You just opened my eyes to how this works. The person that taught me make is so difficult and I was not really getting it till nows. Thanks so much for doing this lessons.
Really enjoying your videos. I had a CRRT patient the other day and it was the first time in 6 months, and thats only after learning CRRT at the beginning of the year. I'm able to go through the motions, but I wasn't understanding all the pieces. I've only watched the first two videos of the series, but already feel so much more informed. Thank you for putting the time in and making these awesome videos.
Thank you for this very informative video. As a critical care nurse (of 14 yrs) CRRT is new to our ICU . We had 2 days of training and most recently I was able to apply my new knowledge on 2 patients back to back receiving CRRT in our ICU. This video really helps to explain the process very clearly. Thank you !
Thank you so much for this! I showed these videos to my orientee instead of the ones our hospital had. This was far easier to follow, it even enchanced my understanding as well!
Thank you so much for you videos! You are gifted at being able to break down critical topics into comprehendible videos. I am in my last semester of nursing school and just landed my first job in burn and trauma SICU! Your videos are helping me prepare me for what is coming my way!
How exciting Malori! Congrats on the new job, thats amazing. And thank you for taking the time to leave me a comment. I really appreciate the kind words and so glad to hear that I was able to explain this stuff in ways that are understandable!
I really like the way you explain your lessons, plus it's animated so it's easier to understand. Your voice also is soothing and calm. Thank you for all the learnings! Keep going!
Thanks for your videos Eddie! I’m currently in a very small town ICU, but I’ll be moving to the city and starting in a large teaching CVICU later this month. Your videos have been a helpful foundation for new devices & hemodynamics.
Congrats on the new job! How exciting! Its going to be a bit different, as I'm sure you are aware, but it'll be such a great journey. So glad my videos can help you along that journey! 😊
This was great. My mom is currently in ICU, and instead of using this method to help my mom, the Dr gave her regular dialysis, and it was too aggressive. That method they chose caused her to have heart failure, which caused some brain damage. They didn't even mention CRRT nor SLED, they just did what they wanted to do. Hurtful.
Hi. I am a new ICU RN, and a few days ago I started to use this machine. Thank you so much to make these videos. It helps me a lot to understand what I am doing.
I'm a nurse that took a hiatus and going through all your videos as a refresher. I wish I had you when I was in nursing school! Thank you so much for your videos
Thank you for these videos, at first I was like. ooop 4 vids?! but knowing your videos its all worth it once you put it all together and it feels less overwhelming. I recently oriented to a CRRT patient and I kept documents the access, filter, affluent and return pressure but was never told what they meant-UNTIL NOW!! makes so much sense.
Haha thanks Karen! Yeah I truly try to break down the topics into bite sized pieces and especially with complex topics like this, I like the break them up over several lessons and have them build on one another. Its funny, because I don't go into it thinking I'll do X number of videos. I just start going and as I realize its A LOT of info, I start to break it down. I mean, as an example, I managed to make Arterial Lines go on for 6 lessons........ haha
Thank you for making such a great, user friendly video converting CRRT. This video was very useful when researching the therapies my family member is going through s/p open heart surgery. Thank you again for your knowledge and excellent content!
This series is so much better than what they do during preceptorship at my facility. My exposure before having to take a CRRT patient was writing down numbers for someone during half a shift.
Wow, thank you so much Tasha! That's really unfortunate about your introduction to CRRT. We certainly deserve more, especially considering the complexity of these patients.
So awesome! So glad to hear this from you Dana! And thank you so much for passing along the word. I hope these videos can help as many people as possible.
Just started working in a cviuc and being able to atleast familiarize myself with processes prior to learning them with my preceptor is fantastic. Thank you!
I totally understood this part thanks to you. I want to move on to understanding the entire process so I'll check out your other videos on the topic. Thanks
Great video. I am a new grad in the ED. I was taking care of an ICU patient the other day (we didn’t have any ICU beds so we were holding the patient in the ED) and the nephrologist ordered CRRT, which I’d never heard of. The patient ended up getting stat dialysis because his K+ was way off (I’m assuming it was elevated but I don’t remember) and he was hypotensive, so I had to start a levophed drip. It was cool to see the dialysis nurse come in and do the dialysis treatment. It also made me want to learn more about dialysis and CRRT. Thank you!
Really glad you liked it Denise! I always loved a good CRRT patient. Usually very sick and complex. For very high K we often will try to dialize that is it’s much quicker but if unable we can also use dialysate on CRRT that is 2K to drive the potassium down quicker.
Thank you so much. I just started working as a CICU and I'm so grateful for your videos. As a new grad the ICU can be intimidating, but you are helping to make this transition less daunting. Thanks again! :)
Hey Eddie, just pulled a temporary HD cath on a pt we had on CRRT for about a week. I did a little playing with the HD cath, as any good icu nurse would do 😅 and found that this cath didn’t have a distal and proximal port, but slit ports on different sides of the lumen at the same depth. I had a Doc question me in this recently so it was nice to see that I was right, that the ports were not at different depths on the cath. Just thought I’d share in case someone else was confused about what they are seeing. Thanks for your videos! Love em!
Hey Juan, thanks for sharing! So I did some digging myself and apparently there are 3 main types of HD lines. The split line, staggered, and squared (as you described). There seems to be much debate about what is best out there!
I have to saw this was super helpful cause i had some things messed up in my mind and this video really helped me clear them out. Thank you for making this video.
This is awesome to hear. This is why I make these videos. Hopefully some video will help someone to make something click or make more sense. Thank you for taking the time to leave a comment!
How exciting Kristie! Congrats on the externship. So cool! So glad that you liked the video and I hope you enjoy the rest. Best of luck on your externship!
I haven’t been qualified to take CRRT course yet as I am a new ICU nurse. I have always been wondering how it works. I’m looking forward to the next lessons. Thanks a lot as always. 👍
More than glad to help and happy to hear you liked the video. Its always good to learn about things that are new, especially in the ICU. Best wishes on your new journey in critical care!
I found these excellent vides which are really helping me to understand the complex session in very much simplified way. Thanks to the expert. I am from India-Dr R A S Kushwaha MD
Great question Louis! So I wish I had an exact answer but my best guess is in the situations where we are pulling off little to no fluid or actually running them positive and some of the natural forces to move water across the membrane (such as osmotic pressure) lead the machine to detect more fluid moving across than we should be so it then exerts some positive pressure the resist this water movement. Again, wish I had a better answer for you, but this seems to make sense to me. Again this isn't all that common but I have seen it multiple times before.
Eddie, if you have time...could you do common occurrences and normal values using the prismaflex such as if the filter pressure is 400+ or tmp pressure is 200+ or if return pressure is negative and what to do? Not sure if that makes ends.
Interesting. Makes sense. We don't run our CRRT in our ECMO circuit. They used to years ago before I did ECMO. Does the positive access pressure not throw off the machine from running properly?
It will alarm initially, but it is the soft alarm you can bypass. We don’t do it on every ecmo, but it is easier to add to the circuit rather than placing a line. On the downside, it seems more dangerous, especially on VA ecmo.
@@Andy99933 Good to know! I believe they stopped running it through the circuit due to some serious incidents that occurred and therefore we just always use an HD line.
Again. Thank you for the amazing job.I believe for the filter position it can be concurrent to counter -current . Not necassiraily blood flow from bottom
Thanks for the video....i like your presentation ...it makes me easier to understand the stuff in ICU....perhaps you can gv more detail in explaination of the procedures in ICU and basic physiology behind it and in depth so that newbie like me can learn better.
