What is CRRT? - CRRT Explained!
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- เผยแพร่เมื่อ 4 มิ.ย. 2024
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In this second lesson, we talk about what exactly is CRRT, why we use it, and then go on to talk about some basics about the machine and how it operates. This lesson, and especially the way our CRRT machine works, will serve as the foundation to move through the next lessons in this series talking about CRRT principals, therapies, anticoagulation, and some general pearls of wisdom!
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0:00 Intro
1:14 What is CRRT?
4:43 Basics of the machine
13:52 Conclusion
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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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I have joined to get the notes. But i am not able to see. kindly guide me
This man is a national treasure, so thorough and helpful.
Haha thanks Danny!
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.
So glad to hear that this video helped to put it all together Shirlee! Thats my hope and goal with doing these.
I'm crying. Thank you so much for your generosity and patience and kindness to share this with us! :')
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.
About to go into an orientation shift taking a CRRT patient. These videos really help me break down the components and prepare well!
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!
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!
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!
You did an AWESOME job. I am returning to the ICU after an 8-year absence. This will help me get back on track immediately. THANK YOU.
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 !
Very happy to hear this was helpful for you Heidi! What brought about the change to CRRT finally?
Just wanted to say thank you for these videos and your knowledge. Such a treat to have these available for free on youtube.
Thanks Matthew. It really is amazing what is out there with this platform these days!
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
Thank you so much. I'm a newer RN but am not CC. It really helped me understand this so I can inform my family how it works
This was a great refresher! Really diggin this series! Thank you for taking the time!
Sweet!! I'm glad you are liking it. I may be a little partial, but I think the series is great! :)
Great Series, helped me alot on the beginning of my ICU Rotation
This was beyond excellent, thank-you!
Thank you for clear explanations! Super helpful!
Thank you very much, you explain all this stuff so simple, please continue, I can't wait to see the next chapter of this video.
So glad to hear this! Thank you and happy that you enjoyed it.
Thanks for explaining the CRRT! You are a great teacher!
Thanks for that Lee. Glad you enjoyed it
This lesson was amazing!!! Can't wait for the next one.
A few more good ones coming in this series 😊
This is a great video about CRRT. I'm going to share it with our new nurses about to start learning. Thank you for posting this.
Awesome! Thank you so much for sharing along and I hope others find it useful!
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!
Hoping for a speedy recovery for your family member and glad you enjoyed the video.
Thank you! I am currently doing my filter pack and your videos helped me a lot!
Awesome! Glad to be able to help!
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
Excellent video, Eddie! I'm in nursing school and this, along with many of your other videos, has been incredibly beneficial!
Thats so awesome! So glad these videos have been such a help to you. Best of luck finishing out nursing school and beginning your nursing journey!
new learner on CRRT finds this is easy to understand 🙌🙌
Thank you for these videos Eddie! I just started my externship on PICU and find these videos so helpful. Can't wait to go through the rest of them :)
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!
Thank you! I'm learning so much from you. I tell everyone about your channel! 🌼😊
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.
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
Welcome back! Glad to hear the videos have been helpful for you in your transition back.
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!
Love to listen to your lesson! Very clear explanation! Thank you very much!
Appreciate that! Happy to hear they are helpful.
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!
Amazing video. Drawings were so detailed, clear, and easy to follow
Thank you so much Gabriel!
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.
This is great to hear Felix! Happy to hear that is was helpful for you!
Your videos are so easy to understand, I love them, thank you!☺️
Happy to hear this! Thank you Mia and glad you enjoy them
As a Biomedical Engineering Technician - this content is fantastic
Very good lesson! Looking forward to watching the following ones. Thanks a lot!
Glad to hear you liked it and I hope you enjoyed the others as well!
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! 😊
Been waiting for this. Yehey!!! Next with the mode please. Thank you.
Yay!! Next lesson is on the principals and then after that is the modes 😊
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.
Fantastic lesson, keep up the good work!
I am a certified HD/CTICU RN. This was VERY VERY well explained. 👏
So awesome to hear! Thank you Anaya!! :)
Studying CRRT so I can take care of sicker patients. Thanks Dr. Watson.
Nice. They def tend to be sicker for sure. And no Dr!
Thanks! Explained clearly!
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.
How can i like these videos more than once?
Amazing work. Thank you so much.
Help understand what's happening with my friend.
I'm so sorry to hear about your friend and hoping for a speedy recovery for them! Take care.
@@ICUAdvantage You're so kind-hearted, thank you. We will fight on
As a dialysis nurse at a level 1 trauma center this is perfect!!
Thanks April!
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!
Thanks Eddie . U r doing amazing work. 👍❤️
Wow, thank you so much. I appreciate that!
Fantastic lecture. Keep up the good work!
Thank you so much!
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
Interesting! I haven't seen concurrent flow, but I certainly haven't seen it all. Thanks for sharing!
I love this !! its very helpful😊😊
EXCELLENT..I am a ICURN ..actually attending a 6hour class tomorrow.needed a overview first...thanks ,Kathy RN BSN
Thanks Kathy. Glad you liked it and hope the class went well.
New icu nurse, thanks for sharing very helpful.
Welcome to the world of critical care nursing Victoria! Glad you liked the video!
Thanks for the explanation!
Truly my pleasure!
Oh wao. Absolutely clear and precise.
Thank you! Glad you liked it!
You are the best teacher, after two months of internships I did not understand anything... But now I have an idea... Asante Sana mwalimu 🇰🇪🇰🇪🙏🙏❤️
Woohoo!! Happy to hear this and glad to be able to help.
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
Thank you so much! Glad you are liking the videos and that they are proving helpful for you. Thanks for taking the time to leave a comment.
Very helpful explanation... Thanks
Great to hear!
Thank you so much this channel is helpful 💛
So happy to hear this!
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!
So good. Well done. Thank you, Thank you, Thank you
You are very welcome Ty! Really glad that you liked it!
Thank you, very good explanation
Awesome to hear this! Thank you.
Excellent session. Thanks.
Very welcome. Glad you enjoyed it.
Great vid. Thanks.
Thanks again for a great lesson!!
My pleasure Tristian!
Thanks so clearly explained
Glad to hear it!
Very useful video 😊 thanks for sharing!
My pleasure 😊
You’re the best! Period!
I really appreciate that! 😊
Excellent explanation, thanks 😊
Really appreciate that!
Awesome video!!
Brilliant video
Well presented
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.
Not all hospital are trained or can offer it. It is beneficial for many pts
Thank you. learning much from your channel
So awesome to hear this. Glad to be able to help!
Fantastic basic lesson on CRRT !
Thank you. Also do you sell any DVDs?
Hi Eddie, your channel is truly the best. I hope you read this comment and answer my question. I have years of experience dealing with crrt. but this is one of the things i don't fully understood. The fluid replacement(purple), we can set in the machine as pre or post dilution right? my confusion came between with this replacement fluid and the PBP fluid(white). what is each significance and difference between them? If the nephrologist order a pre dilution 1000 ml/hr, can we used both of the pumps or one is enough? like we set only PBP 1000 ml/hr and set the purple zero or just purple fluid set at 1000 ml/hr in pre dilution?
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! :)
This is great Chavonne! It is a LOT, especially as a new grad. One day at a time. Glad I could help along the way.
Very clearly presented, and easy to understand.
So great to hear this! Thank you!
Eddie, could you please explain what are the instances when the Effluent pressure becomes "positive"? Great lecture btw 👍
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.
Great video. You can have a positive access pressure, if it is connected to a ecmo circuit.
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.
Another great lesson!
Thanks Rob! I really like this series!
Thank u so much man .......
Awesome lesson!
Thank you so much!
Thank you
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.
Thank you Theodore! I'm doing my best to cover as many topics as I can over time!
Brilliant! Thanks
Wow thank you!!
Very informative!!
Glad you think so!
Well explained 👍
Awesome to hear! :)
thank you so much!!!!!! 🤩
You're welcome! 😊
nice and clear!
Glad you liked it!
Great explanation👌👌👌
Thank you 😃
Great video!
Thank you
Thank you.
You're welcome
Can you please explain how to calculate patient fluid removal rate for next hour?
Waiting for your next video on this lesson
Coming soon!
So good! Very interesting content) from Russia with great respect!)))
Thank you Eddie for a great lesson. When having problems with the access pressure (too negative) we were told to swap the access to the blue and return to the red, will that result in poor clearance of toxins as you mentioned that the catheter tip has proximal and distal ends? Thanks
It depends on the type of catheter you use and how it manages flow of those lumens, but potentially yes.