Uploaded on:
INVASIVE PRESSURE MONITORING. AIM Information concerning cardio respiratory performance and the effects of therapy in critically ill patients. 1. Arterial Blood Pressure Monitoring 2 . Central Venous Pressure Monitoring 3. Pulmonary Artery Pressure Monitoring
Slide 1

Obtrusive PRESSURE MONITORING AIM Information concerning cardio respiratory execution and the impacts of treatment in basically sick patients

Slide 2

1. Blood vessel Blood Pressure Monitoring 2 . Focal Venous Pressure Monitoring 3. Aspiratory Artery Pressure Monitoring 4. Intra Cranial PressureMonitoring 5. Intra Abdominal Pressure Monitoring

Slide 3

THINGS NEEDED 1. Weight TRANSDUCER 2. Arch 3. Weight TUBINGS(arterial expansion, 3 way stopcock, syringe) 4. Showing UNIT 5. TRANSDUCER STAND 6. Weight BAG WITH NORMAL SALINE 7. CATHETER SET

Slide 5

Pressure transducer Air mineture tough and dispensable gadget These gadget can change over the development of the detecting diaphargm into an electrical flag

Slide 6

Pressure tubings The catheter and stopcock are regularly connected to the flush gadget and transducer by non flexible weight tubing Continous flush gadget use to fill weight observing framework and keep from thickening into the catheter by continously flushing liquid through the framework at the rate of 1 to 3 ml/hr

Slide 7

DISPLAY Pressure waveforms are envisioned on an aligned oscilloscope Digital presentations give a straightforward strategy to showing quantitative information from the weight waveform

Slide 8

CALIBRATION The precision of circulatory strain estimation requires an exact reference point that is the patient mid axillary line Zeroing procedure is finished by shutting the patient side and opening the flip side of the three path to the climate Now squeeze zero

Slide 10

ARTERIAL PRESSURE INDICATIONS Routine estimation of systemic pulse in icu Multiple blood gas investigation PREFERABLE SITES Radial,femoral,dorsalis pedis CANNULATION Collateral perfusion can be assessed by altered allens test

Slide 11

CANNULE 20G INSYTE (spiral) Single lumen 18G seldinger method (femoral) COMPLICATIONS Infection Thrombosis Digital ischemia Vessel harm Bleeding, Nechrosis, Haemotoma

Slide 13


Slide 14

Indications 1.fliid organization 2.TPN hypertonic arrangements 3.vasoactive implantations 4.monitoring for right atrial pressure(CVP) PREPARABLE SITES 1.Internal jugular 2.subclavian 3.brachial 4.femoral

Slide 15

COMPLICATIONS 1.At inclusion blood vessel puncture,pneumothorax,haemothorax 2.passage of wire/catheter arrhythmias,perforation of SVC,RA 3.Thrombosis 4.Catheter embolism

Slide 17


Slide 18

INDICATION Haemodynamic measurement(cardiac yield, stroke volume, systemic vascular resistance) Measurement of right heart pressure(RAP,PAP) Acute aspiratory hypertension Pulmonary embolism Cardiac tamponade Estimation or preload/left heart filling(PAOP) Derivation of oxygen variables(VO2,DO2)

Slide 19

HAEMODYNAMIC MEASUREMENTS 1.CARDIAC OUTPUT a.injectate 10ml 5% dextrose @ room temp b.inject througout the resp cycle c.>3 estimations and disregard values>10% from normal 2.DERIVED VARIABLE a.CO/CI and SVR b.PVR(I), SV(I),LVSWI,RVSWI

View more...