monitoraggio PVC
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CVP
emodinamicomonitoraggio 2
M velia Antonini CCN TI I° Anestesia e Rianimazione AOU Parma
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
centraleCVP
venosapressione
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
CVPmonitoraggiomonitoraggio
pre volemico
caricostato
??
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CVPmonitoraggio
volemicostatoritornovenoso=/
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
venososistema
sangue reservoirsangueritorno
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
venososangue
3ovoltecompliance arterievs
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
venososangue
70%~volume
ematico18 arterie%vs
Crit Care Med. 2013 Jan;41(1):255-62.
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
venososangue
80%>circolo sistemicovenoso
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guyton acAntonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma Master AC Parma 2017
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
compliance resistenza RAP stressato
venosoritorno
&
volumeGuyton AC
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
venosoritorno
arteriosoflusso
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
stressatovolume
ritornovenoso
nonstressato
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
stressatovolume
30%~volume
ematico
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unstressedvolume
compenso poolingo
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
Clin Exp Emerg Med 2016; 3(1): 52-54.
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
ritornovenosoitp iap
cardiaca performance
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
ritornocvp
funzione
cardiacafunzione
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
rap
cvp
equivalente a
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rap
correla conrvedp
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
rap
stimarvedv
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rvedp
correla conprecorrela
misura=/
carico
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
pvc
Anaesth Intensive Care 2011, 13:3 116-120
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
cvp co&
equilibrio
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
starlingleggefunzione cardiacaritorno venoso precarico
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
Curr Opin Crit Care 2005, 11:264-270
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
pvc
Anaesth Intensive Care 2011, 13:3 116-120
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
pressionespontaneo
cvp respir0inspirio
respiro
positiva
&
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
cvp peep&
Crit Care Clin 2007 (23) 401–414
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CVPondaa c v
deflessioni +
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
CVPondaa c v
deflessioni
x x’ y
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
CVPonda
x x’ ydeflessioni -
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aondaa
contrazioneatrio
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xtratto
rilassamentoatrio
x x’
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conda
protrusionetricuspide
c
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vonda
riempimentoatrio
v
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
ztratto
apertura
y
tricuspide
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zpuntoz
pressione dxatrio
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
z
cvp& ecg
diastole sistole
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zcvp& sbp
diastolesistole
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ondaalterazioni
aritmie valvole pericardio patologie&
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aperdita
atrialefibrillazione
c v?
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
a ccannonea""
giunzionaleritmo
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
cannonea""
giunzionale tv bav
ritmo
completo
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
rigurgitanti
rigurgitotricuspide
c vcv""
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
stenositricuspide
ay
dominantia""
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
stenosi
dominantia""
o polmonare tricuspide
PAH
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
CVPmonitoraggiomonitoraggio
fisiologici errori
determinanti
misuraconsiderare
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
riferimentomisure
arbitrario
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
x
5cm⊥lewis
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
x
x
5cm
60°
⊥lewis
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
x
asseflebostatico
0°supino
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
conversione
1 cmH20
1 mmhg1.36
=x
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
CVPmonitoraggiomonitoraggio
50 ml h/attenzione
< /
infusioni
!
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Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017
Vincent et al. Critical Care 2011, 15:229
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Antonini MV - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma - PICC & midline Monza 2016
domande ??#velianton velia.antonini
Antonini MV CCN CCP - Terapia Intensiva I° Anestesia e Rianimazione AOU Parma I Master AC Parma 2017