Shock and Hemodynamics in the CCU with Dr. Brown

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  • เผยแพร่เมื่อ 24 พ.ย. 2024

ความคิดเห็น • 58

  • @prettygirl1024
    @prettygirl1024 7 ปีที่แล้ว +15

    I just learned more in an hour with this video than I have in 6 months in the CCU! It finally makes sense!

    • @UofLIM
      @UofLIM  7 ปีที่แล้ว

      We are so happy this lecture worked for you! Check out our website for other lectures you might be interested in! www.louisvillelectures.org/test-imls-home-page

  • @oOoironhideoOo
    @oOoironhideoOo 8 ปีที่แล้ว +6

    Best. Teacher. Ever.

    • @UofLIM
      @UofLIM  8 ปีที่แล้ว +1

      +oOoironhideoOo We think she is pretty awesome as well!

  • @RichardSparks
    @RichardSparks 8 ปีที่แล้ว +8

    Dimes, nickels, quarters!! This helped me so much!

  • @DrAgaKhan
    @DrAgaKhan 3 ปีที่แล้ว +2

    Love ... No words to express my Thanks ... Best One

  • @whynotjustmyusername
    @whynotjustmyusername ปีที่แล้ว

    5:42 I'd suggest an alteration to that shock list. Here you have mixed pathophysiological and aetiological types of shock.
    Pathophysiological types describe how exactly the dysfunction of circulation and perfusion is happening, it is purely fluid mechanic question. Of those there are four:
    -hypovolaemic
    -distributive
    -cardiogenic
    -obstructive
    In other words, this is how "the pump, the tank and the pipes" can go wrong.
    Shock is rarely a matter of just one pathopyhsiological aspect.
    The aetiological classification describes how you get to those states, among others, there are:
    -septic (causing a mix of hypovolaemic (through capillary leak) and distributive (through vasoplegia) shock)
    -anaphylactic (causing a mix of hypovolaemic and distributive shock, similarly to septic shock)
    -neurogenic (causing a mix of distributive and cardiogenic shock)
    -haemorrhagic (causing hypovolaemic shock)
    And exactly because these types of shock have different pathophysiological aspects, they should not go with the items of the first list.

  • @alexanderrotolo1566
    @alexanderrotolo1566 4 ปีที่แล้ว +1

    Love it! Great prep for CVICU rotation.

  • @EyeWatchU2B
    @EyeWatchU2B 4 ปีที่แล้ว +4

    Great interactive lecture! Really liked the "name that shock" activity!

    • @jefferyjulio4915
      @jefferyjulio4915 3 ปีที่แล้ว

      i guess Im randomly asking but does anybody know a trick to get back into an instagram account??
      I stupidly lost my password. I would appreciate any assistance you can give me.

    • @mohammadmaximilian3077
      @mohammadmaximilian3077 3 ปีที่แล้ว

      @Jeffery Julio instablaster :)

    • @jefferyjulio4915
      @jefferyjulio4915 3 ปีที่แล้ว

      @Mohammad Maximilian thanks so much for your reply. I got to the site through google and I'm in the hacking process now.
      Looks like it's gonna take a while so I will get back to you later when my account password hopefully is recovered.

    • @jefferyjulio4915
      @jefferyjulio4915 3 ปีที่แล้ว

      @Mohammad Maximilian It did the trick and I now got access to my account again. Im so happy:D
      Thank you so much, you saved my ass!

    • @mohammadmaximilian3077
      @mohammadmaximilian3077 3 ปีที่แล้ว

      @Jeffery Julio You are welcome =)

  • @kishornellikonda6062
    @kishornellikonda6062 3 ปีที่แล้ว +2

    Very useful lectures. Thanks a lot 👍

  • @aliiraq9655
    @aliiraq9655 4 ปีที่แล้ว +2

    Beautiful lecture .. thank you ..

  • @JM-nh8yp
    @JM-nh8yp 5 ปีที่แล้ว +1

    Good video. I do disagree with her illustration of preload. She says at 27:30 that a hose barely turned on is low preload and on high is high preload. But the valve on the hose controls pressure, not the preload of volume. The city water tank being filled provides the preload. If the tank is empty, you can open the valve all you want and you wont get the preload.

  • @joanhmoore
    @joanhmoore 8 ปีที่แล้ว +1

    Thank you for making this fun!, I understand hemo much better. Thank you!!!!

    • @UofLIM
      @UofLIM  8 ปีที่แล้ว

      That's great news!

  • @darshanru1
    @darshanru1 6 ปีที่แล้ว +2

    Nice lecture.
    But, if this is from 2015, why is it, that you're still quoting the American-European consensus definition for ARDS?
    The Berlin definition has kicked out the PCWP

  • @susanchristineknisely3546
    @susanchristineknisely3546 7 ปีที่แล้ว +4

    When I started in the ICU EVERY PATIENT had a Swan. I think patients had faster outcomes with Swans. Great video.

  • @hk6474
    @hk6474 3 ปีที่แล้ว +3

    32:39 Should the arrow for MvO2 in the Hypovolemic shock row be pointing down rather than up due to decreased flow rate and normal organ oxygenation ability

    • @mohakgpt
      @mohakgpt ปีที่แล้ว +1

      Yes MVO2 decreases in hypovolemic I observed the same thing

    • @jackrubinmd677
      @jackrubinmd677 3 หลายเดือนก่อน

      😊

  • @burninsage7126
    @burninsage7126 5 ปีที่แล้ว +2

    Thank you! What a high quality lecture.

  • @mortonmachir9059
    @mortonmachir9059 5 ปีที่แล้ว +2

    Great as always Dr. Brown. If you get wind of this you should drop a Billy Madison reference "stop looking at me swan" when talking about swanz ganz catheters. It would be supper funny... keep up these videos they are great!

  • @safaaaz5512
    @safaaaz5512 8 ปีที่แล้ว +2

    excellent lecture!

  • @medobullah
    @medobullah ปีที่แล้ว

    can i download it so it can be easier to watch offline

  • @elizabethr3746
    @elizabethr3746 4 ปีที่แล้ว

    Really awesome lecture!! I just wish there was video with it

  • @DroptineTrans
    @DroptineTrans 5 ปีที่แล้ว +1

    Cool video, Just subscribed!

  • @apophisxo4480
    @apophisxo4480 7 ปีที่แล้ว +1

    Great lecture!!! Thank you :)

  • @A.--.
    @A.--. ปีที่แล้ว

    Body primarily preserves MAP, pH and Osmolarity beacuse it can only sense pressure (vascular baroreceptors) or pH (cns chemoreceptors) or Osmolar pressure (cns osmoreceptors). These 3 constitution the circulatory sensors of the body. The circulatory actors include vagal tone, sympathetic drive, ADH, ACTH.
    These sensors & actors basically keep the circulation flowing enough to deliver adequate nutrients and remove adequate toxins.

  • @maheshbborhade
    @maheshbborhade 4 ปีที่แล้ว +2

    What is Nelson now ? I bet he must be either cardiologist or intesivist.

  • @andysok06
    @andysok06 4 ปีที่แล้ว +1

    love the physio explanations of this video. makes so much sense. thank you. oh, and the dimes, nickels, quarters!! :)

  • @bomhayhay
    @bomhayhay 7 ปีที่แล้ว +2

    thanks

  • @Dogdoo2121
    @Dogdoo2121 6 ปีที่แล้ว +1

    Cardiovascular Critical Care Core Curriculum

  • @justlovely5761
    @justlovely5761 8 ปีที่แล้ว +4

    amazing and i need to find out who Nelson is lol dude answering all the questions! lol #tutormoi

  • @drnitupandeyvlogs793
    @drnitupandeyvlogs793 4 ปีที่แล้ว

    awesome!!!!!!!!!

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    @BrewsterRegina หลายเดือนก่อน

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    @ayeshaa44 4 ปีที่แล้ว

    wow

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  • @theywalkinguptoyouand4060
    @theywalkinguptoyouand4060 7 ปีที่แล้ว

    Candy? Ooh someone's been watching grey's anatomy.

  • @billa4166
    @billa4166 8 ปีที่แล้ว

    I think I'm in love....

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  • @shan5582
    @shan5582 6 ปีที่แล้ว

    great lecture!

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    @AudreyMalia หลายเดือนก่อน

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    @ClaraTina-h8f หลายเดือนก่อน

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