The Science Journal of the American Association for Respiratory Care

2000 OPEN FORUM Abstracts

Techniques in Invasive Monitoring

Carl Mottram, BA, RRT, RPFT Mayo Clinic, Rochester, Michigan

Invasive monitoring is indicated inpatients whose physiologic parameters cannot be reliably determined by clinical and noninvasive means. Measurement of intra-arterial blood pressure, cardiac output, stroke volume, systemic pulmonary pressures, and esophageal pressures provides data that are used to guide clinical decisions. These procedures are performed both in the intensive care units and in outpatient diagnostic laboratories. Respiratory Care Practitioners (RCPs) are often identified as the allied health professional most competent in providing or assisting in the placement of these catheters, monitoring their output and harvesting data for analysis. Several issues will be addressed, including
1. Clinical indications and complications associated with each procedure
2. Review of the clinical practice guidelines (CPGs) and other standards available for each procedure
3. Practical examples related to insertion and waveform analysis
The following are related practice guidelines and educational websites:
Guidelines and Standards
* AARC's CPG Sampling for Arterial Blood Gas Analysis
? http://www.rcjournal.com/online_resources/cpgs/sabgacpg.html
* NCCLS's H11-3 Procedures for the Collection of Arterial Blood Specimens
? http://www.nccls.org
Educational websites
? http://www.chestnet.org/education/pccu/vol12/lesson21.html
? http://www.ccced.com/HM/Hemodynamic.htm
? http://www.springnet.com/criticalcare/waveform.htm

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