Haemodynamics SDL

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. Scroll through the articles in each section for more information on each modality:

• 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 CODA Change)

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 trouble-shooting
• Transcutaneous pacing

Other

• Fluid responsiveness

Other resources

• See the Deranged Physiology Fellowship exam question bank for relevant past questions on these topics.