Last updated 1 April 2015
Alfred ICU guidelines
Here are some relevant Alfred ICU guidelines (Alfred ICU staff only – password protected)
- Arterial line
- PAC management in ICU
- Emergency Insertion of Temporary Transvenous Pacing Catheter
- Temporary Epicardial Pacing Wires: Care and Removal
- CVC in ICU
- Dual Chamber Pacemaker Threhold Assessment
- Single Chamber Pacemaker Threshold Assessment
DerangedPhysiology.com
This website has an excellent introductions to haemodynamic monitoring, with informative diagrams and physiological explanations:
- Arterial blood pressure monitoring
- Central venous pressure monitoring
- The Pulmonary Artery Catheter
- Pulse contour cardiac output monitoring (PiCCO)
- The ‘temporary cardiac pacing’ pages of the Cardiothoracic ICU section is also good
Podcasts
- Charming the Yellow Snake: Pulmonary Artery Catheters by Ray Raper (talk from smaccGOLD via ICN)
- The Art and Science of Fluid Responsiveness by Haney Mallemat (talk from smaccGOLD via RAGE)
LITFL CCC
These pages are built around the FCICM part 2 exam curriculum – it is what you need to know by the time you take the big quiz…
Intra-arterial blood pressure and CVP monitoring
- Arterial line
- CVP Measurement
- Central venous oxygen saturation (ScvO2) monitoring
- Discrepancies between NIBP and Arterial Lines Pressures
Pulmonary artery catheter
- Pulmonary Artery Catheters
- Pulmonary Artery Wedge Pressure and Wedging
- Trouble-shooting PAC insertion
- Trouble-shooting PAC measurement
- Pulmonary haemorrhage after PAOP measurement
- PAC vs TOE in Shock
- Mixed venous oxygen saturation (SvO2) monitoring
- SvO2 vs ScvO2
Pacing
- Temporary Transvenous Cardiac Pacing
- Temporary Epicardial Cardiac Pacing
- Pacemakers
- Pacing Modes, Advantages and Disadvantages
- Temporary Pacemaker Problems
- Temporary pacemaker trouble-shooting
- Transcutaneous pacing
Other
Other resources
- America Thoracic Society — Pulmonary Artery Catheter Primer (PAC MCQs with detailed explanations)
- Keyword search the FCICM Fellowship exam database on LITFL for relevant past questions.