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Hemodynamics Dalhousie Critical Care Lecture Series
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Equations to Live By ,[object Object],[object Object],[object Object],[object Object]
Determinants of SV
The Need for Preload
Preload Estimates with error JVP CVP RAP RVEDP PAD PAWP LVEDP LVEDV
Right Atrial Waveform
Looking Carefully at the JVP/CVP
The Role of Afterload
Afterload paradigm ,[object Object],[object Object],[object Object]
In the end why do we need CO? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What happens when VO 2  > DO 2 ?
 
 
All of Cardiac Physiology  in a Nut Shell
It’s Really All About the SvO 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What number to treat and what is “The Magic Number”? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Magic Number ,[object Object],[object Object],[object Object]
 
The Magic Number ,[object Object],[object Object],[object Object]
Using the Swan-Ganz catheter to diagnose type of shock
Using the Swan-Ganz catheter to diagnose type of shock O 2  extraction +  SVR Septic shock O 2  extraction +  SVR Cardiogenic shock O 2  extraction +  SVR Hypovolemic shock RVEDV PAP  /N PAWP V V Right ventricular failure PAD/PAWP  equalised Cardiac tamponade giant ‘v’ waves on  PAWP trace Acute mitral regurgitation O 2  step up noted in SvO 2 giant ‘v’ waves on  PAWP trace Acute venticular septal defect Pulm Vasc Res PAD>PAWP by  >5 mmHg Massive pulmonary embolism PAWP > 25mmHg N/ Cardiogenic pulmonary edema Left ventricular failure Notes PAP/PAWP CVP/RAP CO/CI MAP HR Condition
Summary ,[object Object],[object Object],[object Object],[object Object]

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Hemodynamics In The Icu