Cardiopulmonary Care
Contents
1.2. ICO CCO ICO ICO ICO l CO CI ICO ICO
3. QUICK GUIDE To Cardiopulmonary Care H PRERE sccm a omues sued erue Gee diaper ue ees ar a 3 Djs 09 E t cll 2l 7 10 251 2 7 we ale T TT 4 L rq D ME 5 V02 DO02 anew xe ee ee Roe owe oe ees 6 Lll CT 7 8 NC T SO E E LETT 10 TADKOM oue mox x RR AM me eR WE ee E 12 AXES oio om doas hw Ron YOR YE E OR Hae RSs dhe wd 13 BUR IOMRCRIE AR sior e ee es 14 Frank Starling 14 15
4. HE PRIS OM CHIE 1 ht gt E ai Ed cH GONG SAT PRE CS RIM TE XU 337 SEU 2 H im a c ti
5. 0 20mmHg 0 150mmHg
6. A V V A RV 19cm RA 27cm 931HF75 RV T A SA RV
7. 12 222 p im im K ti 1 2
8. D REA Y YT AMY HEISE EL 1970 2
9. 70 KRE SQN
10. mmHg kPa BSA MAP CVP
11. 45 60 1 2 ht a ai e Ed cH GONG HW i a a w DERE KREOLAN E o ETH ascending limb descending limb
12. eee e a PAP PAWP CCO CEDV 777HF8 y 110 e CCO CEDV 774HF75 6 110 e CCO CEDV 177HF75 6 110 e CCO 746HF8 7 110 CCO 744HF75 6 110 CCO 139HF75 6 110 SVO 741HF75 6 110 e S T 131HF7 4 110 831HF75 5 110 e Radial Brachial TS258H5F 4 110 o 132F5 4 75 096F6 4 110 141HF7 4 110 S 151F7 4 110 171HF7 4 100 e T173HF6 4 100 Oo T172HF7 4 100 e
13. XOH t u Ol IDFA bh F ERREA DUEBCEBEE TCT CO X 40 CO 20 PT L E ai B Ed cH GONG HW E i c ct my ei mi t Edwards Lifesciences gt e Do
14. VO gt VO COxCaOz COxCvO CO CaOz CvO2 CO SaO x13 8 SYOzx x13 8 COx x13 8x Sa0z SvO 200 250m 120 160m6 mz 7E 138 138Xx10 1 C 10 40 RA 50 100 7 7 70 20 80 50 100 10 22 23 31 X 25 36 Arterial_ Venous Oxygen Difference Ca vO 5yol 20vol 15vol 5vol ZE Vol 721 e dl Oxygen Extraction Ratio OzER 2 30 OsER Ca0s CvOs CaOzx100 CaO2 20 1 CvO 15 6 OzER 20 1 15 6 20 1x100 22 4 Oxygen Extraction I
15. HGB Hct
16. gos 8j Bi yerek YN Cardiac Output CO 1 HR x1 SV 4 84 Cardiac Index CI BSA m2 CO BSA 25 49 m2 60 100 60 100m4 Inl 1 SV EDV ESV SV 60 100m6 SV EDV ESV SV SV CO HRX1000 7E I00030 m l AE I SL 1
17. BE ELL EU LAW vay BDL IAT NFOEC GES HIE RIIB NEC Ao BMG CURF NATL PEREL CVIPULLY ERA Ih Ih R D R D K cm 30 15 26 30 30 26 26 26 30 81 NA 27 30 NA 30 NA 30 RV i 14 25 14 25 1425 14 25 VAL BE m
18. D200HF7 See DE ML s 35 1 43 Y zT N BARGEAR AT mom fa 2 S 2 Mi ER Fo PASP
19. Ly ABEAR XZIZ TI Z TARNORR BI Tie E EE tn DELE 1 mm 3 N _ mm i mm s ne a b diellg LL OFF 2 A2 A1 FOYMELBIA SED TFT EHORE fm
20. MAP 3 1 3 2 MAP MAP SP 2DP 3 2 4 3 1 2 3 4 NIB YT BEAL ML FIVE EROS DER T REO FT GAA BTW TY RA ELL COLT e te Ak SH KERERE
21. HGB Hct HGB 70 Edwards
22. BR ROMS 02 02 VO2 DO2 VO2 D02 25 DO2 0zER 02 A gH H 3J T DO HO BE O gt gt
23. d 2 i g B ai s m GONG SvOzs ScvO2 2 HW mi R c 1 my ei Co oximetry ScvOz 30 99 2 9 100 P lt 0 0001 r 0 99 Pr 0 94 P lt 0 001 r2 0
24. TRA He WET AW Ald D COz 1 5cc
25. 75 Stewart Hamilton _ VX TB TI SIXCD 60xCTxK CO x x A SBxCB 1 CO 6 V mb A
26. X ARM 3 bcm RHADBMBIOBMA TAU AZEMSLET 1 25 1 5cc 1 5cc
27. 2 831HF75 31cm 30cm N J v M M 1 MI MI Ih Ih R D R D K 931HF75 A V 991HF8 AV
28. PADP PAWP fi PADP PAWP PADP PAWP PAWP N J Vv c v M 1 qi qi Ih Ih R D R D K 2 10 15 2v 77e EUR COCOA H OBI 4E 2S C 28 v Ester SUAE
29. Frank Starling 1 2 a
30. 300mmHg 3m h Fo 0 25u 2u m6 3 Ae YS Ba es Fe ITTTTTTTTT MA 1 TruWave JR _ 2 OS 3 4 PA HA 5 TruWave ht cal E ai put EXE GONG
31. ECCE Edwards Critical Gare Education QUICK GUIDE TO Cardiopulmonary Care EDITORS William T McGee MD MHA Director ICU Performance Improvement Critical Care Division Baystate Medical Center Associate Professor of Medicine and Surgery Tufts University School of Medicine Jan Headley BS RN Director of Clinical Marketing and Professional Education Edwards Lifesciences Critical Care North America John A Frazier BS RN RRT Manager Clinical Marketing and Education Edwards Lifesciences Critical Care Global CONTRIBUTORS AND REVIEWERS Jayne A D Fawcett RGN BSc PgDipEd MSc PhD Director Clinical Studies Edwards Lifesciences Critical Care Global Diane K Brown RN MSN CCRN Hoag Memorial Hospital Presbyterian Newport Beach California Barbara Bobbi Leeper MN RN CCRN Clinical Nurse Specialist Cardiovascular Services Baylor University Medical Center Dallas Texas QUICK GUIDE To Cardiopulmonary Care 1998
32. 300mmHg ty tO BRIE FLEA EERE phlebostatic axis i g B ai s m GONG BAPNLEEENILCIN TY TECH o EBD EET VIBIL Cd ELSE OVE Ns TES 1 Xd 2
33. 6 7 3 CO CI CO CI 3 HSN CO CT CO
34. DVT HR SE ANTI t ENIE eb eo fe ECG 10m4 SVR SVRI SVR SVRI SVR
35. E 2 2 3 Ej Eu 4 fr HE ta 4 2 OBUBKIEOR RENAE 55 90 RCA EAR 90
36. ECG ECG ECG 0 ECG ECG HR ECG mA E
37. SVO ScvOs SYOs SVC IVC ill CS SvyOz DOz VOz i L E ai B pur EXE GONG EW ee e H mi R c 1 my ei SYOz 1970 1980 2003 8 5Fr CV ScvOz
38. BG TPN CVP ScvOz M 3 B ai s pnt z GONG 2 HW im a c ti HREH COPD PEEP BRZSH E TERE T
39. SRA WT RV Bib e Ae TE RARE Bib SW HIA AE Ze DES ERIS Ne u KERERE lta E DER a a ERRE m J a V DER
40. DPT mmHg TruWave e TruWave 3m h TruWave 500 1000m TruWave
41. BEA IE DHE HB CATE 2 3cm 7 8Fr 1 25 1 5cc CHAE RIED N J v v lt qi qi
42. SvO2 DO2 CCO RVEDV RVEF 1 SV CCO CEDV LT MAP CVP SVR RVEDV RVEF 777HF8
43. 24 2 5244 TETT OM CEDV CEDV CEDV HR 30 HR gt 200bpm
44. Fo 1 25cc 1 5cc a v Ww ws N J v v lt qi qi 2 Ih Ih R D R D K 1
45. we PAP PAWP a N J v c M M MI MI Ih Ih R D R D PAP PAWP
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47. 3 1 CVC int a EB ai e E cH GONG p im im tij CVP Ay
48. BSA muse T gt PP BSA PP EE DD sk Skewness 2000 2 Bi g B ai s iB GONG mmHg T T T 7 LE PHORVI
49. DO2 VOz HR CVP SpO gt CHE L7 8 C6 ScvOz ScvO gt Aoc
50. PEEP PaP PvP PAP 2 3 N J V c V lt qi qi 1 PaP PAP gt PvP PAWP 2 PaP gt PAP gt PvP 2 PEEP PAWP 3 PaP gt PAP lt PyP
51. Distal SYON 1 25 1 5m SvOz X 24 OM
52. 2 SVO CCO CCO RVEF RVEDV SVR SVRI 1 HR MAP CVP ARDS BRAR IABP N J v c v lt qi qi
53. d Bi E 3J d m t ECG QRS ST 80 85 T v T 2 3 P a ok Jk fr HE ta 4 d Bi E 3J d m t TES T B ARO Mit
54. TPN AVA Advanced Venous Access
55. DF FNBEO GA Eda OFF E XX XUI 8 int E ai e Ed cH GONG DUE p im im tij
56. 5 2 HL WEE EE IEE PEGE New York Heart Association 7 AIV DD i gt 40mmHg B BEEN AIDS NY EN RS NY bem N c v N ACC AHA 2004 ST
57. PEEP CVP CVP 3 a c v 2 x y a ECG P HR c x v ECG T y a Y c ERA OD SIA c x x y y
58. 4cm WS a 8 30cm 26cm CCO 744HF75 746HF8 SVO DOz CCO CCO
59. COE Langewouters MAP C Langewouters C HW mi zi c oy mi L Amsx P Po Pi BSA
60. RV PA PAWP PEA FIERREN BDM 07 TA OW DME F EBEKRE LAF BO CNEMBLEF VSSRESEK 15520 40 55 10 115 5t 30 60 Aiatik 40 75 50 80 cm PEL 7 FIMWAL1OcmMA OMB 5b cm del HD KURO ZR EM CEG 9 XT M FAM VM IA EEL ET CDESOAF FNOKASLH1ScCM CH 0
61. D N P I ad 3 3 E 4 5 C 6 300mmHg 10 11 12 13 14
62. RVEDV 1 m RVEF SVR SVRI MAP CVP CCO CEDV RAP PADP PASP PAWP CCO RVEDV PADP PA WP SVR SVRI RVEF SVI RVSWI DO VO OE N J V c V lt qi qi CCO CEDV Syv0z DO2 VOz
63. CCO CCO RVEDV 1 CO 4 0 8 0 4 CD 25 40 m2 1 SV 1 SV CO HRx1000 SV 60 100m amp SVI 33 47m m2 EDV EDV SV EF RV EDV 100 160m RV EDVI 60 100m m ESV ESV EDV SV RV ESV 50 100m6 RV ESVI 30 60m m BRASS EF 1 N J v amp M lt 1 MI MI _ EDV ESV SV Ps EDV EDV RVEF 40 6096 GE MAT EE EL OF TUO TH ORAI ML YB BARS FB IE PE TEE C Ih Ih R D R D 2 RV RV EDV SV a EDV 1 SV b
64. O TLC VC IC IRV ERV FRC RV 6 00 454 3 00 254 1 50 3 00 159 20 25 ok m fr HF ta 4 ih gl E 3J th E ait B
65. Khi x mmHg m2 mmHg m6 Khi x Khi Khi Khi 60 PT L E ai B Ed cH GONG 20 1 MAP sd sd 1
66. CVP CVP CVP CVP CVP PAWP CVP CVP CVP CVP 2 6mmHg CVP CVP
67. MAP CVP SVR VIP 744HF75 4cm Pe lt ES A X x 26cm 746HF8 ee EN iiid Gcm P d Ne x 30cm 26cm N J v v lt MI MI Ih Ih R D R D 741HF75 780
68. N SVV SVV SVV eI Wee gi HW E i c 1 my ei SVV SV CO SV CO ScvO gt BREE 1 8m kg
69. 1 296 5 Qs Qt FiOz 1 0 FIOz 1 0 CcO2 CaOz NE TONO CcO 1 38xX x1 PAOzx0 0031 CaO 1 38xX xSaOz PaOzx0 0031 CvO 1 38xX xSyOs PyOzx0 0031 at EN CcO2 21vols CcO2 CvO2 CvO2 15vols gea ok Jk fr Hr ta 4 Notes d gl E 3J d m t Basic Monitoring H im iz c ti
70. 3 PAP PAWP R0210 18MAY1993 14 48 11 PATIENT DELAYEL REGULAR HR II V 101 PVC 0 ECG GAIN 1 AR2 133 50 86 PA1 1678 10 CV3 7 BT 36 37 CO 5 7 12 41 ni Hui m il e s m n wo a a m 0 THT HI ull i ji m ci UU i i EUN Fick 3 2 KO Fick 1870 Adolph Fick Fick Fick
71. 300mmHg 1 4 15 2 5cm 2mmHg me 120 S 80 e OnmmHg 120 140
72. X Ih Ih R D R D K LA PAWP a vV a vV PAD PAWP PADP gt PAWP PAWP gt PADP a Vv PEEP PAWP PAWP gt PEEP 1 2 PEEP 1 2 PAP PAWP
73. 147 o o oon 148 149 EGDT 150 SVV SVI ScvOs 151 SVV SVI 151 152 EGDT 153 les 154 ao 155 ACC AHA 2004 ST 160 162 I lero oo MPH 168 168 170 173
74. 1 T CCO CEDV deb RAP PASP PADP MPAP PAWP CO Set CO Set SYO gt SYOs CCO RVEF Tu
75. RAP RVEDP RVEDP PADP PADP LAP LVEDP IRR 7277 7 V BRAGIS wedged BLA L7z COBRA fr Ec CU N S PAWP LAP LVEDP 41m
76. a v Ih Ih R D N R D K AREE 4cm VIP RA RV RV RA RA AV WIL ONE LAF F L ERM 5 CHEV EF 0 PERL TRHA IIIF LRF PONV P1421413 EE BHC FES a PA AF Em 1 25 1 5cc
77. 1 60 100m SV COx1000 HR SVI SV BSA 33 47m4 l m 1 45 75gm m m2 LVSWI SVI MAP PAWP x0 0136 1 5 10gm m m2 RVSWI SVI PA mean CVP x0 0136 A B C 1 Ej ok 4 ing Hr ta 4 ath gl 1H 3J Ft E E 1 B A C E A B C B A 1 i A C A B riu NN C
78. Edwards CCO CCO CCO Edwards CCO CO 1 25 1 5m2 X CCO
79. Tg RV 19cm RV 30cm CCO 139HF75 DOz CCO CCO MAP CVP SVR 139HF75 ae aoe m Aut ER ndm
80. 1 5cc 2 3cm 1 5cc 2
81. 3 4 Lo 2 2 1 5 HW im iz c ti FARKE EORR A CORE X
82. PAOz POz PAO2 PB PH20 xFi02 PaCO2 0 8 A a P A a Oz P A a Oz PB PHzO XF10 PaCOzx F102 1 F102 0 8 PaO2 room air 15mmHg FIOz1 0 60 70mmHg PB 760mmHg PHzO 47mmHg FO PaCO 08 VCOzVO Aa A a x FIOs PaCOz 0 8 PaO2 760 47 x0 21 40 0 8 90 713x0 21 50 90 99 73 90 9 73 Om room air PaCO240mmHg PaOs90mmHgl BU OPER T Qs QU
83. 50 P50 POz 27mmHg S0 POz SOz POz SOz 1 pH 1 pH 2 3DPG POR t 2 3DPG SOz2 PO gt ok T fr HF E 4 th BY E 3J th E ait
84. HR EOGI AL AG ECG ICO ICO IC0 _ CCO 15C 15 45C 45 CCO CCO
85. M do Ev Ch e E iz a o o m TIME CO 1C 1C 15 3085 1 10 30 E2 E 0 34 0 16C 0 56 0 18C 5m 0 5m2 10 10m2 0 5m2 5 CO 30 80 CO 20 40 20 70 1 100 10 20 9 CCO
86. Scv02 DO VOROS CV ScvOz ScvOz 70 Swan Ganz Catheters Ih Ih R D R D K Dr Jeremy Swan Dr Wi
87. Fick 1890 Stewart Hamilton Stewart Hamilton 7 I x60 Cmxt CO x l k CO 6 I mg 60 60 Cm mg 6 t k RERE mg mg mm mmc 1970 Dr Swan Dr Ganz
88. 10m2 1 5m X 10m ICO 8C
89. RCA 80 EERE LAD 45 E LCX ie 20 s ie 20 Fy HORE LUGE AJ ith a TAUSABK E oe tk fr m Dr te
90. a 173 Notes Anatomy and Physiology d gi E EV d m t DOz2 CO2XCO X10 DO
91. b oe m fr HF ta 4 D BLUE SVR PVR infow
92. 2 SvOz ScvO CV 3 4 5 RMR DLA IAF FNAB IALPLOGEBSEL CES 6 6 7 SYOz ScvOs Ih Ih R D R D K 1 SyvOz ScvOz 2 3 Co Oximeter
93. gt 15 SVV Michard Anesthesiology 2005 103 419 28 03k PLR Passive Leg Raising 30 90 SV 10 15 Passive Leg Raising PLR 1 10 1 15 1 45 2 1 3 45 4 1 1 SV 10 15 0 SV 10 15 5 PT L E ai B Ed cH GONG
94. CV SVC ScvOs 4 5Fr 5 5Fr CV ae distal x gt y EN dista SvOs ScvO gt SvOz ScvOz 4 VOz
95. CCO SYOz ScvOz D SYOs2 ScvO gt 2 CCO CCI CCO CCI 31C lt 31 C gt 41C 41C 1 25 1 5m2 X
96. 1 SVV _ NIBP SPV 5 MAP PPV CVP 1 SVV ui PAWP Re H mi 7 c ct my ei SVV SVV SVV 1
97. CCO ICO EY N J v v lt qi qi Ih Ih R D R D K 1 A 3 2 CCO Wl CCO 3 8
98. 0 X DVT CCO CCO CCI CCO CCI T DVT DVT SV 1 HR 30 gt 200bpm ECG CCO CCI
99. pH pH 7 35 pH7 45 PCO PaCO 35 45mmHg 45mmHg 35mmHg HCOs 22 26mEq 4 2 2 26mEaq 6 2mEq 6 22mEaq 6 THIER 2mEq 0DAF O BR pH 7 40 7 35 7 45 7 36 7 31 7 41 PO mmHg 80 100 85 45 SO 95 60 80 PCO mmHg 35 45 41 51 HCOs mEq 2 22 26 22 26 RZ NU Xa ome Base excess deficit ODC POz SO2 S 2 SO 50 np 27 PO2
100. c 7741 1 THb l 7741 1 STEMI NY EN SY N c v N A fS BN bul fS BP MAP Al BE RAP RVP PAP MPAP Bio A2 A FE PAWP LAP CO CI 1 SV 1 SVI SVR SVRI PVR PVRI 1 LVSW 1 LVSWI 1 RVSW 1 RVSWI CPP RVEDV RVEDV
101. BIER 4L 7z RUBRA 50 SFL CRBST RAJIN anA ETLER PERO ZH OWEN EDT INER ALEPH A SUL LEV CE TEMPL OBA DIRT FOUPMELBICOO ht gt E ai B XM ELI EE GONG BYILEAH AT FNAKBIEL MEA AR CU
102. Khi m6 1 1 1 m sd mmHg x m 4 mmHg 1 Khi
103. ES EX EE MAP CVP 2 2 BSA SVR SVRI SVRI SVR BSA BSA 1 ESSET OI 3BZ70 SD MAP CVP
104. _ CCO 15C 15 45C 45C CCO CCO CCO 1 02 1 02 CO CCO 1 25 1 50m2 DVT
105. 16 Rss 17 tt 18 21 113 c DELL 19 jr r5 CLTC 20 MERMRMEPCP Tn 21 22 wp CI TDI 23 llis a RA ose op cosine ee as chs oy eH dys Se he aos ate BRS ee GE A a ROER R 26 gt AO 2 s 26 ee 27 29 os 30 31 32 MEE SAU SEA de ues Sik IO 33 ERUR aaa ss 34 36 37 MVE BO a is a ke dg eh ea a ka ca ee a ce deda sl E aa gE 38 HORIZ ZEA S s ioa Rae Doe Rogo A vo ss 803 Re eee amp 40 40 41 44 ee 46 BLORA RM CCCII 47 a ed ly a
106. SVV 6 SV 58m 2 18 2 23 2 28 2 33 2 38 2 43 2 48 4 0 4 2 3 4 45 45 3 7 29 5 51 53 43 58 58 49 43 SVV19 CO 3 48 SVV6 CO 4 58 SVV 1 8m kg 100 SVV 1 SVV SVV SVV E SVV 3 PEEP m IRR BEE PEEP ANE EIFSESVVALAT SU AEDS M PEEP SVV
107. 19cm 30cm 991HF8 RV 2m ERIZ PRN Ng ES NANI eB 2 X RV RA 19cm Ta RA 30cm 27cm V D98100H A D98500H V EF IW 931HF75 991HF8 19cm A A V 991HF8 RA 27cm Y
108. 174HF7 4 100 D98100 V D98500 A 931HF75 5 110 AV 991HF8 6 110 e D200HF7 4 110 D97130F5 1 90 D97120F5 1 90 VIP D97140HF5 2 100 040HF4 2 40 191F7 N 110 zaan mamar Te 26cm 30cm e 9 9 26cm 5 e 8 5 9 2 8 3 26cm 30cm o 8 8 5 2 7X112 8 26cm 30cm o o 9 2 26cm e e 8 5 9 2 8 3 26cm 30cm e 8 8 5 2 7 2 8 30cm e 8 8 5 2 7 2 8 30cm 7 2 3 30cm 31cm 8 5 9 2 8 3 23cm 5 Tham 15cm 5 lads 30cm 6 2 30cm 4 23 30cm 7 2 3 23cm 2 3 23cm 6 2 23cm 7 2 3 23cm i 2 3 30cm 19cm 8 8 5 2 7
109. Ayres SM Grenvik A Holbrook PR Shoemaker WC Textbook of critical care 3rd ed Philadelphia WB Saunders 1995 Baranowski L Central venous access devices current technologies uses and management strategies J Intravenous Nurs 1993 16 167 194 Calkins DR et al 5 million lives campaign Getting started kit prevent central line infections how to guide Cambridge MA Institute for Healthcare Improvement 2008 Darouiche RO Raad Heard J Thornby JI Wenker OC Gabrielli A et al A comparison of two antimicrobial impregnated central venous catheters Catheter Study Group N Engl J Med 1999 340 1 1 8 Hanna H Bahna P Reitzel R Dvorak T et al Comparative in vitro efficacies and antimicrobial durabilities of novel antimicrobial central venous catheters Amer Society Microbiology 2006 50 10 3283 3288 Haxhe JJ D Hoore W A meta analysis dealing with the effectivensss of chlorhexidine and silver sulfadiazine impregnated central venous catheters J Hosp Infect 1998 40 2 166 168 Kaplan JA Cardiac anesthesia 3rd ed Philadelphia WB Saunders 1993 Laster J Silver D Heparin coated catheters and heparin induced thrombocytopenia J Vasc Surg 1988 7 5 667 672 Maki DG Stolz SM Wheeler S Prevention of central venous catheter related bloodstream infection by use of an antiseptic impregnated catheter A randomized controlled trial Ann Intern Med 1997 127 4 3257 266 Maschke SP R
110. ICO ICO IT 30C CCO CCO CCO CCO CCO 5m2 10m2 5m4 10m2
111. 30 2m6 4 HGB Hct 5 6 SYOz ScvOz n SVYO ScvO2 E OM 24 CCO L CCO CO CI
112. EGDT Early Goal Directed Therapy Dr Emanuel Rivers Oligon Implemed Inc PhysioTrac Jetcor Inc William McGee Diane Brown Barbara Leeper 2009 Edwards Lifesciences Limited All Rights Reserved 20100BZZ01182 16000BZY00719 20900BZY00876 2 sits ke 20200BZY00488 AVA 3Xi 21300BZY00055 AVA 21200BZY00008 21700BZY00328 21700BZY00348 10 7 pari Le de 20400BZY00652 CV 21800BZZ10117 z a Gd PA 22000BZX00237 ehh eg 20500BZY00293 a
113. 7 CO 8 9 40 CO ia g B ai s z GONG 1 trending
114. CaO2 CvO2 C a v O3 DO2 DO2l VO2 VO2l O02ER OsEI 2 6 3 5cm 4 0 6 0cm 1 38xHgbXxSaO2 0 0031 x PaOz 1 38xHgbXSv02 0 0031 xPvOz Ca02 CvO2 Ca02xCOx10 CaO2xCIx10 C a v O2 XCOx10 C a v O2 XCIx10 Ca02 CvO02 Ca02 x100 Sa02 Sv02 SaOzx100 80 100mmHg 35 45mmHg 22 28mEq 2 W395 AS 95 100 60 80 17 20m d 12 15m d 4 6m d 950 1150m 500 600m4 m2 200 250m 4 120 160m4 m2 22 30 20 25 N EA A bul A SEROMA ERIR Na K CI CO2 BS BUN CK 5 Cg Mg ALT GPT AST GOT
115. 1 EF 60 75 40 60 EF SV EDV x100 1 LS 7 fr HE ta 4 th BY E 3J th E ait LAP PAWP A RAP 3 RVEDV RAP CVP 2 6mmHg PADP 8 15mmHg PAWP LAP 6 12mmHg RVEDV 100 160m4 Frank Starling 1890 1900 Frank Starling 1
116. 7 400 DELL 80 25cm 20mmHg ht E ai e Ed rH GONG im iz ti PE TEE APES GT FRIOPM BLO ET TAI NE BAL TFET
117. PCI ANCOFMATUXAHACC AHA STEMDPTFTA BABI 5 CHEE TF CPRBLOECCOL05AHAL1 F FIZ GNLSMNLIT PN C 34A EGDT CI 2 54 m2 CVP 6 mmHg SVV gt 10 CVP 6mmHg MAP 90mmHg SVRI 1500dyne sec m2 cm SVI lt 30m2 m ScvO2 270 HCT gt 30 Malholtra PK Kakani M Chowdhury U Choudhury M Lakshmy R Kiran U Early goal directed therapy in moderate to high risk cardiac surgery patients Ann Card Anaesth 20081127 34 4 t t 1 N i 1 A N V M 1 1 PAWP gt 25mmHg 1 PADP gt PAWP gt 5mmHg t PAWP v 1 PAWP v 1 CVP PADP PAWP 1 PAP N PAWP 1 LN PV
118. 3m2 ICO ae i 4 CO 30 1 25 1 5m2 X
119. Multi Med g J E n PI n m4 hr Proximal 1670 1420 18 Medial 1500 1300 18 Distal 3510 3160 16 Proximal 3620 3200 16 Distal 3608 3292 16 MOADBLEPFLIITA L ML Sl PKIO BO CA FELLER END LIEGE CS CRBSI AA 1
120. i 1 Y Y Y Y i Y z 3R icc eae R ERROR Et arithi Y 0 5 1 mg kg E 2 4 mg ieee a ee ee Y 1 Y 1 t lt 70 mmHg 70 100 mmHg 70 100 mmHg gt 100 mmHg 2 1 1 1 0 5 30ug 2 2 20ug kg 4 2 20ug kg 4 10 20ug T 2 SBP gt 100 mmHg SBP 70 100 mmHg SBP gt 100 mmHg L ABP P
121. 1 02 0 64 0 96 0 86 0 88 0 93 0 96 0 96 0 90 0 96 0 90 0 81 0 57 0 8 0 86 0 89 070 0 80 0 95 0 85 0 95 0 85 0 95 0 87 NA 1 07 095 NA 1 10 NA 1 10 RV 1 171 13 mg hr X gt 425 320 289 324 320 320 325 320 325 568 400 734 459 400 898 562 898 562 NA 66 RA 898 750 ea 898 NA 988 NA 988 37 56 RV 641 757 hz ar 37 3 0 1 340 211 25 2 1 1 34 2 6 1 SE 25 2 1 1 usd eae 31 2 4 1 26 2 1 1 26 2 1 1 48 3 3 1 413 221 33 2 5 1 47 3 1 1 33 2 5 1 dU dead 44 2 71 40 2 6 1 40 2 6 1 45 271 47 813 asra NM b 49 3 4 1 40 2 5 1 40 2 5 1 RV 4173 4 1 46 3 2 1 Ih Ih R D R D K CCO CEDV 774HF75 777HF8
122. QUICK GUIDE To Cardiopulmonary Care 10 10 2 2 OF
123. ht X E ai B au x 2 GONG p im im tij CVC CVC ib CVC LDA OBER BAL BL CHRO TARE
124. p E i c 1 nM ei PLR PLR CVP EDV CVP EDV 250 500m SV l 2 3 SV SV 250 500m6 SV SV SV 10 15 SV 10 15
125. A EXUV Xv INJ e as 30cm 26cm N J v c v M 1 MI qi Ih Ih R D R D 131F7 131HF7 7 VIP 831HF75
126. RVSP RVSP PASP REX d N J V c M lt MI MI ERR 2 Ih Ih R D R D K TV MV PV AoV PADP RVEDP PADP LVEDP
127. amp BOS 265 mmHg 90 mmHg 30 Rivers Emanuel Nguyen Bryant et al Early Goal Directed Therapy in the Treatment of Severe Sepsis and Septic Shock N Engl J Med Vol 345 No 10 2001 SVV SVI ScvO 2z SVV gt 13 SVI SVI ScvOs DO2 SVV amp SVI BRED a MEE MRT POCOO IDE EAUX Y BL Obi OWE WIZE LO MEL COB THUD DSTO RET MED I BCE COMAPOHBEUS60 65mmHe EET EON EREG YAP DYET o SVV SVI SVV gt 13 McGee William T Mailoux Patrick Jodka Paul Thomas Joss The Pulmonary Artery Catheter in Critical Care Seminars in Dialysis Vol 19 No 6 November December 2006 pp 480 491
128. SvOz DOz VOz CO 1 RVEDV SVR RVEF SVI RVEDV PAWP RVEDV PAWP RVEDV PAWP PADP PAWP RVEDV CO CCO Ly Ih Ih R D R D K CCO 1
129. SvOz KN 1 25 1 5m amp SvOz X Distal HGB Hct
130. mm mm K mm TB TI B 1 SB SI CB CI SrxC1 SBxCB 5 1 08 60 60 CT N J v S M c 1 MI MI Ih Ih R D R D K Ise PN
131. CCO ite IV CC Ota CCO CCO CCO CCO CCO CO CCO CCO CCO CCO CCI CCO CCI CCO CCO
132. JL LE BEBEIE e CVC 1 8 5 Fr 8 5Fr 18 18 18 15 7 Fr 7Fr 16 16 va p im im c tij 7Fr 8 5Fr EM TIV vs
133. TruWave 1 2 EE 3 4 H 5
134. RBC WBC Hgb Hct 135 145mEq 2 S15 SOMEq L 100 108mEq 2 22 26mEq 2 70 100mg d 8 20mg d 55 170U 0 30 135U 2 0 6 1 2mg d 8 2 10 2mEq 2 1 3 2 1mg d 0 5 1 1mg d 25 85U 2 lt 160U 2 8 14mEq 2 0 93 1 65mEq 2 8 40 1U 7 40U 2 4 5 5 5x109 u0 4 5x109 u0 4 000 10 000 1 BM 12 4 17 4g de 11 7 16g d 42 52 36 48 135 145mmol 3 5 5 0mmol 100 108mmol 22 26mmol 3 9 6 1mmol 2 9 7 5mmol 0 94 2 89ukat 2 0 51 2 3ukat 0 53 115umol 2 05 2 54mmol 0 65 1 05mmol 6 8 19umol 0 39 1 45ukat 2 lt 2 72ukat 8 14mmol 0 93 1 65mmol 0 14 0 85HUkat 0 12 0 78ukat 2 4 5 5 5x10 7 0 4 5x10 2 0 4 10x109 2 124 1748 2 117 160g 0 42 0 52 0 36 0 48 rr lt 205mg d lt 5 3mmol 2 190mg d 4 9mmol AD p 130mg d lt 3 36mmol 2 HDL 37 70mg d 0 96 1 8mmol 40 85mg d 1 03 2 2mmol 35 160mg d2 0 40 1 81mmol 2 MARRA
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151. les 109 a 110 111 ee 112 115 116 119 119 EE kk Re a 120 i 121 22e 122 ee 123 CCO 124 ee 126 oe 131 RVEDV und eon ae RU P REG a be ae ee ae us 139 oola 141 142 146
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159. SYOs ScvOz DO VO gt ScvO gt z ScvO CO CO L E ai B P ae z GONG p E zi c oy ScvO2 192 Ex Peep Bons CVP SVR SVI SVV SVRI LVSWI SVV IEH OFAECT
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169. 2005 33 5 1119 1121 Rivers E Nguyen B Havstad S et al Early goal directed therapy in the treatment of severe sepsis and septic shock N Engl J Med 2001 345 19 1368 1377 Vallet B Tytgat H Lebuffe G How to titrate vasopressors against fluid loading in septic shock Advances in Sepsis 2007 6 2 34 40 Wilson RF Critical care manual applied physiology and principles of therapy 2nd ed Philadelphia FA Davis Company 1992 Woods SL Froelicher ESS Motzer SU Bridges EJ Cardiac nursing 5th ed Philadelphia Lippincott Williams amp Wilkins 2005 93 42 EEC 3 CE Edwards Chandler Vigilance Edwards Lifesciences E Advanced Venous Access AMC Thromboshield ControlCath CCOmbo CO Set FloTrac Hi Shore Multi Med Paceport Pe diaSat PreSep Swan Ganz TruWave Vigilance Vigileo VIP VIP
170. 4 3 AARAU CEL CHAE SS 2 1 6 5 4 3 2 1 EEUU N 5 4 3 x 2 EY 1 N NATLS D M 70kg I T M m2 lt 750 750 1500 1500 2000 2000 D 159 15 30 30 40 gt 40 bpm lt 100 gt 100 gt 120 gt 140 mmHg mmHg rpm 14 20 20 30 30 40 gt 35 FRE m hr 30 20 30 5 15 CNS lt Macht an EUR RAM PAWP mmHg SERSEA05 CVP mmHg 12mmHg 200m 20m lt 6mmHg 12 16 18mmHg 100m 10m 6 10mmHg gt 16 18mmHg 50m 5m gt 10mmHg 10
171. BBSELISFWEORA krkurtosis 2000 REORMVIEDF FIL 38 l 2 2 mmHg SEDE RV BAA mmHg p E zi c oy geet Ed M Khi x mmHg mg E 60 Khi
172. CK Senn A Weibel L Zollinger A Assessment of stroke volume variation for prediction of fluid responsiveness using the modified FloTrac and PiCCOplus system Crit Care 2008 12 3 R82 Epub 2008 Jun 20 Kobayashi M Ko M Kimura T Meguro E Hayakawa Y Irinoda T Takagane A Perioperative monitoring of fluid responsiveness after esophageal surgery using stroke volume variation Expert Rev Med Devices 2008 May 5 3 311 6 Manecke GR Edwards FloTrac sensor and Vigileo monitor easy accurate reliable cardiac output assessment using the arterial pulse wave Expert Rev Med Devices 2005 Sep 2 5 523 7 Mayer J Boldt J Wolf MW Lang J Suttner S Cardiac output derived from arterial pressure waveform analysis in patients undergoing cardiac surgery validity of a second generation device Anesth Analg 2008 Mar 106 3 867 72 McGee W Horswell J Calderon J et al Validation of a continuous arterial pressure based cardiac output measurement a multicenter prospective clinical trial Critical Care 2007 11 5 R105 Mehta Y Chand RK Sawhney R Bhise M Singh A Trehan N Cardiac output monitoring comparison of a new arterial pressure waveform analysis to the bolus thermodilution technique in patients undergoing off pump coronary artery bypass surgery J Cardiothorac Vasc Anesth 2008 Jun 22 3 394 9 Pratt B Roteliuk L Hatib F Frazier J Wallen RD Calculating arterial pressure based cardiac output using a novel measurement a
173. DV DVT DVT 1 25 1 5m amp g X CEDV CEDV ECG CCO
174. ECCE Edwards Critical Care Education QUICK GUIDE TO Cardiopulmonary Care Edwards 3 23
175. EN ko THENE F o References E K a s Alspach JG Core curriculum for critical care nursing 6th ed St Louis Saunders Elsevier 2006 Braunwald E Heart disease a textbook of cardiovascular medicine 7th ed Philadelphia Elsevier Saunders 2005 Dantzker DR Scharf SM Cardiopulmonary critical care 3rd ed Philadelphia WB Saunders Company 1998 Darovic GO Hemodynamic monitoring invasive and noninvasive clinical application 3rd ed Philadelphia Saunders 2002 Fink MP Abraham E Vincent JL Kochanek PM Textbook of critical care 5th ed Philadelphia Elsevier Saunders 2005 Guyton AC Hall JE Textbook of medical physiology 11th ed Philadelphia Elsevier Inc 2006 Headley JM Strategies to optimize the cardiorespiratory status of the critically ill AACN Clinical Issues in Critical Care Nursing 1995 6 1 121 134 Headley JM Diethorn ML Right ventricular volumetric monitoring AACN Clinical Issue 1993 4 1 120 133 McGee WT Jodka P Oxygen transport and tissue oxygenation In Higgins TL Steingrub JS Kacmarek RM Stoller JK Cardiopulmonary Critical Care BIOS Scientific Publishers Ltd Oxford UK 2002 pp 35 46 McGee WT Veremakis C Wilson GL Clinical importance of tissue oxygenation and use of the mixed venous blood gas Res Medica 1988 4 2 15 24 Perret C Tagan D Feihl F Marini JJ The pulmonary artery catheter in critical
176. Field JM Hazinski MF Gilmore D Handbook of emergency cardiovascular care American Heart Association 2006 Forrester JS Diamond G Chatterjee K Swan HJC Medical therapy of acute myocardial infarction by application of hemodynamic subsets NEJM 1976 295 24 1356 1362 Frishman WH Cheng Lai A Nawarskas J Current cardiovascular drugs 4th ed Philadelphia Current Medicine 2005 Headley JM Strategies to optimize the cardiorespiratory status of the critically ill AACN Clinical Issues in Critical Care Nursing 1995 6 1 121 134 Knaus WA Draper EA Wagner DP Zimmerman JE APACHE Il A severity of disease classification system Crit Care Med 1985 13 10 818 829 McGee WT Mailloux P Jodka P Thomas J The pulmonary artery catheter in critical care Seminars in Dialysis 2006 19 6 480 491 Malholtra PK Kakani M Chowdhury U Choudhury M Lakshmy R Kiran U Early goal directed therapy in moderate to high risk cardiac surgery patients Ann Card Anaesth 2008 11 27 34 Mims BC Toto KH Luecke LE Roberts MK Brock JD Tyner TE Critical care skills a clinical handbook 2nd ed St Louis Saunders 2004 Opie LH Gersh BJ Drugs for the heart 6th ed Philadelphia Elsevier Saunders 2005 Perret C Tagan D Feihl F Marini JJ The pulmonary artery catheter in critical care Cambridge Blackwell Science Inc 1996 Pinsky MR Vincent J Let us use the pulmonary artery catheter correctly and only when we need it Crit Care Med
177. HF75 SVO2 780HF75 741HF75 MN A C 30cm 780HF75
178. Hi SVV SVV PPV SVV HR MAP CVP PADP PAWP SVV SVV 1 WEE R BRE m4 kg BADEN 2 ae APP Michard ED FL 500m 8 12 R F 0 85 ACOZ15 94 96 Berkenstadt et al Reuter et al 10XBMI 10 ASVV 0 64 ASV gt 5 79 85 100m 10 ASVV 0 53 ASV25 79 93 SVV SVV 10 15 SVV SVV 13 1 SV 43m SVV 199
179. I RVESV RVEF SBP DBP SBP 2DBP 3 RVSP RVDP PASP PADP PASP 2XPADP 3 HRXSV 1000 CO BSA CO HRX1000 CI HRX1000 80x MAP RAP CO 80x MAP RAP CI 80x MPAP PAWP CO 80x MPAP PAWP CI SVX MAP PAWP X0 0136 SVIX MAP PAWP x0 0136 SVX MPAP RAP X0 0136 SVIX MPAP RAP X0 0136 Diastolic BP PAWP SV EF RVEDV BSA EDV SV SV EDV 90 140mmHg 60 90mmHg 70 105mmHg 2 6mmHg 15 25mmHg O0 8mmHg 15 25mmHg 8 15mmHg 10 20mmHg 6 12mmHg 6 12mmHg 4 0 8 04 2 5 4 06 m2 60 100m 33 A7m4 Bl m 800 1200 dyne sec cm 1970 2390 dyne sec m2 cm 250dyne sec cm5 255 85 dyne sec m cm 58 104gm m 45 75gm m m2 8 16gm m 5 10gm m m2 60 80mmHg 100 160m4 60 100m2 m 50 100m4 40 60 PaOz PaCO2 HCOs pH SaOz SVO
180. Oz 80 M ScvOz SYO2 5 ScvOz 5 5 10 ScvO lt 4 1 2 3 SaO2 4 3 DOz 4 VO2 ScvO20 E Pk BY 38 FA ScvOz SYO2 4
181. R t SVOs SVO F RVEDVI RVEDVI f SVR 1 SVR SVR 1 SVR NYHA I r i Forrester E ie I SDP gt 18 lt 2 2 lt 18 Giese XL IV Bae ae Glasgow Coma Scale
182. The pulmonary artery catheter in critical care Cambridge Blackwell Science Inc 1996 Pinsky MR Vincent JL Let us use the pulmonary artery catheter correctly and only when we need it Crit Care Med 2005 May 33 5 1119 22 Thelan LA Davie JK Urden LD Lough ME Critical care nursing diagnosis and management 2nd ed St Louis Mosby 1994 Vincent JL Pinsky MR Sprung CL Levy M Marini JJ Payen D Rhodes A Takala J The pulmonary artery catheter in medio virtus Crit Care Med 2008 Nov 36 11 3093 6 Woods SL Froelicher ESS Motzer SU Bridges EJ Cardiac nursing 5th ed Philadelphia Lippincott Williams amp Wilkins 2005 Zink W N ll J Rauch H Bauer H Desimone R Martin E B ttiger BW Continuous assessment of right ventricular ejection fraction new pulmonary artery catheter versus transoesophageal echocardiography Anaesthesia 2004 Nov 59 11 1126 32 Abramo L Alexander IV Bastien D Bussear EW et al Professional guide to diagnostic tests Philadelphia Lippincott Williams amp Wilkins 2005 Alspach JG Core curriculum for critical care nursing 6th ed St Louis Saunders Elsevier 2006 E K w ES Antman EM Anbe DT Armstrong PW et al ACC AHA guidelines for the management of patients with ST elevation myocardial infarction Circulation 2004 110 588 636 Chulay M Burns SM AACN essentials of critical care nursing pocket handbook McGraw Hill 2006
183. care Cambridge Blackwell Science Inc 1996 Thelan LA Davie JK Urden LD Lough ME Critical care nursing diagnosis and management 2nd ed St Louis Mosby 1994 Woods SL Froelicher ESS Motzer SU Bridges EJ Cardiac nursing 5th ed Philadelphia Lippincott Williams amp Wilkins 2005 Civetta JM Taylor RW Kirby RR Critical care 2nd ed Philadelphia J B Lippincott 2002 Daily EK Schroeder JS Techniques in bedside hemodynamic monitoring 5th ed St Louis Mosby 1994 Darovic GO Hemodynamic monitoring invasive and noninvasive clinical application 3rd ed Philadelphia Saunders 2002 Fawcett J Hemodynamic Monitoring Made Easy 1st ed Baillere Tindall 2005 240p Headley JM Advanced Monitoring of Critical Functions Springhouse Corporation 1994 Chapter 3 Techniques of Pressure Monitoring Headley JM Advanced Monitoring of Critical Functions Springhouse Corporation 1994 Chapter 5 Monitoring Pulmonary Artery and Central Venous Pressures Imperial Perez F McRae M Gawlinski A Keckeisen M Jesurum J AACN protocols for practice Hemodynamic Monitoring 1998 Mims BC Toto KH Luecke LE Roberts MK Brock JD Tyner TE Critical care skills a clinical handbook 2nd ed St Louis Saunders 2004 Woods SL Froelicher ESS Motzer SU Bridges EJ Cardiac nursing 5th ed Philadelphia Lippincott Williams amp Wilkins 2005
184. e APB DCE BAT 7 Jv 15100BZY00946 OE 15100BZY01045 21300BZY00160 15600BZY00921 21700BZY00257 15800BZY00410 VIP 16000BZY00431 1970 3000
185. enous and pulmonary artery catheters CHEST 1998 113 165 71 Russell LM Weinstein RA Antimicrobial coated central venous catheters icing on the cake or the staff of life Crit Care Med 1998 26 2 195 196 Veenstra DL Saint S Saha S et al Efficacy of antiseptic impregnated central venous catheters in preventing catheter related bloodstream infection a meta analysis JAMA 1999 281 3 261 267 Biais M Nouette Gaulain K Cottenceau V Revel P Sztark F Uncalibrated pulse contour derived stroke volume variation predicts fluid responsiveness in mechanically ventilated patients undergoing liver transplantation Br J Anaesth 2008 Dec 101 6 761 8 Epub 2008 Oct 12 Button D Weibel L Reuthebuch O Genoni M Zollinger A Hofer CK Clinical evaluation of the FloTrac Vigileo system and two established continuous cardiac output monitoring devices in patients undergoing cardiac surgery Br J Anaesth 2007 Sep 99 3 329 36 Epub 2007 Jul 12 Collange O Xavier L Kuntzman H Calon B Schaeffer R Pottecher T Diemunsch P Pessaux P FloTrac for monitoring arterial pressure and cardiac output during phaeochromocytoma surgery Eur J Anaesthesiol 2008 Sep 25 9 779 80 Epub 2008 May 14 Headley JM Arterial Pressure Based Technologies A New Trend in Cardiac Output Monitoring Critical Care Nursing Clinics of North America Elsevier Saunders 2006 Hofer
186. ing Curve ROC Cko TEZES N TUFF Berkenstadt 1 1 I 10mmHg pulsus paradoxus 5 10mmHg Reverse pulsus paradoxus Reverse pulsus paradoxus paradoxical pulsus respiratory paradox SVV SVmax SVmin SVmean SVmean SVmaxt SVmin 2 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 SE i g B ai s m GONG 2 H m iat amp am la
187. lliam Ganz 1972 RAP PASP PADP MPAP i By RB AE PA WP CO Set CO Set SYO gt
188. nd analysis method Biomed Instrum Technol 2007 Sep Oct 41 5 403 11 Zimmermann A Kufner C Hofbauer S Steinwendner J Hitzl W Fritsch G Schistek R Kirnbauer M Pauser G The accuracy of the Vigileo FloTrac continuous cardiac output monitor J Cardiothorac Vasc Anesth 2008 Jun 22 3 388 93 Epub 2008 Jan 22 PLR Passive Leg Raising Biais M Nouette Gaulain K Cottenceau V Revel P Sztark F Uncalibrated pulse contour derived stroke volume variation predicts fluid responsiveness in mechanically ventilated patients undergoing liver transplantation Br J Anaesth 2008 Dec 101 6 761 8 Edwards Lifesciences Critical Care Division Vigileo manual software 1 14 Irvine CA Edwards Lifesciences 2008 186p Grier L Utilization of stroke volume variation SVV in spontaneously breathing critically ill patients to predict fluid responsiveness Critical Care Medicine 2006 Dec Suppl 34 12 A56 Heenen S De Backer D Vincent JL How can the response to volume expansion in patients with spontaneous respiratory movements be predicted Critical Care 2006 Jul 17 10 R102 Hofer CK Senn A Weibel L Zollinger A Assessment of stroke volume variation for prediction of fluid responsiveness using the modified FloTrac and PiCCOplus system Critical Care 2008 Jun 20 12 R82 Jabot J Teboul JL Richard C Monnet X Passive leg raising for predicting fluid responsiveness importance of the postural change Intensive Care Med E
189. ndex 02 Fo 20 30 O2EI Sa02 SvO2 Sa02x100 Sa0z 99 SvO2 75 O EI 99 75 99x100 24 296 CO vs SYON R SvOz VOz C a v OzxCOX10 CO VOz C a v Oz C a v 0z VOz COx10 S a v 0z VOz COx10 SYOs Sa0z 1 0 SVO2 CvO2 Ca0z SYOz 1 VOz COx10xCa0 S O2 1 VOz DO x10 SYOz DO VO ok m fr HF ta 4 VO DO gt 4
190. ogove HJ Cardiac tamponade associated with a multi lumen central venous catheter Crit Care Med 1984 12 7 611 613 McGee WT Mallory DL Cannulation of the internal and external jugular veins In Kirby RR Taylor RW Problems in Critical Care Philadelphia JP Lippincott Co 1988 pp 217 241 McGee WT Steingrub JS Higgins TL Techniques of vascular access for invasive hemodynamic monitoring In Higgins TL Steingrub JS Kacmarek RM Stoller JK Cardiopulmonary Critical Care Oxford UK BIOS Scientific Publishers 2002 pp 381 399 E K a s Mermel L Stolz S Maki D Surface antimicrobial activity of heparin bonded and antiseptic impregnated vascular catheters J Infect Dis 1993 167 920 924 NICE Guidance on the use of ultrasound locating devices for placing central venous catheters National Institute for Clinical Excellence Tech Appraisal No 49 O Grady NP Alexander M Dellinger EP et al Guidelines for the prevention of intravascular catheter related infections MMWR 2002 51 RR 10 1 29 Pemberton LB Ross V Cuddy P et al No difference in catheter sepsis between standard and antiseptic central venous catheters A prospective randomized trial Arch Surg 1996 131 9 986 989 Raad Il Vascular catheters impregnated with antimicrobial agents present knowledge and future direction Infect Control Hosp Epidemiol 1997 18 4 227 229 Randolph AG Cook DJ Gonzales CA Andrew M Benefit of heparin in central v
191. pub 2008 Sep 16 Kobayashi M Ko M Kimura T Meguro E Hayakawa Y Irinoda T Takagane A Perioperative monitoring of fluid responsiveness after esphogeal surgery using stroke volume variation Expert Rev Med Devices 2008 May 5 3 311 6 Michard F Changes in arterial pressure during mechanical ventilation Anesthesiology 2005 Aug 103 2 419 28 E K w s Michard F Volume Management Using Dynamic Parameters Chest 2005 128 1902 1903 Monnet X Teboul JL Passive Leg Raising Intensive Care Med 2008 Apr 34 4 659 63 Berkenstadt H Margalit N Hadani M et al Stroke Volume Variation as a Predictor of Fluid Responsiveness in Patients Undergoing Brain Surgery Anesthesia and Analgesia 2001 92 984 9 Echiadis AS et al Non invasive measurement of peripheral venous oxygen saturation using a new venous oximetry method evaluation during bypass in heart surgery Physio Meas 2007 28 897 911 Goodrich C Continuous Central Venous Oximetry Monitoring Critical Care Nursing Clinics of North America 18 2 203 9 Headley JM Giuliano K Special Pulmonary Procedures Continuous Mixed Venous Oxygen Saturation Monitoring In Lynn McHale DJ Carlson KK AACN Procedure Manual for Critical Care 6th Edition Philadelphia W B Saunders Company 2009 Huber D Osthaus WA Optenhofel J et al Continuous monitoring of central venous oxygen saturation in neonates and small infants in
192. t Takano H et al Hepatic venous oxygen saturation monitoring in patients with assisted circulation for severe cardiac failure Artif Organs 1991 Jun 15 3 248 52 Zaja J Venous oximetry Signa Vitae 2007 2 1 6 10 Alspach JG ed Core Curriculum for Critical Care Nursing 6th ed St Louis Saunders Elsevier 2006 Daily EK Schroeder JS Techniques in bedside hemodynamic monitoring 5th ed St Louis Mosby 1994 Darovic GO Hemodynamic monitoring invasive and noninvasive clinical application 3rd ed Philadelphia Saunders 2002 Headley JM Invasive Hemodynamic Monitoring Applying Advanced Technologies Critical Care Nursing Quarterly 1998 21 3 73 84 Headley JM Puzzled by Continuous Cardiac Output Monitoring Nursing 97 1997 32aa 32dd Headley JM Special Pulmonary Procedures Continuous Mixed Venous Oxygen Saturation Monitoring In Lynn McHale DJ Carlson KK AACN Procedure Manual for Critical Care 5th Edition Philadelphia W B Saunders Company 2005 Imperial Perez F McRae M Gawlinski A Keckeisen M Jesurum J AACN protocols for practice Hemodynamic Monitoring 1998 Leeper B Monitoring right ventricular volumes a paradigm shift AACN Clin Issues 2003 May 14 208 19 Mims BC Toto KH Luecke LE Roberts MK Brock JD Tyner TE Critical care skills a clinical handbook 2nd ed St Louis Saunders 2004 Perret C Tagan D Feihl F Marini JJ
193. t 110 70 ventricular response 2180 159 139 109 55 69 40 54 339 Hcc 250 35 49 25 34 12 24 10 11 6 9 lt 5 ventilation or non ventilation Oxygenation A aDOz or PaO2 mmHg 350 200 200 a Fi0220 5 A aDOs CE Wm do a Sam K b FOz 0 5 Pa0s 700 GO 5560 S55 N 7 6 ie mee Jes ales x RUD EET 750 749 1e ma 7 K i602 ike ko We i20 elite N mmol amp 2180 179 159 154 149 199 119 S110 m 55 85 25 9 mmol 6 E 6 69 59 54 9 784 29 lt 25 bz mg 100m 157 06 TN 2958 Poa 1 9 1 4 0 6 2 j 50 46 30 20 260 509 499 459 209 20 eso 15 S WBC x103 mm3 240 309 199 149 1 29 lt 1 Glasgow Coma Scale 155 Glasgow Coma Scale 15 Glasgow Coma Scale HCOs mmol 9 252 41 92 2 18 li lt 15 n 51 9 40 9 31 9 21 9 179 B age point point 44 0 45 54 2 55 64 amp 65 74 5 gt 75 6 APACHETII A APS B age point C CHP C CHP chronic health point
194. vitro evaluation of two different oximetry catheters Pediatric Anesthesia 2006 16 1257 63 Kumon K et al Continuous measurement of coronary sinus oxygen saturation after cardiac surgery Crit Care Med 1987 June 15 6 595 7 Ladakis C Myrianthefs P Karabinis A et al Central venous and mixed venous oxygen saturation in critically ill patients Respiration 2001 68 279 85 Liakopoulos O Ho J Yezbick A et al An experimental and clinical evaluation of a novel central venous catheter with integrated oximetry for pediatric patients undergoing cardiac surgery International Anesthesia Research Society 2007 105 6 McGee WT A simple physiologic algorithm for managing hemodynamics in the intensive care unit utilizing stroke volume and stroke volume variation J Inten Care Med 2008 Submitted Reinhart K Kuhn HJ Hartog C et al Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill Intensive Care Med 2004 30 1572 8 Rivers E Nguyen B Havstad S et al Early goal directed therapy in the treatment of severe sepsis and septic shock N Engl J Med 2001 345 1368 1377 Rivers EP Ander DS Powell D Central venous oxygen saturation monitoring in the critically ill patient Curr Opin Crit Care 2001 7 204 11 Schell RM Cole DJ Cerebral monitoring jugular venous oximetry Anesth Analg 2000 90 559 66 Spenceley N Continuous central venous saturations during pericardial tamponade Case Repor
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