Pulmonary Artery (PA) Catheter Waveforms EXPLAINED!
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- Опубліковано 11 чер 2024
- A disucssion about the waveforms of the PA cath. 📝 Free Quiz: adv.icu/3HLBWNO
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In this lesson, we are taking a deeper dive into talking about the different waveforms that we see with our PA or Swan-Ganz catheter. There are essentially 4 different waveforms that we can see if we follow the path of the catheter and we will discuss each of them including what actually makes up the waveform and what it represents.
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0:00 Intro
1:29 Right Atrial Pressure (RAP)
7:28 Right Ventricular Pressure
9:41 Pulmonary Artery Pressure (PAP)
11:57 Wedge Pressure (PCWP/PAOP)
14:05 Wrap up
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Studying for flight paramedic (FP-C) your videos are really really helping me understand! Thank you 🙏🏽
Nursing student here... working at an ICU in France, these videos helped me a lot... Huge thanks for your work, very well made. ❤
Hi Edie, as a med-surg RN who just transferred to the CICU, I just wanted to say thank you for this video and series on PA caths. I also watched the entire hemodynamics series. You’re a great teacher and make heavy ICU concepts so much clearer and approachable. Thank you again!
Hey Sarah. Thanks so much for taking the time to leave an awesome comment. This is great to read. Congrats on the new ICU gig btw. I truly try to break things down in ways that make sense, so this makes me happy to read.
Eddie, grateful for your time and for providing such super useful videos. ❤️
Truly my pleasure! Glad you enjoyed.
Very much simplified and elaborated lecture
Just loved it❤❤
really good video! This is the third time I watched this video. every time I watched, I have deeper understanding of PA waveforms. Thanks Eddie! If you see the comment, I was wondering can you make a video explain how PEEP will affect PAP and PAOP. How is it different from spontaneous breathing and ventilated patients.
Awesome explanations. Thank you very much!! Finally I get it!
I’ve been looking for ways to explain PA catheters to students and orienteers (I work in a CICU) and I wish this video were around when I were a new icu nurse because you just made it so simple and easy!
Great video! I'm finishing up my orientation on a cardiac surgery icu and this was a great refresher! I'll be on my own next week😃
Woohoo!! congrats of the new position and for finishing up orientation. Now the real learning begins! You've got this!!!
This was very helpful! I'll be watching several times. Thank you!
Glad to hear you enjoyed it!
Hey Eddie, I don't know if you remember my comment from a few months ago, but I told you I was doing a practicum in CVICU for my senior year in nursing school. I have since graduated, but my experience in that unit was incredibly disheartening and frankly awful. A previous instructor I had really inspired me to choose that area, as well as my aspiration to become a CRNA in the future. Being able to shadow him and see how he truly cared for the families and could explain concepts such as ECMO and CRRT to them so effortlessly and passionately really made me KNOW I belonged there and this is where I was supposed to be in life. I wanted to become that nurse that I saw him being.
I binged all of your videos, making painfully in depth notes and studying them all summer long before my practicum, knowing that I still was barely scratching the surface of the nuance of this unit and coming into the practicum fully humble and ready to learn from veteran nurses. What I found in that unit was career focused nurses who cared more for their aspirations than the outcomes of their patients. My preceptor was only two years into her career and had her CCRN, in critical care NP school, and applying to CRNA school soon. I found this to be extremely common, with conversations revolving around how dreadful nursing is and how I chose the worst career. This was so discouraging, I expected to be in a place where the field was constantly pushed forward, and where client outcomes and research was the main focus, and not personal gain and what the career can do for you.
I don't want this experience to change how I care for patients, so I chose to work in a general ICU and focus on becoming a great nurse, instead of making the career choice of jumping into CVICU and rushing for CRNA school. I know that this field can be tiresome and it can and will weigh on a person, but that does not give a valid reason to become heartless and self centered. I wonder if this was an anomaly at this facility or if this has been experienced by you or other nurses. I know it is inevitable to have every person truly care about what they are doing, but I hope to find a better environment than the one I found myself in this last semester.
I appreciate your dedication to this channel and the education of the care related to this area of nursing. Knowing that there are nurses out there like you inspired me to complete my last semester of nursing school despite my bad experiences.
*Unachievable, not inevitable
Hey Liam. Yes I do remember you and remember about you heading into that practicum.
So sorry to hear you had a bad experience with that unit. I do think its was an unlucky arrangement as its certainly not like that everywhere. Sure in the CVICU you get some portion of people who come through with the intention to get the experience for CRNA, but typically that is not the usual person working there.
It honestly sounds like this just might not have been a good unit to work for in general, and you'll unfortunately come across that from time to time regardless of whether its CVICU, or any other ICU or even unit in general.
I'm glad though that you seem to have found a unit that is a good place to work and that you enjoy being there. That is truly the key with any position you take. Don't let that one experience give you a bad taste as its certainly not the norm. These days people are burnt out and its all over the place, but theres still many of units that are good places to work.
Wishing you all the best and thanks for let me know how this channel has been a help for you. It means the world and truly just glad to know I'm able to help people in some way.
Thank you SO MUCH! I needed a refresh 🙏
You're very welcome Bianca! Glad you liked it.
Really helpful explanations
Love your work man
Thank you sir! I finally understood PCWP :)
Excellent really made easy👍🏻
excellent explanation! thank you so much!
Glad you enjoyed it!
Thank you so much for these videos, I take my CCP-C test in a couple days and I'm trying not to stress on it. These were a lot of help. Wish me luck! And happy new year!
You've got this! Wishing you all the best on your test and you'll have to let me know once you pass it! Happy New Year!
@@ICUAdvantage I passed it this morning, found out as soon as I got home. I am now a flightless paramedic, or a Dodo lol. Your videos are awesome and a great resource. Thank you again so much!
@@andreafox9137 way to go! That’s so awesome to hear. Wishing you all the best moving forward. Very exciting
I'm one of the cool kids now. Thank you again for your vids.
thank you
Bravo explanation
Eddie, I love your videos. I am a 23 yr veteran nurse and mostly ICU and clinical research, but as of the past year, I have made the move to Cath Lab as my full-time and I teach at the local university the Saturday critical care clinicals for senior BSN students. I often recommend your videos to my students (not all of them, because some could be overwhelming for a student as they are made for practicing ICU nurses) but I think your explanations of concepts like shock and hemodynamics are in depth but digestible. That being said, I have a lot of trouble in cath lab learning the fluoroscopy of coronary anatomy and was wondering if you had any recommendations for videos or resources that I could look at to help me? It’s something that is new for me as ICU nurses don’t usually read them. After a year in CL, I am feeling so much more comfortable, but I still struggle picking out vessels on fluoroscopy. Do you or anyone else in the comments know of good videos or resources that help with that?
Hey there! How exciting the transition to Cath lab. If it weren't for the schedule, I'd totally consider it as it certainly looks like it could be fun at times.
Thanks so much in recommending the videos and helping to spread the word of the channel. I greatly appreciate that!
As for reading the fluro and identifying the vessels, this unfortunately is not something that I am very comfortable with. And I don't really know of any videos out there that would be a good resource for it. If you do find something, definitely post it back in here in case anyone else is looking for the same though.
@@ICUAdvantage thanks for responding!
I am also transitioning to the cath lab and would be interested if you come across any Videos that cover the information.
Thanks!
Thank you so much!
Please tell me the best way to differentiate between I PCWP and a dampened PA waveform possibly caused by air or low pressure in the system or a catheter issue or placement issue, like on the sideof a vessel? ? Partial occlusion in system? Kink within system either inside or outside of patient? We have been taught to flush our line to get it to float back into the correct position. We are not allowed to inflate the balloon and do not perform PCWP's on our patients.
Some resources I have seen say that the CVP/RAP waveform looks more like a wavy line, kind of like ~~~~~~~~~ and the waveform shown here looks identical to an IABP waveform. Can you explain how to tell the difference if you have both a PAC and an IABP?
Excelent!! Thank you. What programs do you use for video/audio making/editing?
Glad you liked it.
I use Adobe Photoshop, screencast to an iPad with Apple Pencil for the writing.
Thank you for sharing your knowledge. What device do you use to make your notes? Ipad or a microsoft tablet
Happy to help. Also, I use an iPad with my Mac screen shared to it.
How long did you work as an ICU nurse ?!? 😮
THANK YOU 🙏🏻
Don't get me as stupid, but I've been a CNA for 20 something years and I just started working on the ICU floor for a few months. I came from SUR that I've worked sine I was 19.... question.
Can you make a video on these two Wires that clip into the aortic/shoulder and while connected to a machine, you can hear the person's heart beat AND why? Why's the reason for this step during the healing process?? ( I asked a nurse that was caring for a patient like this, but she gave me a very short answer that didn't give me understanding)
Sorry, I'm not great at spelling words if I got a missed spelled in my question
Hey Rachel. For your question, I don't know if I entirely know what you are talking about. It sounds like maybe you are talking about doppler wires to audibly hearing if there is good blood flow to an area, but I'm not 100% that is what you are referring to. Do you have any more info?
@@ICUAdvantage you got it. that's what it called. I couldn't remember the name of it
@@rachelgarafola286 ok got it. I’ll add that to the todo list
@@ICUAdvantage and hey, if more interesting ideas come up todo, please don't feel obligated to do that. ( I kinda feel bad for asking) it was a random thought from my end...
Do want to say that you seem like a wonderful person to take such time to put together all of your videos together just to help those who need them ( you're probably helping a huge number of people) thank you for what you're doing
👍
Sü per 💯💯💯💯.
Thank you!
One other question. Has anyone ever heard of removing the PA catheter with the patient in a chair and then later taking out the introduced in the bed with a patient flat? We have some newer staff who say they practice that way, where as I have always been taught to perform the whole procedure in bed.