SCCM Resource Library-Invasive Hemodynamic Monitoring

Video Transcription

Video Summary

In this video, Dr. Anne Gage, an interventional cardiologist, discusses invasive hemodynamics in cardiogenic shock. She explains the capabilities and limitations of invasive hemodynamic monitoring and highlights the importance of accurate blood pressure measurements in diagnosing and managing cardiogenic shock. While non-invasive methods can be used initially, she emphasizes that invasive monitoring is recommended for accurate measurement of arterial pressure values. Dr. Gage also discusses the role of arterial lines and pulmonary artery catheters in monitoring and treating cardiogenic shock patients. She explains that while the routine use of pulmonary artery catheters may not show benefit, recent data suggests that they may be beneficial in cardiogenic shock patients. Dr. Gage concludes by discussing minimally invasive and non-invasive hemodynamic monitoring methods and their limitations in patients with cardiogenic shock. She suggests that more research is needed to evaluate the reliability of these devices in this patient population.

Asset Subtitle

Cardiovascular, Shock Non Sepsis, 2022

Asset Caption

Hemodynamics in patients with shock are often complex and can change rapidly as the course of disease evolves and as therapies are initiated. Close monitoring of patients with shock is clearly important, but precisely how to do this remains a subject of great controversy. Years ago, invasive hemodynamic monitoring was common and even routine in some settings, but over time less invasive options have evolved. It remains uncertain whether something has been lost in this shift.

Meta Tag

Content Type Presentation

Knowledge Area Cardiovascular

Knowledge Area Shock Non Sepsis

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Tag Hemodynamic Monitoring

Tag Cardiovascular

Tag Cardiothoracic Critical Care

Year 2022

Keywords

Dr. Anne Gage

interventional cardiologist

invasive hemodynamics

cardiogenic shock

blood pressure measurements

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