Prepared by Ayat Abd Al-Khaliq Lafta Under Supervision Assist. Prof.Wafaa Abed Ali Hattab Ministry of Higher education and scientific Research University of Baghdad College of Nursing Invasive Hemodynamic Monitoring
Introduction to Hemodynamic Monitoring involves the assessment of the heart's function, blood flow, and overall circulation in the body. By closely monitoring hemodynamics.
Importance of Hemodynamic Monitoring in Patient Care Early Detection of Complications early detection of potential complications in patients, such as hemorrhage, sepsis, or cardiac failure Optimizing Treatment Strategies It assists in optimizing fluid resuscitation, vasopressor therapy, and inotropic support, leading to improved patient outcomes Enhancing Patient Safety This helps to prevent hemodynamic instability and ensures the safe management of critically ill patients
Hemodynamic Parameters and Their Significance Blood Pressure: One of the key hemodynamic parameters, it measures the force exerted by the blood against the walls of the arteries. Cardiac Output: This parameter signifies the volume of blood pumped by the heart in a minute Stroke Volume: The amount of blood ejected by the left ventricle of the heart in one contraction. Systemic Vascular Resistance: Reflects the resistance to blood flow offered by the systemic circulation.
Invasive Hemodynamic Monitoring Invasive hemodynamic monitoring involves the insertion of a catheter or probe into the patient's body to directly measure blood pressure , oxygen levels , and cardiac output
Commonly Used Invasive Hemodynamic Monitoring Devices
Benefits and Limitations of Invasive Hemodynamic Monitoring Invasive hemodynamic monitoring provides real-time, accurate data on vital parameters such as blood pressure, cardiac output, and oxygenation levels it also poses certain risks such as bleeding, infection, and embolism. Additionally, it requires specialized training for insertion and maintenance Limitations of Invasive Monitoring
indications for Invasive Hemodynamic Monitoring Shock States Infusion of drugs which may cause peripheral problems e.g. phlebitis Cardiogenic, septic, or hypovolemic shock requiring continuous monitoring and targeted interventions. Need for IV access and failure of peripheral access To obtain frequent blood sample Acute Respiratory Distress Syndrome (ARDS) To determine how much fluid is needed in 24hrs Monitoring of pulmonary pressures and optimization of fluid management in severe lung injury.