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[Music] you all right and welcome back to our next lesson in our series on hemodynamics and in this lesson we are gonna talk about everybodys favorite working in the ICU which is our invasive monitoring so as we all know invasive monitoring is very common in the ICU especially these days we have very sick very complex patients and the various forms of invasive monitoring that we have available to us can really tell us a lot about whats going on with our patients with their hemodynamics how their hemodynamics are responding to the various treatments that were putting in place as well as how their blood flow is being impacted by other forms of treatments that were doing for them so theres a lot of valuable great information that can come from the various invasive monitoring techniques that we have available to us but at the end of the day just remember that it all goes back to the basics so just because certain numbers are telling you certain things on the monitor you still need to