Swan-Ganz Catheter- Balloon flotation Pulmonary Artery catheter Use for monitoring critically ill patients (mostly in the ICU) Catheterization only possible.

Slides:

Advertisements

Similar presentations

ITU Post Operative Monitoring – Up to 4 hours

Advertisements

Sharon /Penny. 1.Review indications for the use of PA catheter with heart failure patients. 2.The difference of the four major types of PA catheters.

SWAN GANZ CATHETERS The flow-directed balloon-tipped pulmonary artery catheter (PAC) right heart catheter.

CO - RELATION WITH ECG INTRA CARDIAC PRESSURES ASHOK MADRAS MEDICAL MISSION CHENNAI

Pulmonary Artery Catheter

5/24/ HEMODYNAMIC MONITORING. OBJECTIVE 5/24/ Describe the three attributes of circulating blood and their relationships. 2. Identify types.

Pulmonary artery Balloon (swan Ganz)

Implantable Cardioverter Defibrillator Rebecca Boduch Biomedical Engineering University of Rhode Island.

Pressure, Flow, and Resistance Understanding the relationship among pressure, flow and resistance can help you understand how cardiac output and vascular.

Cardiovascular System Assessments

Valvular Heart Disease. Normal heart valves function to maintain the direction of blood flow through the atria and ventricles to the rest of the body.

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 40 Nursing Care of the Child with a Cardiovascular Disorder.

Shannen Whiddon.  Cardiac tamponade is a condition in which cardiac filling is impeded by an external force.

Diagnosis and Treatment When a person enters an emergency ward with a heart or cardiovascular problem, there are procedures to be followed.

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 40 Nursing Care of the Child With a Cardiovascular Disorder Maternity and.

Pediatric Interventions Cardiac Catheterization and Valvuloplasty.

Vanessa Beretta & Dan Fleming. About CHD A congenital heart defect also known as CHD is a defect in the structure of the heart and great vessels. Most.

Transcatheter ASD closure, sans X-rays Peter Ewert MD Robert Beekman MD.

Restrictive Physiology is a Major Predictor of Poor Outcomes in Children with Hypertrophic Cardiomyopathy Shiraz A Maskatia MD, Jamie A Decker MD, Joseph.

Chapter 16 Assessment of Hemodynamic Pressures

Are The Less Invasive Techniques For Monitoring Cardiac Output As Accurate As The Pulmonary Artery Catheter? Dr Andrew Rhodes St George’s Hospital London.

CHAPTER 6 DR. CARLOS ORTIZ BIO-208

Copyright © 2008 Lippincott Williams & Wilkins. 1 Assessment of Cardiovascular Function Hemodynamic Monitoring.

ITU Journal Club: Dr. Clinton Jones. ST4 Anaesthetics.

Picture of my family – love to start talks in the comfort of my living room. Feel passionate about my girls and about this unique population of patients.

Mechanical Circulatory Support Cardiogenic Shock Post AMI

CVS Monitoring in Shock

Monitoring During Anaesthesia &Critical State Dr.M.Kannan MD DA Professor And HOD Department of Anaesthesiology Tirunelveli Medical College.

Lecture II Congenital Heart Diseases Dr. Aya M. Serry 2015/2016.

Hypoplastic Left Heart Syndrome By: Tyler Nickels, Amanda McKellar, Kassie Herp, Zachary Zwiernikowski, & Amanda Mathy.

Harm from Invasive Devices Dr. Eleri Davies, Faculty Lead HCAI.

Date of download: 6/23/2016 Copyright © The American College of Cardiology. All rights reserved. From: ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS.

Date of download: 6/24/2016 Copyright © The American College of Cardiology. All rights reserved. From: Overview of the 2011 Food and Drug Administration.

| rejuveindiameditour.com.

Cardiovascular system

The use of pulmonary artery catheters and cardiac output monitoring devices on a busy combined cardiac and general intensive care unit Dr U. Puar1, Dr.

The New Educational Guidelines for Cath Lab Personnel

Fontan Global Case Conference Richard J. Czosek, MD 6/28/17

HEMODYNAMIC MONITORING

HEMODYNAMIC MONITORING

Heart Failure With Preserved Left Ventricular Function: Diagnostic and Therapeutic Challenges in Patients With Diastolic Heart Failure Michael N. Young,

Head of Medical Department Tuanku Fawziah Hospital

Echocardiographic modalities for evaluation and risk stratification of heart failure patients. 3D indicates 3-dimensional; EF, ejection fraction; LA, left.

Pressure trace obtained from an anesthetized dog as a Swan-Ganz catheter is advanced through the right atrium, the right ventricle, through the main pulmonary.

Volume 80, Issue 6, Pages (December 1981)

Limitations of right heart catheterization in the diagnosis and risk stratification of patients with pulmonary hypertension related to left heart disease:

Cardiac Cath NUR 422.

The Pulmonary Artery Catheter

Transplantation of lungs from non–heart-beating donors after functional assessment ex vivo Stig Steen, MD, PhD, Qiuming Liao, MD, Per N Wierup, MD, Ramunas.

Noriko Kikuchi et al. JACEP 2016;2:

The Pulmonary Artery Catheter

Congestive Heart Failure

Shadi Al Halabi et al. JACEP 2015;1:

David F. Katz et al. JACEP 2016;j.jacep

Juan A. Crestanello, MD, Richard C. Daly, MD

Surgical Ventricular Restoration for Advanced Congestive Heart Failure: Should Pulmonary Hypertension Be a Contraindication? Nishant D. Patel, BA, Jason.

Mahesh Anantha Narayanan et al. JACEP 2017;3:

CHAMPION Trial design: Patients with recent hospitalization for heart failure were implanted with a pulmonary artery pressure monitor and randomized so.

David F. Katz et al. JACEP 2017;3:20-28

Neal A. Chatterjee et al. JCHF 2014;2:

Maria R. Costanzo et al. JCHF 2016;4:

Mahesh Anantha Narayanan et al. JACEP 2017;j.jacep

Behnam N. Tehrani et al. JACC 2019;73:

Left atrial pressure measurement in a rat is currently impossible due to size limitations of balloon occlusion catheter Filip Konecny, MSc, DVM, PhD

Tae-Jin Yun, MD, PhD, Seung-Hyun Lee, MD, Jae-Kon Ko, MD, PhD

Total cavopulmonary connection using a pedicled pericardial conduit for a patient with apicocaval juxtaposition Hitoshi Kitayama, MD, PhD, Hidetaka Oku,

Gregory Piazza et al. JCIN 2015;8:

Rick A. Nishimura et al. JACC 2017;70:

James L. Cox, MD The Journal of Thoracic and Cardiovascular Surgery

Hari R. Mallidi, MD The Journal of Thoracic and Cardiovascular Surgery

Presentation transcript:

Swan-Ganz Catheter- Balloon flotation Pulmonary Artery catheter Use for monitoring critically ill patients (mostly in the ICU) Catheterization only possible on the right side of the heart Catheter is hooked up to a Cardiac Output computer

1929- Dr. Warner Forssman proven that right heart catheterization is possible in humans Dr. Bradley introduced small diagnostic catheter Balloon Flotation Catheter by Doctor H.J.C Swan and William Ganz

Detection of Heart Failure and Septic Shock Measures indirect left ventricular pressure Measure Cardiac Output by thermodilution for: Right Atrial and Right Ventricular pacing and right-sided pressures

Wireless Radiofrequency; no direct connection to Cardiac Output Computer Reduced hospitalization among heart failure patients Longer duration of use No batteries required No wearable parts

Ability to monitor patient’s blood flow through the heart when critically ill Detect of the effectiveness of certain medications, Heart Failure, and Shock

Over usage of the balloon If fluid bag is not under pressure, patient can bleed to death Ventricular tachycardia can occur if catheter slides back into the Right Ventricle Short duration of use

Stricter regulations for procedures/requirements Alternative technology to Swan-Ganz Catheter Further research on Pulmonary Artery catheterization

Palmieri, T. “The Inventors of the Swan-Ganz Catheter: H.J.C Swan and William Ganz”. Current Surgery. 2003; 60(3): Chatterjee, Kanu. “The Swan-Ganz Catheter: Past, Present, and Future: A viewpoint”. Circulation. 2009; 119: IN VIVO: Analysis Techniques- Surgical Operations.. Wikipedia: Pulmonary artery catheter.. Verdejo H, et al. “Comparsion of a Radiofrequency-Based Wireless Pressure Sensor to Swan-Ganz Catheter and Echocardiograpy for Ambulatory Assessment of Pulmonary Artery Pressure in Heart Failure”. Journal of American College of Cardiology. 2007; 50(25): Cuasay, R., Lemole, G. “Rupture of Pulmonary Artery by Swan-Ganz Catheter: A Cause of Postoperative Bleeding after Open-Heart Operation”. The Annals of Thoracic Surgery. 1981; 32: Medline: Swan-Ganz- right heart catheterization.. Bhattacharya, J., Shaikh, A., Vytlacil, E. “Treatment effect bounds: An application to Swan-Ganz catheterization”. Journal of Econometrics. 2012; 168: The Free Dictionary: Catheter.. Creagh Brown: Haemodynamic monitoring.. Cardiovasular Ultrasound: X-ray Swan-Ganz..