Swan·Ganz Lab
Float the catheter, read the waveform, commit to a diagnosis. · Back to TropOnTop
Case 1Diagnoses 0/0Strips 0/0
Catheter positionBalloon down
Insertion depth20cm
↑↓ advance or withdraw · B balloon · R record · F freeze. Typical right IJ depths: RA 20 cm, RV 30 cm, PA 40 cm, wedge 50 cm.
Transducer height0cm
Level with the phlebostatic axis. Drag to see what mis-levelling does to the study.
Right atrium
HR110MAP62SpO₂96%
14
mean mmHg
callipers a 5 · v 6 · x descent 3 · y descent 3 mmHg
Pressure worksheet0 of 4 sites
| Site | Pressure (mmHg) |
|---|---|
| Right atriumRA mean | |
| Right ventricleRV systolic / end-diastolic | |
| Pulmonary arteryPA systolic / diastolic (mean) | |
| Pulmonary wedgePCWP mean |
Derived indices
Still needed: 4 more sites and oximetry and haemoglobin. Fick output, resistances, PAPi and cardiac power unlock once the study is complete.
Commit a diagnosisBlinded
58-year-old man, six hours after an anterior STEMI. Cool mottled legs, urine output 10 mL/h, lactate 5.8 mmol/L.