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Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... #Diagnosis #PACatheter ... #NormalValues # ... Chambers #Wedge #PCWP ... #Pressures #SVR
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Normal Cardiac Pressures ... Right Atrial Pressure ... Central Venous Pressure ... (PCWP): • 8-12 ... RHC #cardiology #diagnosis
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
Central venous pressure ... (PCWP) ● Cardiac ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP ... Interpretation #Diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... ↓ CO, ↑ SVR, ↓ PCWP ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... #Differential #Diagnosis
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Pulmonary Artery Pressures ... Reflects the pressure ... or pericardial pressure ... #calculations #pressures ... artery #catheter #diagnosis
Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
<8 • Aortic pressure ... Normal/Low • PCWP ... mmHg • PADP-PCWP ... 10 • Aortic pressure ... Echocardiogram #comparison #diagnosis
Pulmonary Artery Catheter Pressures Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2 HFrEF,
Artery Catheter Pressures ... Mean PAP <25, PCWP ... Artery #Catheter #Pressures ... Hemodynamics #Cardiology #diagnosis
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP Peak Inspiratory Pressure (PIP): Dynamic pressure needed
Peak Inspiratory Pressure ... (PIP): Dynamic pressure ... Plateau Pressure ... (Static pressure ... #CriticalCare #Diagnosis
Right Heart Catheterization Waveforms and Pressures Right Atrial Pressure: • Mean: 1-5 mm Hg Right Ventricular Pressure: •
Waveforms and Pressures ... Right Atrial Pressure ... Right Ventricular Pressure ... Pulmonary-Artery Pressure ... normal #wedge #diagnosis
Mechanical Cardiac Support Devices Compared Cannula Size - Insertion Technique - Haemodynarnic Support IABP: • Afterload: Reduced •
Slightly reduced • PCW ... pressure: Slightly ... pressure: Reduced ... pressure: Reduced ... pressure: Slightly
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