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diagnosis differential clinical management cardiology algorithm pulmonary ultrasound checklist pathophysiology workup anesthesia anesthesiology criticalcare physicalexam echocardiogram intraoperative video comparison ophthalmology
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 ... Pulmonary arterial pressure ... capillary wedge pressure ... x [mean artery pressure
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
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
, narrow pulse pressure ... . narrow pulse pressure ... . narrow pulse pressure ... findings based on cause ... extremities, wide pulse pressure
APRV - Overview Airway pressure release ventilation (APRV) uses prolonged periods of high continuous positive airway
Overview Airway pressure ... positive airway pressures ... brief episodes of pressure ... release to a lower pressure ... intrathoracic pressures
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 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
The cardiac cycle describes each heart beat, incorporating relaxation and contraction. Phase one describes diastole and
& ventricular pressure ... low but atrial pressure ... than ventricular pressure ... Aortic pressure ... the aortic valve closes
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
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
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