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Pulmonary Artery Catheter “Swan-ganz” DR. Abdul Hamid Alraiyes

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Pulmonary Artery

Catheter“Swan-ganz”

DR. Abdul Hamid Alraiyes

Pulmonary Artery Catheterization

Pulmonary Artery Catheterization

Pulmonary Artery Catheterization

Pulmonary Artery Catheterization

Pulmonary Artery Catheterization

Pulmonary Artery Catheterization

Pulmonary Artery Catheterization

• Use in assessment of :

1-Left atrial pressure

2-LVEDP (PCWP) “normal valves”

3-Pulmonary

resistance

4-Cardiac output (Thermodolution)

5-Arteriovenous

oxygen difference

6-Mixed venous blood

oxygenation

Pulmonary Artery Catheterization

• COMPLICATION:

1-Rupture

– balloon

– Vessel

2-infarction

3-infection

4- catheter

knotting.

P.A. Catheterization

applicationsCARDIOGENIC SHOCK SEPTIC SHOCK

CO & CI LOW Normal-HIGH

SVR & SVRI Normal-HIGH LOW

PCWP High Normal - low

SvO2 LOW HIGH

MILRINON

DOBUTAMINE

NORADNERALIN

PHENYLEPHRINE

VASOPRESSIN

THANK YOU

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