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Troubleshooting PAC insertion • LITFL • CCC equipment | 合法醫療器材資訊網

Troubleshooting PAC insertion • LITFL • CCC equipment

2020年11月3日—TroubleshootingPulmonaryArteryCatheterinsertion....block;malpositionafteradvancingintopulmonaryartery;PACtipnotinWestZoneIII.

 Troubleshooting PAC insertion • LITFL • CCC equipment

OVERVIEW

PAC tip will not advance into pulmonary artery (stuck in SVC or RA, RV, or coronary sinus) Wedged waveform after balloon deflation dysrhythmias or complete heart block malposition after advancing into pulmonary artery PAC tip not in West Zone III

PAC TIP WILL NOT ADVANCE INTO PULMONARY ARTERY

PAC won’t float into RV (good RA waveform)

this may be due to tricuspid regurgitation causing a jet of blood regurgitating from the right ventricle to push the catheter back out of the RV with each contraction fill the balloon with 1.5ml of normal saline, and repositon the patient left side down when crossing the tricuspid valve Gravity should guide the now heavier balloon into the right ventricle

PAC won’t float into PA (good RV waveform) ...

閱讀更多

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What are the vertical lung zones relevant to pulmonary artery ... | 合法醫療器材資訊網
In the supine patient, most of the lung is considered zone 3. Blood flow to this area is increased, making balloon flotation easier. In critically ill patients who require ... Read More
Pulmonary Artery Catheter • LITFL • CCC equipment | 合法醫療器材資訊網
2020年11月3日 — Pulmonary Artery Catheter aka Swan-Ganz catheter (or 'the yellow ... the ipsilateral lung field in West zone 3 (below the level of the left atrium). Read More
Troubleshooting PAC insertion • LITFL • CCC equipment | 合法醫療器材資訊網
2020年11月3日 — Troubleshooting Pulmonary Artery Catheter insertion. ... block; malposition after advancing into pulmonary artery; PAC tip not in West Zone III. Read More
Clinical relevance of data from the pulmonary artery catheter | 合法醫療器材資訊網
由 E Robin 著作 · 2006 · 被引用 58 次 — Pulmonary artery occlusion pressure (PAOP), CEDV and right atrial ... To address this problem, the catheter tip must be in West zone 3. If this is ... Read More
The Pulmonary Artery Catheter | 合法醫療器材資訊網
由 UK Gidwani 著作 · 2013 · 被引用 57 次 — West's zones of the lung; note that Zone 3 placement of the PAC is critical for the accurate estimation of the left ventricle end diastolic pressure from the PCWP. ( ... Read More
Correct positioning of the PA catheter | 合法醫療器材資訊網
2015年7月13日 — This means you have to send the catheter tip into Wests Zone 3 when you are ... ​Pulmonary artery catheterization in the intensive care unit: just ... Read More
Pulmonary Artery Catheters | 合法醫療器材資訊網
2010年11月24日 — PA catheter tip -> small pulmonary artery (usually in RML or RLL) ... must be in West Zone III otherwise trace will show respiratory swing. Read More
The contemporary pulmonary artery catheter. Part 1 ... | 合法醫療器材資訊網
由 IT Bootsma 著作 · 2021 · 被引用 2 次 — 3. figure3. Pulmonary artery catheter location in relationship to West`s zones of the lung. Pap pulmonary arterial pressure, Pa pressure in the ... Read More
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