RT Book, Section
A1 Alba Yunen, Rafael
A1 Oropello, John M.
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136420166
T1 Pulmonary Artery Catheterization
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1136420166
RD 2024/04/18
AB KEY  POINTSThere  is  a  core  of  accurate  and  reliable  hemodynamic  information  obtained  from  the  pulmonary  artery  catheter  (PAC)  not  readily  available  from  any  other  single  device.The  most  reliable  pressure  measurements  obtained  from  the  PAC  are  continuous  pulmonary  artery  systolic  and  diastolic  pressures;  the  least  reliable  is  the  pulmonary  artery  occlusion  (or  “wedge”)  pressure.Holding  rapid  fluid  infusions  via  the  introducer  and  proximal  PAC  ports  and  turning  off  the  inflation  of  sequential  compression  devices  (SCDs)  improves  the  accuracy  of  thermodilution  cardiac  output  (CO).Svo2  does  not  correlate  with  CO  in  critically  ill  patients;  increases  in  the  P[v-a]co2  gradient  are  inversely  proportional  to  the  CO.Information  from  any  hemodynamic  monitor  must  be  interpreted  in  the  context  of  the  clinical  situation  (eg,  diagnoses,  physical  examination,  laboratory,  radiologic),  the  treatment  goal,  and  the  response  to  treatment.