1 / 19

INVASIVE PRESSURE MONITORING

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

bernad
Download Presentation

INVASIVE PRESSURE MONITORING

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. INVASIVE PRESSURE MONITORING AIM Information concerning cardio respiratory performance and the effects of therapy in critically ill patients

  2. 1. Arterial Blood Pressure Monitoring • 2 . Central Venous Pressure Monitoring • 3. Pulmonary Artery Pressure Monitoring • 4. Intra Cranial PressureMonitoring • 5. Intra Abdominal Pressure Monitoring

  3. THINGS NEEDED • 1. PRESSURE TRANSDUCER • 2. DOME • 3. PRESSURE TUBINGS(arterial extension, 3 way stopcock, syringe) • 4. DISPLAYING UNIT • 5. TRANSDUCER STAND • 6. PRESSURE BAG WITH NORMAL SALINE • 7. CATHETER SET

  4. Pressure transducer • Air mineture rugged and disposable device • These device can convert the movement of the sensing diaphargm into an electrical signal

  5. Pressure tubings • The catheter and stopcock are normally attached to the flush device and transducer by non elastic pressure tubing • Continous flush device-use to fill pressure monitoring system and prevent from clotting into the catheter by continously flushing fluid through the system at the rate of 1 to 3 ml/hr

  6. DISPLAY • Pressure waveforms are visualised on a calibrated oscilloscope • Digital displays provide a simple method for presenting quantitative data from the pressure waveform

  7. CALIBRATION • The accuracy of blood pressure measurement requires an accurate reference point that is the patient mid axillary line • Zeroing process is done by closing the patient side and opening the other end of the three way to the atmosphere • Now press zero

  8. ARTERIAL PRESSURE • INDICATIONS • Routine measurement of systemic blood pressure in icu • Multiple blood gas analysis PREFERABLE SITES • Radial,femoral,dorsalis pedis • CANNULATION • Collateral perfusion can be evaluated by modified allens test

  9. CANNULE • 20G INSYTE (radial) • Single lumen 18G seldinger technique (femoral) • COMPLICATIONS • Infection • Thrombosis • Digital ischemia • Vessel damage • Bleeding, Nechrosis, Haemotoma

  10. CENTRAL VENOUS PRESSURE

  11. Indications 1.fliid administration 2.TPN hypertonic solutions 3.vasoactive infusions 4.monitoring for right atrial pressure(CVP) • PREPARABLE SITES 1.Internal jugular 2.subclavian 3.brachial 4.femoral

  12. COMPLICATIONS 1.At insertion arterial puncture,pneumothorax,haemothorax 2.passage of wire/catheter arrhythmias,perforation of SVC,RA 3.Thrombosis 4.Catheter embolism

  13. PULMONARY ARTERY PRESSURE

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

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

More Related