Page 308 - Clinical Application of Mechanical Ventilation

Chapter 10

Hemodynamic Monitoring

David W. Chang
Gary Hamelin

Outline

Introduction PAP Measurements
Invasive Hemodynamic Pulmonary Capillary Wedge
Monitoring Pressure
Technical Background Components of Pulmonary Capillary
Units of Measurement Wedge Pressure Waveform
Types of Catheters PCWP Measurements
Arterial Catheter Verification of the Wedged Position
Insertion of Arterial Catheter Cardiac Output and Cardiac Index
Normal Arterial Pressure and Mean Summary of Preloads and Afterloads
Arterial Pressure Calculated Hemodynamic Values
Pulse Pressure Stroke Volume and Stroke Volume
Potential Problems with Arterial Index
Catheter Oxygen Consumption and Oxygen
Central Venous Catheter Consumption Index
Insertion of Central Venous Catheter Pulmonary Vascular Resistance
Components of Central Venous Systemic Vascular Resistance
Pressure Waveform Mixed Venous Oxygen Saturation
CVP Measurements Decrease in Mixed Venous Oxygen
Pulmonary Artery Catheter Saturation
Insertion of Pulmonary Artery Increase in Mixed Venous Oxygen
Catheter Saturation
Components of Pulmonary Arterial Less-Invasive Hemodynamic
Pressure Waveform Monitoring

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