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clinical diagnosis ultrasound cardiology differential echocardiogram management pulmonary algorithm abdominal a4c anesthesia criticalcare checklist physicalexam ophthalmology pathophysiology workup anesthesiology lung
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Normal Cardiac Pressures ... Right Atrial Pressure ... Central Venous Pressure ... Right Ventricular Pressure ... (PCWP): • 8-12
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
Interpretation of Pressures ... Central venous pressure ... (PCWP) ● Cardiac ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... , narrow pulse pressure ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... findings based on cause
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Pulmonary Artery Pressures ... TRANSMURAL FILLING PRESSURE ... Reflects the pressure ... or pericardial pressure ... #calculations #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,
Artery Catheter Pressures ... Mean PAP <25, PCWP ... Artery #Catheter #Pressures
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP Peak Inspiratory Pressure (PIP): Dynamic pressure needed
Peak Inspiratory Pressure ... (PIP): Dynamic pressure ... ) Inspiratory Pause ... Plateau Pressure ... (Static pressure
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 ... mmHg • PADP-PCWP
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
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
artery occlusion pressure ... capillary wedge pressure ... -right atrial pressure ... Chambers #Wedge #PCWP ... #Pressures #SVR
APRV - Overview Airway pressure release ventilation (APRV) uses prolonged periods of high continuous positive airway
Overview Airway pressure ... ventilation (APRV) uses ... positive airway pressures ... brief episodes of pressure ... release to a lower pressure
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