Hemodynamic monitoring involves the invasive measurement of pressures within the heart and vessels to assess cardiovascular function and tissue perfusion. It utilizes a catheter connected to a transducer and monitor. Catheters can be placed in the pulmonary artery via the jugular or subclavian vein, in the right atrium, or in arteries like the radial or femoral. This allows the direct measurement of pressures in these areas to guide treatment for issues like shock. Complications can include infections, arrhythmias, or embolisms, so the insertion site must be carefully monitored.
Comprehensive presentation on intra arterial blood pressure with a good insight into the the basic physics and brief look into the risks and complications.
Comprehensive presentation on intra arterial blood pressure with a good insight into the the basic physics and brief look into the risks and complications.
This is a very simple presentation prepared for nurses. It will help nurses to understand the need of monitoring and the available methods. The presentation has been constructed on a clinical case base scenario and gradually different methods of monitoring has been introduced.
Hemodynamic monitoring- Hemodynamic monitoring refers to the measurement of pressure, flow and oxygenation within the cardiovascular system. Hemodynamic monitoring is amandatory process in all the critical care units to assess the patients progress. This presentation is aimed to create an insight on Hemodynamic monitoring.
Basic hemodynamic principles viewed through pressure volume relationsInsideScientific
The goal of this webinar is to provide an overview of the fundamental principles of preload, afterload, contractility and lusitropy (diastolic properties), how these are quantified on the pressure-volume diagram, and how they are affected in heart failure. Links are made to underlying properties of cardiac muscle and ventricular structure. After establishing basic concepts, it will be demonstrated how pressure-volume analysis can lead to a quantitative understanding of how heart and vasculature interact to determine stroke volume, cardiac output and blood pressure. The implications for understanding therapeutic effects will also be discussed.
Key Topics:
- Preload, Afterload, Contractility and Lusitropy
- Cardiac Muscle and Ventricular Structure
- Understanding Heart-Vasculature Interactions
- PV Loops in Heart Failure
- Understanding Therapies and Their Effects on Cardiac Pump Performance
This is a very simple presentation prepared for nurses. It will help nurses to understand the need of monitoring and the available methods. The presentation has been constructed on a clinical case base scenario and gradually different methods of monitoring has been introduced.
Hemodynamic monitoring- Hemodynamic monitoring refers to the measurement of pressure, flow and oxygenation within the cardiovascular system. Hemodynamic monitoring is amandatory process in all the critical care units to assess the patients progress. This presentation is aimed to create an insight on Hemodynamic monitoring.
Basic hemodynamic principles viewed through pressure volume relationsInsideScientific
The goal of this webinar is to provide an overview of the fundamental principles of preload, afterload, contractility and lusitropy (diastolic properties), how these are quantified on the pressure-volume diagram, and how they are affected in heart failure. Links are made to underlying properties of cardiac muscle and ventricular structure. After establishing basic concepts, it will be demonstrated how pressure-volume analysis can lead to a quantitative understanding of how heart and vasculature interact to determine stroke volume, cardiac output and blood pressure. The implications for understanding therapeutic effects will also be discussed.
Key Topics:
- Preload, Afterload, Contractility and Lusitropy
- Cardiac Muscle and Ventricular Structure
- Understanding Heart-Vasculature Interactions
- PV Loops in Heart Failure
- Understanding Therapies and Their Effects on Cardiac Pump Performance
Pulmonary artery catheterisation, Cardiac surgeries, Non cardiac surgeries, LVEDD and PA pressure relationship, Technique and complications of PA placement
The CVP catheter is an important tool used to assess right ventricular function and systemic fluid status. Normal CVP is 2-6 mm Hg. CVP is elevated by : overhydration which increases venous return.
central venous pressure and intra-arterial blood pressure monitoring. invasiv...prateek gupta
central venous pressure and intra-arterial blood pressure monitoring. various sites for cvp and Ibp insertion. working principle for cvp and ibp. indication and complication. various waveform of cvp and ibp
Hemodynamic monitoring of critically ill patientsV4Veeru25
Hemodynamic monitoring measures the blood pressure inside the veins, heart, and arteries. It also measures blood flow and oxygen proportion in the blood. Monitoring hemodynamic events provides information about the adequacy of a patient's circulation , perfusion, and oxygenation of the tissues and organ systems. The effectiveness of hemodynamic monitoring depends both on available technology and on physician ability to diagnose and effectively treat the disease
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. Hemodynamic Monitoring
▪ Hemodynamic monitoring as defined by Ignatavicius & Workman (2012), is
an invasive system used to visualize information regarding patients vascular
capacity, blood volume, pump effectiveness as well as tissue perfusion. It is
a system that allows for direct measurements of pressures of the heart and
the great vessels.
▪ Components include a catheter with an infusion system, a transducer and a
monitor. Although it is the physician who orders and inserts the catheter,
nurses should know what we are looking at and how to interpret it. This type
of monitoring is usually used during critical care settings such as hypovolemic
shock and can determine physicians orders for future treatment as well as
provide evidence that the current treatment is being tolerated (pg. 708).
▪ There are several placement locations which can be used to monitor
including the pulmonary artery, right atrium, and radial, brachial, femoral or
dorsalis pedis arteries.
3. Pulmonary Artery Catheter
▪ A balloon-tipped, multi-lumen pulmonary artery catheter (PAC) also known
as the Swan-Ganz catheter is inserted by physician into the internal jugular
or subclavian vein and guided to the right atrium (RA). Once there, the
balloon is inflated and catheter advances with blood flow to the pulmonary
artery (PA). Balloon is deflated once in the PA. Placement confirmed with
x-ray (pg. 708).
▪ Normal RA pressure: 1-8 mm Hg. Normal PA pressure: 15/5-26/15 mm Hg.
Decreased RA pressure may = hypovolemia. Pressure measured during
balloon inflation is called the pulmonary artery wedge pressure (PAWP) and
reflects left atrial pressure. Normal ranges between 4-12 mm Hg. Elevated
PAWP may = left ventricular failure or hypervolemia (pg. 709). .
▪ Before recording pressure patient must be in supine position with head of
the bed at a 45 degree angle and the transducer must be at the level of the
phlebostatic axis (pg. 709). .
▪ Complications can include pulmonary rupture if catheter stays in wedge
position. Notify physician immediately if this happens. Air embolism,
ventricular dysrhythmias, thrombus, embolus and infections are also
possible. Catheter insertion site is covered with a sterile occlusive
dressing. Inspect site for signs of infection (swelling, drainage, redness,
hardness, etc.).
4. Central Venous Pressure Monitoring
As mentioned by emedicine.com as well as Ignatavicius & Workman
(2012), central venous pressure catheters (CVP) are also inserted by
a physician into the internal jugular vein guided by ultrasound
fluoroscopy. Anesthesia is utilized and can be done at the bed side
utilizing drapes and sterile technique. Equipment needed is the same
as for PAC. With a CVP catheter not only can we monitor pressures
from the right atrium or superior vena cava in critical patients but it
provides venous access for long term treatments like antibiotic
infusions, chemotherapy, and hemodialysis (pg. 819).
5. Arterial Pressure Monitoring
▪ Arterial lines (A-line) aide in providing continuous blood
pressure monitoring in critically ill patients. The
catheter is sterilely inserted into the radial or femoral
arteries, attached to pressure tubing and a normal
saline flush solution is infused under constant
pressure. A transducer is also attached.
▪ Direct arterial blood pressure is 10 to 15 mm Hg
greater than blood pressure cuff measurements.
▪ A-lines facilitate blood pressure readings for severely
burned, obese, or hypotensive patients, as well as
beneficial in the obtaining repeated blood samples for
ABG’s (arterial blood gasses).
▪ Complications include pain, infection, potential for air
embolism and hemorrhage.