Nicole Kupchik
speaker
2,480 appearances
16 recordings
1 series
first heard Apr 2025
last heard 16 Dec
Nicole Kupchik’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 5 in all, peaking in Dec 2025 with 3.
Appearances
It was often we would find a renal patient who's got CKD or a heart failure patient or even both who was under resuscitated.
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work.
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Yeah, well blood pressure is just a very static measurement, you know.
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And and I don't know if a lot of people know that like when you do a non-invasive blood pressure, it doesn't it's not measuring systole and diastole.
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It's measuring a mean and then it uses a reverse calculation to give you a systolic and diastolic number.
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It's it's I'm always surprised at how many people don't know that.
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just of our own
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Well, and what's interesting is in one of the randomized control trials that was published, they showed that they were able to
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Decrease mechanical vent rates by half.
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When they used a a stroke volume measure.
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And by the way, C R T, they didn't have to do uh
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Well, and they cut that by that was significant reduction in the need for dialysis.
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I think it was ICU length of stay was cut by three days when they use a stroke volume measure.
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Yeah.
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And it's just interesting and I just don't understand why we're still using blood pressure and heart rate to guide fluid.
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precision medicine.
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Yeah, using a stroke volume change with the passive leg raise test.
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Yeah.
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Yeah.
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Yeah.
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Showing 1741–1760 of 2,480 · page 88 of 124
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