Contents

Search

hemodynamic monitoring

Indications: 1) to distinquish cardiogenic from non-cardiogenic pulmonary edema 2) optimize fluid balance & PEEP levels in patients with ARDS 3) guide therapy of pulmonary hypertension 4) management of shock states Procedure: 1) pressures* (mm Hg) a) systemic arterial pressures - peak systolic/end diastolic: 100-140/60-90 - mean: 70-105 b) left ventricle peak systolic/end diastolic: 100-140/3-12 c) left atrium or pulmonary capillary wedge pressure - mean: 2-10 - a wave: 3-15 - v wave: 2-10 d) pulmonary artery - peak systolic/end diastolic:13-30/4-12 - mean: 9-18 e) right ventricle peak systolic/end diastolic:15-30/2-8 f) right atrium - mean: 2-8 - a wave: 2-10 - v wave: 2-10 2) resistances* (dynes x sec/cm2) - systemic vascular resistance: 700-1600 - pulmonary vascular resistance: 20-130 3) cardiac output* (CO): 3.5-5.5 L/min - cardiac index (CI): 2.6 to 4.2 L/min/m2 4) oxygen consumption index*: 110 to 150 L/min/m2 5) arteriovenous oxygen consumption*: 30 to 50 mL/L * hemodynamic parameters (normal values)

Related

arterial pressure pulmonary artery occlusive pressure (PAoP); pulmonary capillary wedge pressure (PCWP) pulmonary vascular resistance (PVR) Swan-Ganz catheter (pulmonary artery catheter) systemic (peripheral) vascular resistance (SVR, PVR) venous pressure

General

cardiac catheterization

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
  2. Teboul JL, Saugel B, Cecconi M et al Less invasive hemodynamic monitoring in critically ill patients. Intensive Care Med. 2016 Sep;42(9):1350-9. Epub 2016 May 7. PMID: 27155605