Autori: Drago Satosek
Ustanova zaposlenja: UKC Ljubljana (SLOVENIA)
Ključne riječi: hemodynamic monitoring, cath lab, cardiology, nursing care
Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”
Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine
Background: Nurses in the cath lab as well as in the intensive care units need an understanding of hemodynamics to provide quality nursing care to their critically ill patients. To provide good nursing care as well as to assist physicians, the nurses need to have good knowledge and understanding of hemodynamics. Nowadays in the cath lab numerous different procedures are carried out, and the hemodynamic monitoring is always important.
AIM: The purpose of this review is to focus on understanding and interpretation of hemodynamics, reporting of situations where the physician needs immediate notification. Nurse’s role is important in the cardiac catheterization laboratory and especially in hemodynamic monitoring.
Implication for practice: Hemodynamic monitoring is used to assess cardiac function and determine the effectiveness of therapy. It is important to know normal values and then study disorders. The standard pressure waves are measured in all diagnostics and in some interventions, only specific pressure waves are recorded. Standard pressure waves are: Aortic pressure (AO), left ventricle (LV), right ventricle (RV), pulmonary artery (PA), left and right atrium (LA, RA), pulmonary capillary wedge pressure (PCWP). For different invasive procedures, different measurement or pressure waves are needed (right heart catheterization, left heart catheterization, coronary angiography, percutaneus interventions, implanting ICD and CRT-D, balloon aortic valve dilatation, TAVI, cardiac stem cell transplantation…). There are some situations where the cath lab nurse must identify risk of serious complications. If any of these occur during the procedure, the physician needs to be notified immediately in order to correct or prevent further deterioration in the patient’s condition. Therefore the nursing role in hemodynamic monitoring is very important for quality nursing care and patient’s safety.