10 results
Swan Ganz - Pulmonary Artery Catheter Basics

Nick Mark MD @nickmmark

#PA #SwanGanz #Pulmonary #Artery #Catheter #Basics #Diagnosis
MD @nickmmark #PA ... #SwanGanz #Pulmonary ... #Basics #Diagnosis ... #Management #CriticalCare ... #ICU #pressures
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,
Pulmonary Artery ... Medicine @ucsdim #PA ... #Pulmonary #Artery ... #Hemodynamics #Cardiology ... #diagnosis
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Regurgitation - Elevated Pulmonary ... Artery Systolic ... Pressure - Decreased ... #diagnosis #Right ... #Ventricular #cardiology
Severe functional TR (w/o color and CW Doppler) on TTE 2D and 3D
How do we estimate
artery pressure ... PA dilation, short ... PA acceleration ... indeed useless for PA ... #pocus
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... • PH (mean PAP ... ARTERY PULSATILITY ... #diagnosis #cardiology ... #swanganz
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Alveolar Hemorrhage (DAH ... edema), Lung Exam, POCUS ... #criticalcare
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... pressors. ... Echocardiogram #ultrasound #Cardiology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... artery pressure ... , Pulmonary artery ... 3 Woods units, PA ... #management #hepatology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... • PULMONARY A ... Tolerance #testing #diagnosis ... #criticalcare # ... comparison #challenges #management
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... right ventricular pressure ... First episode or PAF ... Fibrillation #AFib #diagnosis ... #management #cardiology