How to calculate SPV and PPV and how to use them for accessing fluid responsiveness in ICU

How to calculate SPV and PPV and how to use them for accessing fluid responsiveness in ICU
#pulsepressurevariation #ppv #systolicpressurevariation #spvlog999
In the above video, dr ankur is explaining what are SPV and PPV, and how to calculate and use them for accessing the fluid responsiveness in ICU.
These can be easily calculated from arterial line graph.
The ICU Channel is a project by Educational Society of Bedside Intensive Care Medicine (ESBICM) for providing forever free bedside intensive care education to doctors and nurses working in ICU & ED. Other than this channel, we provide the following streams of learning; have a look below, we would love to see you there.
1. icu.in forums:
If you have any doubt regarding any video or topic, you can post in comment section or discuss on icu.in forums @ icu.in/forums/index.php (icu.in forums are mainly used to give a detailed reply on simple or complex topics so that the doubt is thoroughly discussed and clarified)
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On our instagram account we share interesting images from ICU which we feel are critical for learning and this helps in picking daily signs in icu quickly and more easily:
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3. Telegram group of ESBICM
We use the telegram group to and share updates and answer random queries which usually requires simple clarification (not detailed discussion); also it’s a good way to remained connected with a personal touch.
You can join the ESBICM telegram group from the following link:
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If you have telegram app on your phone, simply search ESBICM and you can find us there.
4. Database gallery of icu.in forums
This is a regular update library where you can access and ALSO contribute to it which remains helpful for all the learners for years to come.
You can access the icu.in database gallery at the following link:
icu.in/forums/index.php?media/
5. ESBICM membership form with its own perks (free for doctors and nurses):
docs.google.com/forms/d/e/1FA...
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We conduct the free online classes on TH-cam as well as zoom ; info of these is posted on telegram group and the TH-cam community posts.
If you want to suggest a video topic, please post on the icu.in forums at the following section:
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Playlists on The ICU Channel:
To make it simple, we have divided the content on the channel into 6 playlists as follows. You can browse them at your comfort and need.
Playlists on The ICU Channel by ESBICM channel:
1. Mechanical Ventilation and ABGs
• Master basics of invas...
2. Theory lectures and ICU case discussions
• How one single step ‘m...
3. Practical topics and interesting observations in ICU
• Pacemaker and MRI? Imp...
4. Intensive care nursing (ICU & ED)
• How to ZERO an arteria...
5. Interpretation of lab. Investigations in ICU
• How to pick "drip arm ...
6. Commonly used drugs in ICU
• What is the difference...
7. ICU case series
• ICU Case series (new) ...
Brief Info:
1. ESBICM: Educational Society of Bedside Intensive Care Medicine is an organization with the mission to change the way intensive care is delivered in the world today using this platform for providing FREE Bedside Intensive Care Education to every healthcare professional involved in care of critically ill patients.
Its vision is to strengthen the bedside intensive care even in the smallest and most remote ICU of the world.
More details on esbicm.com #esbicm
2. icu.in …sharing what’s critical
icu.in is an online platform by ESBICM to provide free academic activities under one roof. The icu.in forums and ICU database gallery are its core strengths. icu.in #icu_in
3. The ICU Channel
The ICU Channel is the official TH-cam channel of ESBICM. / theicuchannel
We hope that this small effort of ours will be of some help to those working in ICU and emergency department. #theicuchannel
Dr. Ankur,
Intensivist and a learning teacher,
Founder President, ESBICM
Be curious and keep learning!

[@TheICUChannel]

You need an arterial line to calculate SPV and PPV, simple .

[@Abdulrahman-qx3ie]

One of the best channels for ICU topics learning

[@sasagalal]

Thank you for the clear explanation with an example 🙏

[@ritathomas3353]

Thank you for what you do..great teaching

[@mdalauddinbhuiya5194]

Thank you sir , its very informative and very helpful for new Doctors ❤️💙

[@bhaveshkumar9981]

Nice 👍

[@rubyjoseph4285]

Thank you sir. Example of ECG during video is very made more understanding.

[@TheICUChannel]

Thanks for being a regular watcher .

[@arpitadas6240]

thank you for making this video🙏🏻
fluid responsiveness is a question that stumps me often. At least theoretically i have understood thanks to this video 😊

[@arpitadas6240]

how much fluid should be given in fluid challenge?

[@TheICUChannel]

Depends … if LV ok , we have 500 ml and if LV poor , 100-200 bolus , … then depending on the fluid status plan fluids .
The SPV and PPV are one the many parameters which indirectly help to access fluid status .

[@shardendu06]

Thank you sir, for explaining with example..🙏

[@TheICUChannel]

Thanks shardendu

[@nawafnawaf2538]

Great🙏

[@ajji555]

Thank you sir

[@vishalpanchal6391]

it really helped

[@TheICUChannel]

glad it was helpful

[@divyamohan661]

Sir could u pls explain a bit about CVP monitoring in ICU

[@Ignatius7778]

How to do a passive leg raising accurately?

[@medicallecturebyshashikantsir]

Sir please make detailed viedos on ventilator setting and according to patients condition how can we take nest step for procedure.

[@TheICUChannel]

Sure, please post request ok icu.in/forums

[@sheikhulalam5430]

Thank you sir, Pls tell us how to calculated SVV

[@TheICUChannel]

you need flotrac like devices hemodynamic devices for that.

[@nishasekar3328]

One query
In limitations, it's written TV more than 7-8 or less than 4ml/kg will not cause variation...but you have explained as false high and false low which is of course related to intrathoracic pressure variation...which is correct? Will we get a false variation or no variation?

[@TheICUChannel]

Low TV will not cause much swings because pressure variation is low ; very high TV will also not cause variation as BP will mostly low …, that’s the catch I read

[@nishasekar3328]

So no variation in extremes of tidal volume and no influence of TV in SPV and PPV in normal ranges of Tidal volume?

[@dineshverma-kz6ip]

Sir mujhe complete ecg aache s sikhnii h kaise ecg dekhte h plz sir muje suggest kroo khaa s pduu plz sir 🙏🙏🙏

[@TheICUChannel]

Below are 2 videos , hope they could be of help .
How to read an ECG in a simple and practical way | HINDI | RegularCrisis
th-cam.com/video/tUcci2AIXXU/w-d-xo.html
Understanding CLINICAL Basics of ECG/EKG interpretation, Dr.Akhilesh Jain, [HINGLISH], RegularCrisis
th-cam.com/video/Wrbv1A8mhck/w-d-xo.html

[@painanddetox1394]

sir isnt passive leg raise response a simpler solution ?

[@TheICUChannel]

that is different method. just see how it can be done..you need to monitor cardiac output in it.

[@ranjithkumar-rm8zw]

how much fluid was given for this patient sir ?

[@TheICUChannel]

can't remember exactly , but approx 2 liters was given.

[@rommelcativo4452]

thank you sir

[@TheICUChannel]

Most welcome

[@divyamohan661]

Sir could u pls explain a bit about CVP monitoring in ICU