tMCS 1-100 Flashcards
PCWP consistent with shock
pulmonary capillary
wedge pressure (PCWP) ≥15 mm Hg,
systemic blood pressure consistent with shock
systolic blood pressure <90 mm Hg for ≥30 minutes
Cannula size RPELLA
22 F
IABP cannula size
7-8F
Impella 5.5 cannula size
21 F
Cardiac power output
MAPXCO / 451
<0.6 W INDICATES cardiogenic shock
Cardiac power index
and cutoff indicating cardiogenic shock
MAP X CI / 451
<0.4 W/m2
Pulse pressure of systemic blood pressure
indicating shock
< 25mmHg
PAPi indicative of shock
< 0.9 for acute ami
< 1.85 after lVAD
RVSWI
0.0136 * SVi * (mPAP - RAPP)
<6g./m/beat/m2
Transpulmonary gradient
mPAP-PCWP
>= 12 mmHg
Diastolic pulmonary gradient
PADP - PcWP
>- 7
evidence of ongoing RV failure
evidence of RV failure, including:
RA to PCWP >0.86 or
PAPi ≤0.9;
Criteria for at risk for cardiogenic shock
- Age > 70
- Anterior MI
- HR > 90
- SBP < 125
increments of flow weaning for VA-ECMO, tandem heart, protek ?
0.5 L/min