I just accepted an ICU position as a new grad and I watch your videos before my interview. I was asked about pressors and sedatives and I was able to answer those questions thanks to you! My new boss was very impressed I had that knowledge as a new grad. Thank you so much! I definitely subscribed and will be coming back for more. Thank you!
Oh wow! How amazing! First off congrats on the new ICU position. Thats so exciting. Also I'm incredibly humbled to hear all that and to know that I was able to help you in that process in some way. Really glad you enjoy the content and look forward to seeing you around. Congrats again!
I’m really happy for you, me either I’m a new grad nurse,and I just received an Email this morning saying that my interview for PICU position is in a couple of weeks, so I immediately came to this channel to get ready , wish me luck y’all
Crystal-clear. I’m an anesthetist who has been working more than 15 years in ICU (training included). I never take anything for granted, certainly not on the professional level despite my exerience. Your streams are a blessing those who want to stay tuned, improve, refresh or just learn.
This is one of the best Chest Tube explanatory videos I've watched. I'm teaching 3rd year nurses in Australia and came across your video to refresh my knowledge - I couldn't have asked for a clearer overview. I'll be staying tuned for more great content! Keep it up.
You are the reason why I am going to graduate nursing school! I watched all your videos for my CV, shock and hemodynamics unit exam. Class average was a 69% but thanks to you I was able to not only understand but scored a 85%. Thank you for everything you do!
Thank you for this video. I am the patient who spent 10 days with the modern version of this setup after 14 months with pleural catheters and vacuum drainage bottles at home. Started at the beginning of Covid-19 (4/2020), ended with mrsa (6/2021) at end of effusions. Looking at device I was hooked up to, bilateral devices and ct's it was hard to tell what volumes came from where. As a scientist, it was an interesting experience that was successful. All clear now to the amazement of my caregivers, family and friends. (They all let me know this.) Glad to learn more about it from the non-pt perspective.
Thank you so much for taking the time to create these videos! As a COVID-19 graduate, we did not experience a lot of clinical rotations so I never got a chance to really see how this all works together. I have watched other videos and lectures but this was so much more understandable and clear to me.
Yeah I can't even imagine trying to learn through all of this and being new in this environment. Hats of to you guys. Glad I was able to make this content digestible for you!
Great work! I particularly liked the way you broke down the function of the three different collection, seal and suction system then showed how they are combined in the modern equipment. Keep up the good work!
Thank you sooo much you’re such a lifesaver!!!! I subscribed right away😊😊 you make learning 10 times easier and 100 times interesting than my professors😂😂😂 Love from Korea!!!!
This was brilliant. In some rural parts of south africa we still use the the two bottle system for our chest drains. I never knew we could use a third bottle to suction... I enjoyed this video
I have absolute admiration and appreciation for the way you made this topic very easy to understand. You rock !!!! Thank you so much. I will be following you to every nook and crook you will be presenting more of your great work from.
You shoulda gone to med school and become an intesivist (DO or MD) at a teaching hospital. Entering IM residency in July, hoping to do pulm/crit. Enjoying brushing thru your vids during my final year of med school. Love the content!
Really glad you enjoy the videos. Best of luck in your residency. I didn't have the commitment for all that schooling and residency 😊 More power to those of you that do!
I just graduated nursing school and I never could wrap my head around this concept or get a good explanation in clinical. I’d look at all the different chambers like ?????😅 Thank you for finally helping me understand 😎
I had one of these when I got stabbed in the lung. Talk about uncomfortable and when it gets pulled out is so painful. Getting stabbed wasn't the painful part but trying to breath was extreme pain. Wanted to die. Bless the nurses around the world.
What a great video! Thank you for explaining the concept so clearly! I was hoping this video could reach a bit further, and expland on the quantification of air leakage (ie. bubbling with forced expiration, expiration only, inspiration only or continuous bubbling, and # of columns the bubbles reach). This would be very useful clinically as well.
I have been having problems with trying to understand chest tubes since learning about them in nursing school. This video is so insightful and has helped me more than any textbook could ever cover! Thank you, thank you, THANK YOU!!!
Thanks Eddie! I was just looking for a chest tube video from you yesterday & this one popped up today! Looking forward to the next lesson on chest tubes from you! Thanks again from Neuro Trauma Sx Burn Nurse! Please keep them coming 😊
Excellent, Even if I know the subject before, once you post a video I am pretty sure that I will get a new information, and that's what actually happened. Thanks a lot.
Thank you so much for the detailed explanation of the physics of chest tube, I was looking for it because I remembered the first episode of The good doctor, in which Shaun Murphy used a bottle to drain a pneumothorax and I thought to myself is it even possible to do it in similar circumstances, and indeed, I hope I never need to use this knowledge :) .... DISCLAIMER :DON'T TRY IT UNLESS YOU REALLY DON'T HAVE ANY ACCESS TO MEDICAL INSTITUTIONS.
This was the best one.Thanks....Considering this video , bubbling during initial hours in pneumothorax is normal until all trapped air in chest cavity evacuated.Is that correct?
Thank you for your awesome videos!! Could you do more videos on the respiratory and gastrointestinal/gu system? Loved your content on cardiac anatomy and hemodynamics 😁
I am trying to work my way around. I truly have a todo list a mile long and not nearly enough time to get to them all lol. Really glad you like the content tho!
Sure. The 3rd tube that goes and submerges into the water is what determines the max amount of suction that will make it to the patient. The deeper it is, the more suction, hence -10cm H20 being less suction than -20cm H2O. If it is submerged lets say 20cm, then the max amount of suction that makes it to the patient is -20cm H2O. Any additional suction pressure above that will just pull air from outside the bottle which is the path of least resistance. Hope that makes sense.
Couple questions, so I understand the concept of wet and dry suction based on your 3 bottle diagram. That being said, just for clarification purposes, are you saying the dry suction gauge on a chest vacc like the oasis is set to open to atmospheric pressure if wall suction pressure is too high? If that's the case, how does that work? Does it utilize the same manual negative pressure release valve we would use? And if that dry suction gauge is essentially a safety mechanism, does setting wall suction above 120 mmgh really matter (exluding ethical reasoning)? Thanks for the time.
One humble suggestion your Logo Animation audio is very loud compared to the narration. It hurts the ear a lot suddenly. If you normalize both to the same level it would be great. But anyways your topics and presentations are great and valuable. Thank you.
I am so much thankful from all your content, I just re assigned at ICU and it was so hard to learn about the new devices and what to be watch out, thank you so much for your detailed explanation and the extra drawing to help us understand better 😁
I understand that water level rises with inspiration,falls with expiration in spontaneous breathing client. But why the situation reverse, that is rise with expiration and fall with inspiration, if client is on mechanical ventilation?
Your patient has chest tube.You are assessing the water seal chamber and you note that the water moves up as the patient inhale and then moves down when the patient exhales .What may be causing this happen
Hey Eddie I am a new grad that works on a tele/pcu trauma floor. I had a patient with a dry suction/dry seal chest tube (Sahara S-1100-08LF) that was currently connected to suction as ordered. An order read "at 9 am set chest tube to water seal". (Background: this patient had serial chest xrays, the last one shown resolved pneumothorax). That did not make any sense to me (yes I know, if there were any questions contact the doctor, but it was 3 am and the order was for 9--which is for day shift). In my head it sounds like they wanted me to change the chest tube system to a water seal from the current dry seal.. logically I think they just wanted nurses to remove the chest tube to suction to drain to gravity. Did I misunderstand the order???
I'm assuming they were just saying to remove suction, but given that I'm not familiar with the dry seal, I'd probably clarify to confirm they don't actually want no suction on a water seal. I'll have to look into the dry seal! Thanks for sharing.
@@TheTruthSeekerMe So cool! Congrats on everything as the commitment you have done is extraordinary. Really happy to have been able to help in some way. Thank you.
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I just accepted an ICU position as a new grad and I watch your videos before my interview. I was asked about pressors and sedatives and I was able to answer those questions thanks to you! My new boss was very impressed I had that knowledge as a new grad. Thank you so much! I definitely subscribed and will be coming back for more. Thank you!
Oh wow! How amazing! First off congrats on the new ICU position. Thats so exciting. Also I'm incredibly humbled to hear all that and to know that I was able to help you in that process in some way. Really glad you enjoy the content and look forward to seeing you around. Congrats again!
hdhdhfh hfjfjfjf hfjfjfjf fhjffhfh hfjfjfjfjjffjb fh
That's what I'm doing now. Interview soon!
I’m really happy for you, me either I’m a new grad nurse,and I just received an Email this morning saying that my interview for PICU position is in a couple of weeks, so I immediately came to this channel to get ready , wish me luck y’all
Crystal-clear. I’m an anesthetist who has been working more than 15 years in ICU (training included). I never take anything for granted, certainly not on the professional level despite my exerience. Your streams are a blessing those who want to stay tuned, improve, refresh or just learn.
Very cool! I really appreciate you taking the time to leave and comment and really glad to hear that you enjoy the content I have made. Take care!
This is one of the best Chest Tube explanatory videos I've watched. I'm teaching 3rd year nurses in Australia and came across your video to refresh my knowledge - I couldn't have asked for a clearer overview. I'll be staying tuned for more great content! Keep it up.
This is so great to hear. Really glad you found it helpful and explained well! Best of luck with your students!!
You are the reason why I am going to graduate nursing school! I watched all your videos for my CV, shock and hemodynamics unit exam. Class average was a 69% but thanks to you I was able to not only understand but scored a 85%. Thank you for everything you do!
Thank you for this video. I am the patient who spent 10 days with the modern version of this setup after 14 months with pleural catheters and vacuum drainage bottles at home. Started at the beginning of Covid-19 (4/2020), ended with mrsa (6/2021) at end of effusions. Looking at device I was hooked up to, bilateral devices and ct's it was hard to tell what volumes came from where. As a scientist, it was an interesting experience that was successful. All clear now to the amazement of my caregivers, family and friends. (They all let me know this.) Glad to learn more about it from the non-pt perspective.
The relationship between the intrapleural pressure and transpulmonray pressure really help bring the overall idea of the CT full circle. Thanks Eddie!
Sweet! Glad you got some good takeaway Michael!
I've have done 3 different critical care training programs and non of them have explain chest tubes as clearly as you! Thank you 💗
Wow, this is so great to hear! Really happy to hear I was able to help it make sense for you!
FACTS tho' !
Thank you so much for taking the time to create these videos! As a COVID-19 graduate, we did not experience a lot of clinical rotations so I never got a chance to really see how this all works together. I have watched other videos and lectures but this was so much more understandable and clear to me.
Yeah I can't even imagine trying to learn through all of this and being new in this environment. Hats of to you guys. Glad I was able to make this content digestible for you!
muchas gracias! no había entendido nada en mi clase hasta que vi tus videos! my hero!
i learn so much in this channel compared to 4 years in school ❤️❤️
Thank you so much Sir
I'm a 2nd year BSN student from India
This video was just awesome 👍🏻
Great work! I particularly liked the way you broke down the function of the three different collection, seal and suction system then showed how they are combined in the modern equipment. Keep up the good work!
Thanks Timothy! I find it fascinating how it all actually works.
Thank you.Very informative.I have inserted many chest drains but never really understood how the bottles work.You made it very clear
Very cool! Glad I was able to help with that. I appreciate the good feedback.
1st year IM resident approved. Thanks for your detailed explanation.
제 몇년간의 궁금증을 해결해주셨네요. 당신은 날개없는 천사입니까?
Thank you sooo much you’re such a lifesaver!!!! I subscribed right away😊😊 you make learning 10 times easier and 100 times interesting than my professors😂😂😂 Love from Korea!!!!
So cool! Hello in Korea and thanks so much for the awesome comment!
@@ICUAdvantage ❤️❤️
That was beautifully explained! Thank you so much! Breaking it down into 3 bottles makes so much more sense!
This was brilliant. In some rural parts of south africa we still use the the two bottle system for our chest drains. I never knew we could use a third bottle to suction...
I enjoyed this video
Oh wow! I didn't know they were still used. Very cool! Glad you liked the video.
@@ICUAdvantage it was brilliant
This was the most concise explanation of chest tubes I've ever received. Thank you so much.
Wow, so awesome to hear this Steven!
Excellent video! Your skill of communication with the drawings makes learning so much more memorable, in depth, and easy to understand!
I really appreciate that! Glad to know my methods are actually helpful :) Always my goal to help these concepts click
U re reading my mind! I searched this topic on your channel last night 🤩 and boom 💥 it is here❤️
Haha love it! Love when it works out like that!
GREAT! This is very helpful, especially that I'm taking the NCLEX examination this October. Thank you thank you!
This video is amazing!! Studying for my RN tests and this content helps to visualize how it all works!! Love it!
Thank you!!!
I really value this channel and how it's organized, very beg thanks and it desirve the support . With big heart
I have absolute admiration and appreciation for the way you made this topic very easy to understand. You rock !!!! Thank you so much. I will be following you to every nook and crook you will be presenting more of your great work from.
Thank you so much for this! Really appreciate the kind words and happy to hear you enjoy these lessons.
Thank you so much for this video with excellent explanations. Easily the best video on this subject on youtube.
This lesson is fantastic! Excellent pace and amount of details. Loved it. Thank you so much!
Great to hear this! Really glad ya liked it
Thanks for breaking it all down so nicely!
You are very welcome Cassandre! Glad you enjoyed this one as well :)
Thank you very much! This is the most useful youtube teaching video about chest tube physiology.
Glad it was helpful!
Thank you so much for this brilliant explanation! This really made the subject a lot easier to understand.
Really glad to hear this Laura! Glad you enjoyed the video.
You shoulda gone to med school and become an intesivist (DO or MD) at a teaching hospital.
Entering IM residency in July, hoping to do pulm/crit. Enjoying brushing thru your vids during my final year of med school.
Love the content!
Really glad you enjoy the videos. Best of luck in your residency. I didn't have the commitment for all that schooling and residency 😊 More power to those of you that do!
I just graduated nursing school and I never could wrap my head around this concept or get a good explanation in clinical. I’d look at all the different chambers like ?????😅 Thank you for finally helping me understand 😎
YAAAS!!! So happy to hear this Kristen! Truly glad to be able to help it click. So awesome!
I had one of these when I got stabbed in the lung. Talk about uncomfortable and when it gets pulled out is so painful. Getting stabbed wasn't the painful part but trying to breath was extreme pain. Wanted to die. Bless the nurses around the world.
Well done!
Wish I knew all that when my father was in the ICU after his heart transplant.
Thank you!
so clear....thank you coming from an old RN....i used the 3 bottle system
Very cool! I bet that was a pain to get setup. And to think some complain about this setup haha. Glad you enjoyed the lesson.
This was very clear and concise, thank you for your amazing explanation!
Amazing! Perfectly explained! I needed this. Thank you very much!
Awesome to hear Camelia! Glad you liked it! 😊
Awesome breakdown, understanding = learning. Thanks!
Exactly! That’s why I always try to explain the foundations first with everything. Really helps everything make more sense.
You explained it very clearly. Thank you so much💐
Thank you for amazing tutorials. Thank you for sharing knowledge to help us help patients 🙏🙏🙏
Truly my pleasure. Thanks for the comment and glad you found it helpful!
Thanks for this excelent video!
Will be using some of the content for my future lessons about chest tubes :)
I wish we had such channels when we were new to medicine .. very well explained
Right!! I would have loved something like this back in the day! :)
Thank you so much for the over view. Amazing like always Ed!
Appreciate that! Really glad you liked it!
@@ICUAdvantage I always like your videos.... your nailing it always ;)
Right when I needed this video for both my patients. Thank you!
Niiice! Love it!
You have great pace and manageable depth in your videos! Please keep it up!
Thanks Samuel. I appreciate that feedback. Glad you like it. I will def keep it up!
What a great video! Thank you for explaining the concept so clearly! I was hoping this video could reach a bit further, and expland on the quantification of air leakage (ie. bubbling with forced expiration, expiration only, inspiration only or continuous bubbling, and # of columns the bubbles reach). This would be very useful clinically as well.
Coming up in the next lesson... ;)
I have been having problems with trying to understand chest tubes since learning about them in nursing school. This video is so insightful and has helped me more than any textbook could ever cover! Thank you, thank you, THANK YOU!!!
Wow, thank you so much for that Tracey! Appreciate hear that and really happy to know this was helpful for you!
Thank you for sharing your knowledge. And please continue doing this. You explained it so clearly
Thank you so much! I will certainly keep going! :)
Love this! Especially the difference in pressures
Awesome! Glad you liked it Jacob.
super helpful in clarity and description! thank you :)
Thank you Valerie. I appreciate the great feedback!
Thanks Eddie! I was just looking for a chest tube video from you yesterday & this one popped up today! Looking forward to the next lesson on chest tubes from you! Thanks again from Neuro Trauma Sx Burn Nurse! Please keep them coming 😊
Perfect timing!! A lot of my background is Trauma ICU so def a special place in my heart there. And LOTS of chest tubes! 😊
finally understood how chest tube works. thanks
Awesome!!!
Thank you so much for this clear explanation. So helpful.
Youre welcome!
Excellent, Even if I know the subject before, once you post a video I am pretty sure that I will get a new information, and that's what actually happened.
Thanks a lot.
So cool! Thats why I love doing these videos as I'm always picking up on something new too!
Whoa this was some really smart high yield ICU stuff right here lol
This ED nurse has to watch it a few more times to get it
Thank you so much for the detailed explanation of the physics of chest tube, I was looking for it because I remembered the first episode of The good doctor, in which Shaun Murphy used a bottle to drain a pneumothorax and I thought to myself is it even possible to do it in similar circumstances, and indeed, I hope I never need to use this knowledge :)
....
DISCLAIMER :DON'T TRY IT UNLESS YOU REALLY DON'T HAVE ANY ACCESS TO MEDICAL INSTITUTIONS.
This is very helpful for me to understand this Atrium CHest tube drainage system...
Glad to hear it!
Once again, incredible content, Eddie!
Fabulous! Thank you so much and glad you liked it
Great Video, Merry Christmas and Thank you for the great education
Thanks Kevin! Merry Chistmas to you too and glad you enjoy it!
very helpful 🎉 thank you for creating this awesome video!
Glad you liked it!!
Excellent video, thank you
Superb! Thank you so much 👏🏾👏🏾👏🏾🙌🏾
Always love your videos. Thx.
This video is amazing thankyou so much
What a great work you're doing
Keep it up
I really appreciate that. And I will!
Thank you so much for this excellent video! I especially love the drawings
You are so welcome, and thank you! Glad you enjoyed it :)
@@ICUAdvantage I never understood when my teacher explained it to me (。﹏。*)! You're a very good lecturer (〜￣▽￣)〜
Well I really appreciate that and always puts a smile on my face to hear that one of these lessons helps it click for someone!
Marvelous.... Bravo,....Excellent... Zabardast!!!😄😄😄😄
This was the best one.Thanks....Considering this video , bubbling during initial hours in pneumothorax is normal until all trapped air in chest cavity evacuated.Is that correct?
Thank you for your awesome videos!! Could you do more videos on the respiratory and gastrointestinal/gu system? Loved your content on cardiac anatomy and hemodynamics 😁
I am trying to work my way around. I truly have a todo list a mile long and not nearly enough time to get to them all lol. Really glad you like the content tho!
Greaaat explaining. Thank you
You're welcome!
Very informative, thanks for sharing.
Happy to help!
Thank you so much!
Excellent learning resource thank you!
Awesome to hear Mel!
Thank you!
Tysm. Great video. Could u pls explain the suction bottle mechanism in a bit more understandable way. 🙏
Sure. The 3rd tube that goes and submerges into the water is what determines the max amount of suction that will make it to the patient. The deeper it is, the more suction, hence -10cm H20 being less suction than -20cm H2O. If it is submerged lets say 20cm, then the max amount of suction that makes it to the patient is -20cm H2O. Any additional suction pressure above that will just pull air from outside the bottle which is the path of least resistance. Hope that makes sense.
Good illustration. Helpful.
Glad you liked it!
thank you
Thanks so much
Couple questions, so I understand the concept of wet and dry suction based on your 3 bottle diagram. That being said, just for clarification purposes, are you saying the dry suction gauge on a chest vacc like the oasis is set to open to atmospheric pressure if wall suction pressure is too high? If that's the case, how does that work? Does it utilize the same manual negative pressure release valve we would use? And if that dry suction gauge is essentially a safety mechanism, does setting wall suction above 120 mmgh really matter (exluding ethical reasoning)?
Thanks for the time.
One humble suggestion your Logo Animation audio is very loud compared to the narration. It hurts the ear a lot suddenly. If you normalize both to the same level it would be great. But anyways your topics and presentations are great and valuable. Thank you.
Great... Keep up the good work.
Thank you so much. I'll certainly try my best!
I am so much thankful from all your content, I just re assigned at ICU and it was so hard to learn about the new devices and what to be watch out, thank you so much for your detailed explanation and the extra drawing to help us understand better 😁
I understand that water level rises with inspiration,falls with expiration in spontaneous breathing client. But why the situation reverse, that is rise with expiration and fall with inspiration, if client is on mechanical ventilation?
Superb explanation 👍
Glad you liked it
Thank you 🙏 i get it finally😊
Glad it helped
Awesome! Thank You!!!
You're welcome!
Thank you 😃
You're welcome 😊
Wow amazing review!!
Wow thank you so much! 😊 Really glad you liked it.
Your patient has chest tube.You are assessing the water seal chamber and you note that the water moves up as the patient inhale and then moves down when the patient exhales .What may be causing this happen
Nice video it’s really helpful
Happy to hear this!
Excellent
Hey Eddie
I am a new grad that works on a tele/pcu trauma floor. I had a patient with a dry suction/dry seal chest tube (Sahara S-1100-08LF) that was currently connected to suction as ordered. An order read "at 9 am set chest tube to water seal". (Background: this patient had serial chest xrays, the last one shown resolved pneumothorax). That did not make any sense to me (yes I know, if there were any questions contact the doctor, but it was 3 am and the order was for 9--which is for day shift). In my head it sounds like they wanted me to change the chest tube system to a water seal from the current dry seal.. logically I think they just wanted nurses to remove the chest tube to suction to drain to gravity.
Did I misunderstand the order???
I'm assuming they were just saying to remove suction, but given that I'm not familiar with the dry seal, I'd probably clarify to confirm they don't actually want no suction on a water seal. I'll have to look into the dry seal! Thanks for sharing.
This is amazing, thank you. Do you have the lessons with Spanish subtitles or in Spanish?
Glad you liked it. I do not have any Spanish version tho
Well done, sir! In my general hospital, ( without a Pulmonary service ) we tend to see mostly simple one way Heimlich valve systems.
Appreciate that! I’ve def heard of that and debated briefly mentioning about it but I’ve never personally seen one. Very cool.
Amazing thanks
You're welcome!
Thanks!
Thank you so much for this Sherwonna!
Please do and EVD tutorial too
Got it on the todo list!
@@ICUAdvantage thanks for everything u do. I am a critical care medicine fellow and your videos have helped me immensely
@@TheTruthSeekerMe So cool! Congrats on everything as the commitment you have done is extraordinary. Really happy to have been able to help in some way. Thank you.
I like the dark mode!
Me too!
Awesome info 👍
Thanks Ed!