CEDV PowerPoint Presentation

Hemodynamic Monitoring Education Program

Continuous End Diastolic Volume (CEDV)

1.	Right Heart: Continuous End Diastolic Volume
2.	A Professional Education Service of Edwards Lifesciences
3.	Clinical Advisors
4.	Program Objectives
5.	Learning Objectives
6.	Pre Test 1
7.	Pre Test 2
8.	Pre Test 3
9.	Pre Test 4
10.	Pre Test 5
11.	Pre Test 6
12.	Pre Test 7
13.	Pre Test 8
14.	Pre Test 9
15.	Pre Test 10
16.	Assessment of Oxygen Delivery (DO2)
17.	Components of Cardiac Output
18.	Components of Stroke Volume
19.	Contractility
20.	Assessment of Contractility
21.	Afterload
22.	Clinical Measurement of Afterload
23.	Clinical Measurement of Afterload cont.
24.	Preload
25.	The Significance of Preload: Frank-Starling Curve
26.	Preload Chart
27.	Traditionally...
28.	...Now we know
29.	Differential Anatomy and Physiology
30.	Right Ventricular Anatomy
31.	Type of Free Wall
32.	Compliance
33.	Coronary Arteries
34.	Coronary Arteries cont.
35.	Significance of Right Ventricular Function in the Critically Ill
36.	The Right Ventricle
37.	RV and LV Work in Concert
38.	Interdependence of RV and LV
39.	Joined in a Series by the Pulmonary Vasculature
40.	The IVS Separates the RV and the LV
41.	Illustration of Pericardium
42.	Common Cause of RV Compromise
43.	Threats to Right Ventricular Function
44.	Right Ventricular Compensatory Response
45.	RV Compensation: Leftward Shift of IVS
46.	RV Dilation: At What Cost
47.	Significance of Preload
48.	Significance of Preload cont.
49.	Modified Frank-Starling Curve
50.	Assumption: Volume Reflects Pressure
51.	Assumption: Pressure Reflects Volume
52.	This Relationship is Not Linear, but CURVILINEAR
53.	Response to Volume Administration Frequently Determined by Myocardial Compliance
54.	Response to Volume Administration Frequently Determined by Myocardial Compliance
55.	Altered Compliance
56.	Decreased Compliance: Stiffer, Less Distensible Ventricles
57.	Decreased Compliance: Additional Causes
58.	Increased Compliance: Less Stiff / Distensible Ventricles

59.	Adding RV Volumetric Parameters to the Hemodynamic Profile
60.	Volumetric Parameters
61.	Stroke Volume (SV)
62.	End Diastolic Volume (EDV)
63.	End Systolic Volume (ESV)
64.	End Systolic Volume Residual
65.	Ejection Fraction (EF)
66.	Methodology of Right Heart Volumetric Measurements
67.	Overview of Volumetric Technology
68.	Swan-Ganz® Volumetric Thermodilution Catheter
69.	Overview of Volumetric Technology
70.	Overview of Volumetric Technology cont.
71.	CEDV Algorithm
72.	CCO/CEDV Methodology
73.	CCO/CEDV Methodology cont.
74.	CCO/CEDV Methodology cont.
75.	EDV is Derived From
76.	What the CEDV Displayed Value Indicates
77.	CEDV STAT Screen
78.	Clinical Uses for Volumetric Monitoring
79.	Case Studies
80.	39 year-old male
81.	Adding the Volumetric Data
82.	Hemodynamic Parameters After 1 Liter Crystalloid
83.	Volumetric Data After Volume
84.	72 year-old male
85.	Adding the Volumetric Parameters
86.	After Clot Evacuation
87.	80 year-old male
88.	250cc Albumin was administered to increase urine output
89.	250cc Albumin was repeated
90.	250cc Albumin was repeated cont.
91.	Plot the Frank-Starling Curve for this patient
92.	Dobutamine 6 mcg/kg/min was started
93.	78 year-old female
94.	Adding Continuous Monitoring Courtesy of Dr. M.L. Cheatham
95.	When technology is used properly
96.	Post Test 1
97.	Post Test 2
98.	Post Test 3
99.	Post Test 4
100.	Post Test 5
101.	Post Test 6
102.	Post Test 7
103.	Post Test 8
104.	Post Test 9
105.	Post Test 10
106.	Test Answers
107.	Post Test Answer 1
108.	Post Test Answer 2
109.	Post Test Answer 3
110.	Post Test Answer 4
111.	Post Test Answer 5
112.	Post Test Answer 6
113.	Post Test Answer 7
114.	Post Test Answer 8
115.	Post Test Answer 9
116.	Post Test Answer 10
117.	Evaluation
118.	Caution
119.	Edwards Lifesciences LLC

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