Hemodynamic Monitoring

From Anvita Health Wiki

Contents 1 Indications 2 Procedure 3 More General Terms 4 Additional Terms 5 References

Indications

• to distinquish cardiogenic from non-cardiogenic pulmonary edema
• optimize fluid balance & PEEP levels in patients with ARDS
• guide therapy of pulmonary hypertension
• management of shock states

Procedure

• Hemodynamic parameters (normal values)
• pressures ( mm Hg)

• systemic arterial pressures

• peak systolic/end diastolic: 100-140/60-90
• mean: 70-105

• left ventricle peak systolic/end diastolic: 100-140/3-12
• left atrium or pulmonary capillary wedge pressure

• mean: 2-10
• a wave: 3-15
• v wave: 2-10

• pulmonary artery

• peak systolic/end diastolic:13-30/4-12
• mean: 9-18

• right ventricle peak systolic/end diastolic:15-30/2-8
• right atrium

• mean: 2-8
• a wave: 2-10
• v wave: 2-10

• resistances (dynes x sec/cm2)

• systemic vascular resistance: 700-1600
• pulmonary vascular resistance: 20-130

• cardiac output ( CO): 3.5-5.5 L/min

• cardiac index ( CI): 2.6 to 4.2 L/min/m2

• oxygen consumption index: 110 to 150 L/min/m2
• arteriovenous oxygen consumption: 30 to 50 mL/L

More General Terms

• cardiac catheterization

Additional Terms

• 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

References

Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998

hemodynamic monitoring