Changes to our PA Catheter Waveforms and Values!
ฝัง
- เผยแพร่เมื่อ 28 มิ.ย. 2024
- A discussion of the changes in waveforms and values we see.
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In this lesson we dive into the abnormals with our PA cath waveforms and values. We have already previous discussed the normals for both of these, but with our sick ICU patients, we often will see variations in these values and waveforms and its important to understand why we see them and what they mean.
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0:00 Intro
2:05 RAP
7:45 PA vs RV
8:52 PAP
13:57 PCWP/PAOP
19:14 Wrap Up
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can you make video on LA pressure line as well? We seems to use it often on patient with PH
Thank you so much for this! I am a new grad starting in the CVICU. My provider was explaining why he was concerned about my pt having rising numbers and it didn’t add up to me. Very few resources are available that explain the why to these numbers. And what combinations of these different numbers can indicate! More of this!!
Awesome and congrats on the new CVICU position. If you haven't seen the rest already I've done a lot in this series just on PA caths so you'll have to checkout the playlist. Glad they were able to help things click for you with what you were seeing.
Wonderful
Thank you!
One thing that doesn’t make sense to me is why PA pressure would decrease with PE? I would think it would increase .No?
Completely understand the confusion as I certainly didn’t cover it well.
The effects of PE can actually vary based on where we measure, location and size of PE, and impact to hemodynamics. Some cases decreased while in others, as you expected, increased pressures.
I’ll probably end up doing an in-depth lesson on PE as it’s definitely a good topic to cover.
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Ty!
👍
Diastolic PA is higher than Diastole of RV
(in 8 min. 40 sec. of video)
True, but if you only see the one waveform, we can't rely solely on the numbers as we can have elevations in RV that mimic PA values. The descending vs ascending diastole is the best indicator