I dont beleive this nonesense. HOpefully you were there to enlighten me. What SPECIFICALLY did/could the Eicu doc suggest that made the difference??? Other than watching in some kind of weird...
Dinith88 replied to medicrnohio's topic in Cardiac
Thats a good post. PVC's have causes, and depending on this, some drugs are better than others...or not indicated at all. For instance...what if pvc's/bigeminy are being caused by hypokalemia? Replace...
Is it me, or this not a dumb a concept??? Why in the world would lab results be first relayed to a remote location rather than to the bedside critical-care team?!?!?! Even if a panic value is...
At first i kinda thought this made sense...but after a bit i felt differently. If your ICU is unfamiliar and 'anxious' over infrequent treatments...then these patients need sent away rather than an...
Doug...i thought i was done with this but you keep drawing me back :) First off..that study you linked has nothing to with anything we've discussed. To put it simply: the study is mentioning rapid...
...OK, now you're talking silly. Listen, if you defibrilate a heart chamber it doesnt generate any measurable output/systole. Also, shocking an a-fib is how you convert (ATTEMPT to convert) a-fib, not...
Understood... However, if, as you say, "they're not intrusive...do not call for stupid issues..." then what/how do they do what they're doing? Give me an example of why they would call... And my...
I think it's stupid and a waste of time. If i'm an icu nurse with any real ability, i'll be able to monitor and care for my 2 patients...and take care of them well. I dont need a camera pointed at my...
OK doug, earlier at work i had a discussion with the head-nurse of the Ep-dept. at my place of employment. According to her, as i've said repeatedly, an atrium that is in a-fib cannot be paced....for...
Have you ever seen someone get whapped by one of these? It's awful. They say it feels like getting kicked in the chest by a horse. Quite different from a pacemaker discharge...even if it is less...
Indeed it does sense electrical activity. However, to go further...it senses the electrical 'depolarization' of the atria...which in essence is the atrial contraction. Unfortunately, In a-fib the...
A question to you would be 'why' would you desire to pace an asymptomatic sinus bradycardia?? Secondly, symptomatic sinus brady is rare... usually caused by meds, vagal stim., etc. and usually...
Doug, i'll look into this and thanks for your input. The notion that you can pace/capture a fibrillating atria is a strange one. Regardless of the 'sensing threshold' stuff, when a pacer 'fires' on...
Thats actually a little mixed-up. A 'true' atrial tach can surely be broken by adenosine beacuse it 's CAUSED by a re-entrant pathway. (Adenosine induces asystole long enough for the SA node to...
Dinith88 replied to WakingLife's topic in MICU, SICU
As a spin off... I think it's more difficult to deal with grieving(sp?) families in crisis mode...(especially w/unexpected/unwanted/unprepared death) than with anything else. Any experienced ICU...
Doug, i agree with ethelbsnrn here...if you could explain this it would be helpful. The ep-docs i work with have explained to me that because of the chaotic 'electrical-static' nature of a-fib...
It's actually less complicated when you're talking blocks. Simply because AAI wont/cant be used. DDD wont work in afib (you're right, cant pace a fibrillating atria). So..in blocks DDD would be...
Hey doug, what do you mean by 'shorten the life of your wires'? I've never ever seen (or heard of) those things burning-out or otherwise going bad. Surely you mean something else, as they could...
If a pacer is in AAI, it 'watches' the atrium and paces the atria if need be. The big issue is that in heart blocks the atria may be 'firing' at a normal or accelerated rate, and the ventricle...
I beleive there've been a few notable studies that suggest the RRT improves mortality/morbidity, etc. (first coming out of Australia??)... Anyway, actually the study i would *like* to see done isnt so...
Thats a nice array of studies. However, my question wasnt regarding staffing levels/ratios (i think that staffing ratios affecting pt mortality/outcomes is a no brainer thats been studied alot). I was...
Yuck. Have you really done that ? :imbar I agree with you about all that patient safety stuff. I just cant see the difference in responding to a code (where you're off the unit-others watching your...