5. HEMODYNAMIC MONITORING
DEFINITION:
Measuring and monitoring the
factors that influence the force
and flow of blood.
PURPOSE:
To aid in diagnosing, monitoring
and managing critically ill patients.
6. Types of Blood Flow…….
Six types of blood flow seen in the Doppler
Ultrasound.
Plug Flow
Laminar Flow
Parabolic Flow
Disturbed Flow
Turbulent Flow
Pulsatile Flow
7. • The first we will discus the spectral
display.
9. Spectral Display
Systolic Peak
Velocity
Velocity Measurements
2. End-diastolic velocity
Velocity
1. Peak systolic velocity
Mean Velocity
3. Mean velocity –
calculated by taking
the area under the
curve.
End Diastolic
Velocity
Time
11. Spectral Display
Mono-phasic Flow
Flow on just on side
of the Baseline.
The low resistance
blood flow.
Ideal resistance is the
end diastolic is the
half of peak systolic.
Frequency
Time
13. Spectral Display
Tri-phasic Flow
Flow start on one side
of the baseline side,
then crosses to the
other, then returns to
the original side.
That is the high
resistance flow.
Frequency
Time
15. Spectrum Broadening
Occurs usually:
• As the blood decelerates in
diastole
• If sample volume is placed to
close to the vessel wall
• In small vessels (parabolic
velocity profile)
• Tortuous vessels.
• Low flow states..
• Excessive gain/power/dynamic
range
20. Types of Blood Flow
Plug Flow
The flow of a body of ice or viscous fluid with no shearing
between adjacent layers; idealized flow without any mixing
of particles of fluid.
24. Types of Blood Flow
Parabolic Flow
pertaining to flow conditions in blood vessels. Under parabolic flow,
blood cells in the middle of the vessels move the fastest, with a gradual
decrease in flow velocity for points farther away from the center.
31. Types of Blood Flow
Pulsatile Flow
In fluid dynamics, a flow with periodic variations is known as pulsatile
flow. The cardiovascular system of chordate animals is very good
example where pulsatile flow is found