肺动脉漂浮导管PAC.ppt

肺动脉漂浮导管的应用 ;Contents;精品资料; 你怎么称呼老师？ 如果老师最后没有总结一节课的重点的难点，你是否会认为老师的教学方法需要改进？ 你所经历的课堂，是讲座式还是讨论式？ 教师的教鞭 “不怕太阳晒，也不怕那风雨狂，只怕先生骂我笨，没有学问无颜见爹娘 ……” “太阳当空照，花儿对我笑，小鸟说早早早……”; What is Pulmonary Artery Catheter ?;Clinical use of the PAC （Diagnosis） ;Clinical use of the PAC（Therapy）;Contents;Structure of PAC;PAC;首选：右颈内静脉;Comparison among PA catheter insertion sites;PAC insertion ;PAC insertion;PAC on CRX（PA）;Placement of the catheter?;Right Atrium;Waveforms of CVP?;EKG-RAP;Right Atrium; Right ventricular waveform; Pulmonary artery waveform?;EKG-PAP;Pulmonary artery waveform?; PAWP waveform;PAWP waveform;EKG-PAWP;PAWP waveform;ECG -- CVP -- PAWP; How do u know u r in Zone 3？;Rapid Flush Test（方波试验）; Phlebostatic Axis;PAC并发症、可能原因、预防及处理;PAC并发症、可能原因、预防及处理;Contents; Hemodynamic values of normal adults;Hemodynamic Monitoring; Cardiac Output （CO） ;Cardiac Output Index （CI）;;What Elevates the Right Atrial Pressure?;Prominent RA pulsations;What Increases RV Pressures?;What Elevates PA pressure?;用压力推测心室舒张末期容量的前提;PAWP and LVEDP may be discordant;Systemic and pulmonary vascular resistance;Systemic Vascular Resistance;Pulmonary Vascular Resistance;SvO2;Contents;;;;PAC为何不能改善预后？;We still need PAC ？;到底是谁的问题？;临床评价 VS 血流动力学;Benefit or Harm？;能否替代PAC？;Contents;PAC要回答的四个问题;PAC参数整合：前负荷;PAC参数整合：后负荷;PAC参数整合：心脏收缩力;PAC参数整合：氧代谢;Oxygen Delivery: What are the components?;PAC目标指导性治疗;PAC目标指导性治疗;基于PAC参数的常见危重病的诊断;基于PAC参数的急性右心衰诊断;基于PAC参数的急性左心衰诊断;基于PAC参数的感染性休克诊断;基于PAC参数的失血性休克诊断;基于PAC参数的急性肺栓塞诊断;PAC病例;Case 1 Fluid challenge;Case 2 Fluid challenge;Case 2 Diuretic ;Case 2 Diuretic;Case3 Vasodilator Therapy;Case3 Vasodilator Therapy;Case 4 Cardiac tonic;Case 4 Cardiac tonic;Case 5 Septic Shock;Case 5 Septic Shock;Thank You !