9802
@rebelsofthelight9802 2 года назад
So very helpful! Thanks for your educational video...Nick, Australia
@ICUAdvantage
@ICUAdvantage 2 года назад
Awesome. Thats honestly what I hope these videos are for people. Glad you liked it Nick!
@peoplearewater
@peoplearewater 2 года назад
Can't wait for the next lesson😊
@ICUAdvantage
@ICUAdvantage 2 года назад
I'm excited for it too :)
@luizperezdacosta1726
@luizperezdacosta1726 8 месяцев назад
Amazing!!!
@bianca_1005
@bianca_1005 2 года назад
Thank you SO much. I can't say how much your channel is helping me. I just began working in a cardiology ICU , coming from a fairly different background with just a month to fit in it's vital to me having a good, simple and schematic refreshing of my quite dated notions (over '50 nurse here, heh). You are a real lifesaver to me, again I can't thank you enough. Really exceptional material. Grazie! From Italy 🙏🇮🇹
@ICUAdvantage
@ICUAdvantage 2 года назад
Thank you so much for the great comment! I really appreciate the kind words!
@barbaracherrington375
@barbaracherrington375 2 года назад
I absolutely appreciate the time and dedication you invest in these lessons Eddie. I am very grateful for sharing your knowledge on these complex topics. Thank you again 💓.
@dangmateo00
@dangmateo00 2 года назад
Thank you once again for sharing your knowledge on this topic. A-line is indeed one of the staples in ICU and to know its fundamentals are really important. Great work!
@ICUAdvantage
@ICUAdvantage 2 года назад
Thank you. I'm excited for this series. Going to cover a lot of good info.
@dangmateo00
@dangmateo00 2 года назад
@@ICUAdvantage Wow! I’m sure a lot of us will be looking forward to this. All the best to you and your team!
@lisaallen-werner3687
@lisaallen-werner3687 Год назад
Thank you this has helped tremendously. I am in my last semester of nursing school and was having trouble with a lot of these topics. Now with Hurricane Ian, school closed, my moms house damaged, plus other things. Anyway, Your soothing calm voice and the simple way you explain some complex topics helps while scrambling to catch up on material. Thank you.
@ICUAdvantage
@ICUAdvantage Год назад
Oh man Lisa, it sure sounds like you've had a lot on your plate! Really happy to know that this video was helpful for you and helped to explain things in a way that made sense for you. Wishing you all the best!
@user-gy8od3ow8z
@user-gy8od3ow8z 4 месяца назад
Yes, I've had one before in my right arm but I didn't feel it. The area where it was put in at was numbed very well
@hossammustafa3146
@hossammustafa3146 Год назад
Great channel, Awesome content
@ICUAdvantage
@ICUAdvantage Год назад
Thank you!
@caterose
@caterose 2 года назад
Fantastic lesson as always, I'm a junior medical ICU RN in Australia, having been in ICU since my 6 month Grad mark. I'm completing my university studies to be qualified, but found your lessons invaluable in my first semester of my degree. ESPECIALLY the CRRT ones. Thanks soooo much
@heathernichols5390
@heathernichols5390 Год назад
Floypiiiiypooo oo
@matangola
@matangola 2 года назад
Hey thank you for your amazing videos. I’m a bit confused though regarding the vessel compliance. As far as I understand the compliance is supposed to be inversely proportional to elasticity. What am missing in this basic physiological concept? Thanks.
@JH-we7xf
@JH-we7xf 2 года назад
Thanks so much! Super informative! I'm applying for nursing programs soon and appreciate the jumpstart!
@ICUAdvantage
@ICUAdvantage 2 года назад
Best of luck on your nursing journey!
@nimochoudhary6265
@nimochoudhary6265 2 года назад
Hey.. a great mentor .. thankw for improving our knowledge. I hve a request plz cover a video on job description /bascics of icu technologist/emergency technologist ..plz consider my request.☺️
@user-iw7sb9oq9n
@user-iw7sb9oq9n 2 года назад
Great and hope you can make a video talking about Picco
@ICUAdvantage
@ICUAdvantage 2 года назад
I've had this request and have it on the todo list. I'll have to learn more about it though as I've never used it.
@-ANT-69
@-ANT-69 2 года назад
Thanks eddie
@ICUAdvantage
@ICUAdvantage 2 года назад
You're welcome Tony!
@mahmoudalzoukani6136
@mahmoudalzoukani6136 2 года назад
Thank you very much from Germany
@ICUAdvantage
@ICUAdvantage 2 года назад
Very cool! YOu're welcome
@autumnwillett168
@autumnwillett168 2 года назад
Why would someone dislike this? Let alone two someones?? This is amazing info!
@cristinavasta8014
@cristinavasta8014 2 года назад
2 idiots that wished knew this much but don’t
@CarlosMendez-gd2zm
@CarlosMendez-gd2zm 2 года назад
Idiots who think there’s a difference between hypertension and high blood pressure
@musicalsoiree
@musicalsoiree 2 года назад
@dinamap
@musicalsoiree
@musicalsoiree 2 года назад
Lol I meant a dinamap would. Ha. Cheesy I know I’m sorry. This vid was awesome.
@FoodYesPlease
@FoodYesPlease 10 месяцев назад
Lecture starts at 2:00
@rishavsharma2349
@rishavsharma2349 2 года назад
Please consider making videos on the following topics as well: i. Antibiotics and sepsis ii. Blood and products
@ICUAdvantage
@ICUAdvantage 2 года назад
I do have a series on Blood as well as a lesson on Septic Shock. Antibiotics are on the todo list.
@mesoob6179
@mesoob6179 Год назад
You are the best ♡
@ICUAdvantage
@ICUAdvantage Год назад
Thank you!
@AmeliaFiend
@AmeliaFiend 2 года назад
I am a new grad in the ICU (almost one month) and we learned about Artic Sun for post-MI patients who are not following commands, I was wondering in the future if you could do a video on it. Thanks you and your videos are so amazingly good.
@ICUAdvantage
@ICUAdvantage 2 года назад
Congrats on the new position in the ICU. I tend to not cover specific equipment and do more conceptual stuff, but I did cover hypothermia protocol pretty extensively already. Here's the link here if you might find it helpful: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-zIBflZRGHgs.html
@AmeliaFiend
@AmeliaFiend 2 года назад
@@ICUAdvantage sweet! I think that would be most helpful. Thank you!!!
@LeeAnn95206
@LeeAnn95206 2 года назад
Thanks for this! Do you have any videos about types of acute MI’s or treatment of STEMI’s?
@ICUAdvantage
@ICUAdvantage 2 года назад
Nothing yet
@lsantilli
@lsantilli 2 года назад
In my hospital, I find the docs and other providers are very, very adverse to placing these lines and will constantly try and dispute the need or defer it to the next provider. I understand there is a skill with placing these - as with anything. Whenever I see a provider who is proficient with placing them, they don’t seem that difficult clinically speaking to place. Even though I haven’t done them I feel like on a from a pure procedure standpoint they can’t be much more difficult than when I do a PICC line… I understand the risks, but they’re so, so beneficial.
@ICUAdvantage
@ICUAdvantage 2 года назад
Certainly a skill, but I agree that I don't think it is that difficult. Now, this is coming from someone who was never personally placed one. That said, at many facilities trained respiratory therapists and/or nurses can place them.
@rma3899
@rma3899 2 года назад
Outstanding like usual !. THANK YOU for the video... you get like before I see the video 😁.. can you please explain for me square wave test? Never understood it.. Thank you! Stay safe my friend
@ICUAdvantage
@ICUAdvantage 2 года назад
Thank you thank you! And YES, keep an eye out for the next lesson in this series... it should help with your inquiry! :)
@rma3899
@rma3899 2 года назад
@@ICUAdvantage Thank you 😘😘😘😘😘
@Soundtrackofmylifee
@Soundtrackofmylifee 2 года назад
Thank you for this video! Do you have videos on IABPs and impellas?
@ICUAdvantage
@ICUAdvantage 2 года назад
Not yet but soon hopefully!
@jamieallen9665
@jamieallen9665 2 года назад
IABP video would be great!
@mufasa2899
@mufasa2899 2 года назад
Howdy, thanks for making this video. I have a question about the Aline. Can you explain the role of an Aline during a code or ROSC. Thanks
@sinuzb3115
@sinuzb3115 10 месяцев назад
If there’s rosc then you have a positive wave form, because you’ll get a pulse pressure
@erinfleckenstein
@erinfleckenstein 2 года назад
Hi Eddie! Do you have any videos on how the pulse ox works and Beer Lambert law?
@ICUAdvantage
@ICUAdvantage 2 года назад
So sorry, but I do not.
@bilalyasim4700
@bilalyasim4700 Год назад
Very informative... How can i get the notes.. Any link
@sanikashukla247
@sanikashukla247 2 года назад
Hey....have you made any video on pediatric atls guideline?
@ICUAdvantage
@ICUAdvantage 2 года назад
Unfortunately I have no experience with peds and don't cover those topics on this channel. So sorry.
@4TalkTube
@4TalkTube Год назад
Sir would you please recommend me a best and easy book for icu and emergency care
@Vikingblood1
@Vikingblood1 2 года назад
Hello, Eddie, I was an infantryman in the army back in 1989-1993. I've been a critical care RN for quite some time, and watching your videos is a great way to review. I purchased a RU-vid membership; however, I am unable to locate the lesson notes. I think I'll do the patreon membership and cancel the RU-vid.
@ICUAdvantage
@ICUAdvantage 2 года назад
Hey Robert! Sorry I missed this comment! It slipped passed at first. Very cool to run into another Infantryman! A little before my time, but definitely a brotherhood that lasts a lifetime. Not too many of us that ended up in this field, although I do know a few. As for the notes, RU-vid doesn't make it easy to find Membership content. You have to go to the "Community" tab to find the posts for members and thats where I have the link to the Dropbox and the password changes for each month. Patreon does make it easier to find everything. Please let me know if you are able to find it ok, otherwise, yeah certainly just move to Patreon and I think its a bit easier there! I really do appreciate your support!
@xindin265
@xindin265 2 года назад
Thank you for the good videos, where can I get transcripts of the content? Also, can you post something on ECG reading and 12 leads?
@ICUAdvantage
@ICUAdvantage 2 года назад
There a links in the descriptions for the notes if that’s what your talking about. They are available to either RU-vid or Patreon members. I do also have a whole series on ECG but nothing on 12-lead yet.
@xindin265
@xindin265 2 года назад
@@ICUAdvantage I went over the ECG, thank you for the hard work and great explanation
@ICUAdvantage
@ICUAdvantage 2 года назад
@@xindin265 My pleasure!
@kermitgaines854
@kermitgaines854 2 года назад
Just joined and not being able to retrieve the notes. How long does it take for membership to kick in. Thank you
@ICUAdvantage
@ICUAdvantage 2 года назад
Just a heads up that I responded to you on the community post
@gautamnatraj2917
@gautamnatraj2917 2 года назад
At 10 min 12 sec of this video , you mentioned that, Regardless of what the SBP /DBP, MAP will remain relatively the same . I did not understand why you had to mention the statement. MAP will differ based on patients contractility status, patients blood vessel resistance etc., right?
@ICUAdvantage
@ICUAdvantage 2 года назад
I should have been more clear. What I meant was, if all other factors the same (same CO, HR, volume status, etc) if the only difference is how elastic the vessel is, you will see different SBP and DBP when comparing elastic and not, but the MAP will be the same even though the SBP/DBPs are different. Hope that makes sense.
@kateholmes4536
@kateholmes4536 2 года назад
I know how busy you've been but can you update on covid treatments as are done now. Please.
@ICUAdvantage
@ICUAdvantage 2 года назад
Honestly, we are kind of doing the same stuff as early on which I mostly covered already. There hasn't really been anything significantly different :|
@captaindbheadcase1303
@captaindbheadcase1303 2 года назад
Can inserting an A line lead to nerve damage in the wrist?
@girlyp0px
@girlyp0px 2 года назад
I’d image if inserted incorrectly or if multiple attempts were made.
@vkov0
@vkov0 Год назад
Yes it can. It's not a common complication, but it is possible.
@aljunaid3152
@aljunaid3152 20 дней назад
Hi. I am member, how can I access the notes?
@ICUAdvantage
@ICUAdvantage 19 дней назад
Hi and welcome and thanks for your support with membership! If you go to the "Community" tab from the main ICU Advantage RU-vid page, you'll see the members only posts there. Look for the most recent video posted as that will have the link to the Dropbox as well as the current password.
@aljunaid3152
@aljunaid3152 19 дней назад
@@ICUAdvantage Thank you 😊
@khloebellamommy7696
@khloebellamommy7696 2 месяца назад
What’s the chances of infection?
@K2WR7
@K2WR7 2 года назад
There is a tiny little detail at the illustration in the intro. Branches originating from aortic arch should be presented posteriorly to the brachiocephalic vains also sublclavian vain is anatomicly anteriorly to sublclavian artery. But as always, love the content and can't write how much I appreciate your job. Once I become an ICU resident and start earning some money, I will definitely become a patron to repay at least a little bit.
@medicalmatters6728
@medicalmatters6728 2 года назад
Hi
@ICUAdvantage
@ICUAdvantage 2 года назад
Hello!
@lovya007a.s6
@lovya007a.s6 2 месяца назад
So a art line is not a sheath?
@carlesc5497
@carlesc5497 2 года назад
An A-line is mandatory if we are trying to provide proper high quality patient care.
@ICUAdvantage
@ICUAdvantage 2 года назад
Depending on the situation, but I don't disagree
@silver7139
@silver7139 2 года назад
Lol “don’t be that person” - Eddie, 2021 👍
@JayyThaoSRNA
@JayyThaoSRNA 2 года назад
I hate it when people say “more accurate” for arterial lines. As an experienced RN, I understand what you mean when you say that but a newer RN or an RN who is not familiar with arterial line will think that arterial lines are ALWAYS more accurate than a BP cuff which is simply untrue. And I think an important addition to your video about art lines would be close correlation between the arterial blood pressure and NIBP. If your BP cuff is reading a systolic BP of 170 and your art line is reading a systolic BP of 60, then you know that there is some troubleshooting needed.
@ICUAdvantage
@ICUAdvantage 2 года назад
I hear ya, but I tried to be very clear and repeatedly stated if it is properly working. This series is going to be 5 lessons long probably and I will be covering more info that has to do with being able to determine how well the line is functioning, as well as assessment and troubleshooting, which are all necessary in this equation.
@JayyThaoSRNA
@JayyThaoSRNA 2 года назад
@Tyrell Jackson I never said that he said that they’re “always” more accurate. I’m saying that an RN who is unfamiliar with arterial lines will think that arterial lines are always more accurate than BP cuffs because someone else says that they’re more accurate. An arterial line will only be as accurate as the RN’s ability to correctly interpret arterial waveforms, correctly identify abnormal waveforms, correctly trouble shoot the system, and correctly maintain a working arterial line system. So if you have an RN who doesn’t know anything about arterial lines, who isn’t able to identify if the arterial waveforms are adequate or not, who isn’t able to tell when they need to troubleshoot the system, then indeed, you may have an inaccurate arterial BP reading. So we cannot conclude that arterial lines are “more” accurate. I will also add, the accuracy of arterial BP readings and their waveforms become significantly decreased after X amount of days. So we can’t say that arterial lines are “more” accurate. However, we can say that when a fairly new arterial line has adequate waveforms, the NS bag is adequately pressurized, the transducer is appropriate leveled and zeroed, and the patient is not moving their arm drastically, then yes, the arterial BP reading can be more accurate that the BP cuff.
@Kim-cj2fl
@Kim-cj2fl Год назад
here’s the thing though - only certain units accept art lines so if you’re an RN working in a specialty area that uses them, you are responsible for learning how they function/how to ensure accuracy. this education really doesn’t apply to nurses who don’t take patients with art lines (ie most med surg nurses). so it’s really not misleading
@nickisnyder3450
@nickisnyder3450 5 месяцев назад
Hopefully there aren't any RNs in ICU who don't know that, lol
@drewg3087
@drewg3087 2 месяца назад
It is more accurate though. The goal is to have the Maps match up.
@raghavendram7360
@raghavendram7360 2 года назад
Your narration is too fast...
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