EDIC oefenvragenSwan-Ganz catheter

Bram ValkenburgDominique Schoester

Marc SchluepFebruari 2020

Which of the following are common indications for a PAC? (T/F)a) Volume status in septic shockb) Severe cardiogenic shock (eg, acute valvular disease, suspected pericardial tamponade)c) Suspected or known pulmonary artery hypertensiond) CABG

Which of the following are common indications for a PAC?a) Volume status in septic shockb) Severe cardiogenic shock (eg, acute valvular disease, suspected pericardial tamponade)c) Suspected or known pulmonary artery hypertensiond) CABG

A) Less invasive devices à PICCOB) Bv werkelijke bijdrage ernstige MI

op LVEF en RVEFC) Effect therapie?D) Routine TEE, geen routine PAC

meer

Contraindications? (T/F)a) Infection at the insertion siteb) The presence of a right ventricular assist devicec) Insertion during cardiopulmonary bypassd) Lack of consente) Coagulopathyf) Trombocytopenia

Contraindications? (T/F)a) Infection at the insertion siteb) The presence of a right ventricular assist devicec) Insertion during cardiopulmonary bypassd) Lack of consente) Coagulopathyf) Trombocytopenia

Which of the following are causes of raised pulmonary artery occlusion pressure (PAOP)? (T/F)a. Right ventricular failure.b. Aortic stenosis.c. Mitral regurgitation.d. Hypovolaemia.e. Mitral stenosis.

Which of the following are causes of raised pulmonary artery occlusion pressure (PAOP)?a. Right ventricular failure.b. Aortic stenosis.c. Mitral regurgitation.d. Hypovolaemia.e. Mitral stenosis.

Problemen van de linker harthelft

A: nee, want normale PAOP, wel hoge rechtsdrukken, CVD(RA)D: nee, lage PAOP

Normaal: 8-10mmHg>20mmHg vaak longoedeem

When using a pulmonary artery catheter, the following are directly measured variables: (T/F)a. Left atrial pressure.b. Cardiac index.c. Oxygen delivery.d. Mixed venous SaO2.e. Right ventricular systolic pressure.

When using a pulmonary artery catheter, the following are directly measured variables:a. Left atrial pressure.b. Cardiac index.c. Oxygen delivery.d. Mixed venous SaO2.e. Right ventricular systolic pressure

A: indirect voor PAOPB: indirect door thermodilutie enwiskundig algoritmeC: dO2 door berekening icm CI/ScvO2

Which of the following complications is most frequently seen after pulmonary artery catheter (PAC) insertion via the internal jugular vein? (MC)

A. Carotid artery punctureB. An arrhythmia requiring treatmentC. Bacterial colonizationD. Pulmonary infarctionE. Pulmonary artery rupture

Which of the following complications is most frequently seen after pulmonary artery catheter (PAC) insertion via the internal jugular vein? (MC)

A. Carotid artery punctureB. An arrhythmia requiring treatmentC. Bacterial colonizationD. Pulmonary infarctionE. Pulmonary artery rupture

A: 1-2%B: 1-2%C: ‘’relatively frequent’’, maar 1% sepsisD: <1%E: vrijwel nihil, wel desastreus

Nooit ballon in wedge laten zitten

Central venous catheter-related bloodstream infection (CRBSI): (T/F)A. Is an opportunistic infection if the pathogen is methicillin-resistant Staphylococcusaureus (MRSA)B. Is an opportunistic infection if the pathogen is a coagulase-negativeStaphylococcusC. Occurs in up to 25% of patients with central venous cathetersD. Is a greater risk with pulmonary artery catheters than with dialysis cathetersE. Occurs less frequently with subclavian vein cannulation than with cannulation of the femoral or internal jugular vein

Central venous catheter-related bloodstream infection (CRBSI): (T/F)A. Is an opportunistic infection if the pathogen is methicillin-resistant Staphylococcusaureus (MRSA)B. Is an opportunistic infection if the pathogen is a coagulase-negativeStaphylococcusC. Occurs in up to 25% of patients with central venous cathetersD. Is a greater risk with pulmonary artery catheters than with dialysis cathetersE. Occurs less frequently with subclavian vein cannulation than with cannulation of the femoral or internal jugular vein

16% van pten met lijnCVVH > PAC

Acute RV dysfunction is characterized by what? (MC)A: CVP > mPAP, low CI, high stroke volume, scvO2 <55%

B: CVP > PAOP, low CI, low stroke volume, scvO2 <55%

C: low CI, CVP>20

D: low CI, CVP>20, mPAP>30

Acute RV dysfunction is characterized by what?A: CVP > mPAP, low CI, high stroke volume, scvO2 <55%B: CVP > PAOP, low CI, low stroke volume, scvO2 <55%C: low CI, CVP>20D: low CI, CVP>20, mPAP>30

Which hemodynamic pattern aligns to left heart failure? (T/F)

A. Elevated right atrial pressuresB. Normal wedge pressure and elevated pulmonary artery, right ventricle, and right atrial pressures.C. The wedge pressure, pulmonary artery pressure, right ventricular pressure, and right atrial pressure are elevated.

Which hemodynamic pattern aligns to left heart failure? (T/F)

A. Elevated right atrial pressuresB. Normal wedge pressure and elevated pulmonary artery, right ventricle, and right atrial pressures.C. The wedge pressure, pulmonary artery pressure, right ventricular pressure, and right atrial pressure are elevated.

Remember that the wedge pressure is left sided. Combine this with the elevated left ventricular EDP measurements, as well as all of the right-sided measurements being elevated, and it is highly likely that this patient is in left heart failure.

The use of PAC cathetersin cardiothoracic surgicalpatients leads to: (T/F)A: reduction of 30d-mortality

B: Decreased length of stay

C: decreased cardiopulmonarymorbidity

D: decreased infectious morbidity

The use of PAC cathetersin cardiothoracic surgicalpatients leads to: (T/F)A: reduction of 30d-mortality à Nee, zelfde

B: Decreased length of stayà 9.39 vs 8.56

C: decreased cardiopulmonarymorbidity à OR 0,87 (0,79-0,96)

D: decreased infectious morbidityà Nee, meer: OR 1,28 (1,10-1,49)