❤🙏🏼 Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support Notes for this lesson (and all previous lessons) are availably only to KZitem and Patreon members. Links to join both here ⬇ ► KZitem: adv.icu/ym | ► Patreon: adv.icu/pm
@lordtark6736
2 жыл бұрын
This guy is a national treasure.
@ICUAdvantage
2 жыл бұрын
Thanks for the kind words!
@cjamonwilliams
2 жыл бұрын
Amen
@luizperezdacosta1726
4 ай бұрын
international hahaha from Brazil and it helps a lot! thanks awesome content
@muhammadhammad7765
2 жыл бұрын
After 2 years i finally got it.. thanks
@ICUAdvantage
2 жыл бұрын
Woohoo!!!
@riseup6112
Жыл бұрын
What? is the APB innervated by the ulnar nerve or median? I learned in medical school its median.
@autumnwillett168
2 жыл бұрын
I love that you explain in depth, including the physiology behind the concept. Its so in depth, yet clear and concise. I only transferred to the ICU six months ago from Med-surg, and your videos have been instrumental in my learning process! Thank you so much for all the time and effort you put into your videos, rest assured that they are very much appreciated!
@ICUAdvantage
2 жыл бұрын
This is great to hear Autumn! I was always the type to try and understand what was happening underneath to try and understand the what and why of what I was doing, so I try and do the same. I'm glad that you like it!
@manaliphilip3681
2 жыл бұрын
Would like to share I was in my icu nd my patient needed to be assessed for tof....I earlier was not at all clear About the topic.... luckily ur videos are such good I carry it out in the icu nd I relate the concept so very well nd really it made me so knowledgeable ..ur channel is a blessing for me..thanku so much ❤️
@ICUAdvantage
2 жыл бұрын
So awesome! Really happy to hear this. Its truly my goal to try and help give people the understanding and knowledge to be able to apply it when working in the ICU, so its great to hear this. Thank you!
@farhanqadeer82
2 жыл бұрын
Are you planning to do Neuro ICU stuff like EVD management, weaning, ?
@ICUAdvantage
2 жыл бұрын
Yeah I've got more Neuro (including EVDs) on the todo list.
@miracleiweala9016
2 жыл бұрын
Can you do a video on ketamine drip? Also can you do a video differentiating different scans and their purpose, for example, ct vs ultrasound , or mri
@ICUAdvantage
2 жыл бұрын
I do have Ketamine on the todo list. Good suggestion for the scans. I'll add that one. Thank you.
@juliealanis2941
2 жыл бұрын
Can you please review the BIS monitor next?!
@tedihollingshead5777
2 жыл бұрын
I agree!
@ICUAdvantage
2 жыл бұрын
Hopefully soon. I do have it on the todo list! 😊
@cdbuskist1136
2 жыл бұрын
Just wondering your thoughts on use of TOF vs simply looking at ventilator compliance? It's quite difficult to get consistent and accurate TOF due to site access caused edema, dressings or proning as well as other nurses who started the TOF but elicited muscle contractions vs nerve contractions. I can't tell you how many times I've seen electrodes over the eye brows or both electrodes directly over the ulnar nerve. I also have read some recent articles that suggest that ventilator compliance may be a better measure..titrating the drip until no breath stacking is evident.
@ICUAdvantage
2 жыл бұрын
There definitely are a lot of issues at play with TOF, especially if everyone is not on the same page. All the more reason for better education and ensuring that everyone is doing things the proper way. That said, it really depends on what you are using the paralytic for. I think TOF is just another tool like anything else we have. We shouldn't always rely on it but it can be useful just as other methods. I think, especially in the age of COVID, there is a lot of benefit in titrating to vent compliance without the need for TOF, but we have many other uses for paralytics too. The biggest problem with them is ensuring that we have adequate paralysis with the very least amount needed for the shortest period of time needed. Its obviously not an exact science but there certainly are consequences to getting it wrong and I think a proper TOF really helps here.
@yanqingdeng8074
Жыл бұрын
thank you so much for sharing the videos, so easy to understand how it works, love it !!!I am a new anaesthetic nurse, can you please share some how ventilator works and numbers on the monitoring screens. very appreciated !!!🙏
@nicholeregul4906
2 жыл бұрын
Great increase in paralytic use during the Covid waves. A lot of old paralytic policies and techniques surfaced at hospitals. TOF was used by many for the first time. This video is a wonderful resource for all those thrust into titration of paralytics. During that time and in future. Thank you
@ICUAdvantage
2 жыл бұрын
Yeah TOF in a lot of places has gone to the wayside for now and just titrating to vent compliance. Unfortunately the risks are still there but its also being used a lot more and not enough equipment often supplied by the hospitals.
@nclexstudio
2 жыл бұрын
He is so good and deserves national award. God bless you
@ICUAdvantage
2 жыл бұрын
Appreciate the kind words!
@jollysamuel9384
2 жыл бұрын
I got transferred to ICU a month ago and I listened to this video one morning as I got to work early. That day we had to give NMBA to my pt. You don’t know how happy I was to practice the TOF😀. I was sad that we had to paralyze the pt, but your lesson helped me to practice the procedure safely!!!
@manjeetkhosa9589
2 жыл бұрын
Thank you so much.. Beautifully explained..... extremely helpful video. Keep up with the great work.
@ICUAdvantage
2 жыл бұрын
Thank you so much! Really great to hear this!
@DavidTiptonJr
2 жыл бұрын
Enter me directly inside the weekly gift card, Eddie. I'm ready.
@ICUAdvantage
2 жыл бұрын
Ahh, sorry I was behind on this one! Here's the link! adv.icu/3d1AiqR
@SpirosSarafidis
2 жыл бұрын
Great video 🙏🏼 ,,, calm voice ! Nowadays medical students are so lucky that people like you exist to show them through videos how medicine works.
@ICUAdvantage
2 жыл бұрын
Thank you for taking the time to leave a comment! Happy to hear the video was well received!
@lcopeland3306
2 жыл бұрын
Fantastic video! Thank you!
@vsiift9373
2 жыл бұрын
thank you so much for what you do honestly
@wq.0ia
2 жыл бұрын
Thank you so much! This is really helping me with my science fair project!!
@ICUAdvantage
2 жыл бұрын
Glad to help!
@cameliaa8069
2 жыл бұрын
Perfect explanation. Thank you!
@ICUAdvantage
2 жыл бұрын
Appreciate that! Thank you and glad you liked it.
@Ecaecaterina1
Жыл бұрын
My question is why is the negative distal and positive proximal? i use anode distal and cathode proximal for both ulnar and tibial stimulation.
@girsavior
Ай бұрын
Great video! Sincerely, a CCRN to CRNA (student)
@user-nu3el2mo2w
9 ай бұрын
New grad here in the icu. I've watching you channel for a while. Thank you so much!
@bigstrongrobot1330
2 жыл бұрын
hello thank you for the video i am actually not a medical student but i'm searching for videos on how the nervous system works and how the sensors of the human body works. so please if you have any video like this in your channel recommend it for me ^^
@shmilyx007
2 жыл бұрын
Thanks for the great explanation.I Finally understand how TOF works exactly
@sebastianstellus
17 күн бұрын
Useful information, Thank you
@ICUAdvantage
17 күн бұрын
Glad it was helpful!
@stevesauck7001
2 жыл бұрын
I maybe getting this soon, has anyone on this post have this done, and does it work well? Thanks
@basiru-abionaopeyemi301
3 ай бұрын
Thank you so much for making it simple ❤🎉
@angelaryals431
2 жыл бұрын
So helpful! Thank you!
@ICUAdvantage
2 жыл бұрын
You're so welcome!
@shainydsouza6555
Жыл бұрын
Can we repeat train of four immediately if we are unsure about the result?
@bahiachibi895
6 ай бұрын
Amazing 😊👏 👏 👏
@ПолинаТошева-ч1щ
2 жыл бұрын
I love this chanel. You explain everything really well and easy to understand.
@alexwonner7469
3 ай бұрын
Stunning! Tks
@prachinagrale4626
6 ай бұрын
Soooo good
@mehrnazamirpour138
Жыл бұрын
Thank you for such informative and useful information on TOF. All your hardwork is appreciated.
@ICUAdvantage
Жыл бұрын
You are most welcome
@shanemckenzie8681
2 жыл бұрын
Thank You.. I’m not even in my 1st half of Nursing School, but I know this will help in my future🙂
@ICUAdvantage
2 жыл бұрын
Congrats on starting your program. Lots of good info on this channel with a lot of it applying towards the end of your program.
@SpirosSarafidis
2 жыл бұрын
Ευχαριστούμε!
@ICUAdvantage
2 жыл бұрын
Thank you so much!
@dadventure8754
2 жыл бұрын
First to comment. I super love your videos 😊
@ICUAdvantage
2 жыл бұрын
Woohoo!! Glad to hear this!
@dadventure8754
2 жыл бұрын
4th yr nursing student in the Philippines
@ruthanna4713
Жыл бұрын
Would it then be better to stimulate the facial nerve when monitoring patient's neuromuscular blockage, during operation where both arms need to be positioned out of reach? What are the potential side effects in this stimulation?
@ICUAdvantage
Жыл бұрын
Sure, if the arms aren't going to be accessible, then yeah use the facial nerve. That said, if you had wires to run out from the arm, you'd probably be ok if all was working well to begin with. No issues that I'm aware of regarding one site over the other and its a very much acceptable site to use.
@ruthanna4713
Жыл бұрын
@@ICUAdvantage Thanks. Very few here have ever considered it, it's a bit extreme to some.
@shanekaervin6733
10 ай бұрын
Can you do a video on BIS monitoring?
@asenatiraq09shop70
7 ай бұрын
شكراً الشرح كلششش مررتب❤❤❤
@ICUAdvantage
7 ай бұрын
❤️
@zoeyzhang7587
2 жыл бұрын
This channel is really awesome, and thank you for your sharing!
@ICUAdvantage
2 жыл бұрын
So great to hear this!! Truly my pleasure.
@syedbukhari2146
2 жыл бұрын
Your voice is like we are sitting in aeroplan and the pilot is making announcement
@ICUAdvantage
2 жыл бұрын
Lol thank you?
@shanekaervin6733
10 ай бұрын
This video was very helpful. Thank you
@ICUAdvantage
7 ай бұрын
You are so welcome!
@michieldemeyer2197
Жыл бұрын
16:41 great video, but I'm pretty sure succinyl-choline is a depolarizing blocker, but you used it as an example for a non-depolarizing, if I am not mistaken
@ICUAdvantage
Жыл бұрын
Thank you! And yeah that is what I said, but I could see how that may be confusing as I started talking about non-depolarizing NMBs first.
@michieldemeyer2197
Жыл бұрын
It was still a very helpful video, and it's true that it could be interpreted differently, making it correct, but it was a bit confusing, yes, but keep making helpful content :D
@osvaldolopez4823
2 жыл бұрын
Thank you so much, great video!
@ICUAdvantage
2 жыл бұрын
You're very welcome!
@ndofhiwanesengani9559
2 жыл бұрын
Thank you from South Africa 👌👌
@ICUAdvantage
2 жыл бұрын
So cool! My pleasure!
@am9891
Жыл бұрын
U are the best
@ICUAdvantage
Жыл бұрын
Appreciate that!
@aneeshmyneni6409
Жыл бұрын
Thank you
@JuanPerez-mk5nv
2 жыл бұрын
How did you get so knowledgeable??
@ICUAdvantage
2 жыл бұрын
Its truly just about time. The more you do something the more you will learn. That said, I do also put in time and research into my videos to make sure I cover everything and hit all the points I want to, so remembers its always a never ending learning process for all of us.
@Kk-fl8be
2 жыл бұрын
common what are you? amazing!!
@ICUAdvantage
2 жыл бұрын
Appreciate that. Thank you!
@abdoueid7195
9 ай бұрын
Excellent
@maryamsharafi933
Жыл бұрын
Perfect
@ICUAdvantage
Жыл бұрын
Thank you
@dr.mukulkanojia
2 жыл бұрын
Thanks From India 🇮🇳
@ICUAdvantage
2 жыл бұрын
You're welcome!
@jackdaniels4368
2 жыл бұрын
Great content
@papisht3107
2 жыл бұрын
Thank you
@ICUAdvantage
2 жыл бұрын
You're welcome
@mustafaalshekh990
2 жыл бұрын
Thx alot
@ICUAdvantage
2 жыл бұрын
You’re welcome!
@andrewb9670
2 жыл бұрын
What if the patient is given a NMBA bolus or an infusion started before you’re able to assess supramaximal stimulation. How do you manage the TOF assessment over the hours or days that follow when you have no baseline to work from?
@meganrussell2652
2 жыл бұрын
I would like to know this as well!
@ICUAdvantage
2 жыл бұрын
Great question. At that point, you would essentially do the same thing. It's just going to be harder to ensure that you've got it at the right level and might end up at a higher level. It's not the end of the world as going with a stronger output won't make them twitch anymore.
@amdrd465
2 жыл бұрын
Eddie, if I'm giving high dose fentanyl and propofol, does that affect the twitching?
Пікірлер: 106