Advanced Hemodynamic

Monitoring

Fahmi Agnesha Edwin

 Hemodynamic
+
Advanced Monitoring
 Hemodynamic
• Hemo Blood

• Dynamic perubahan

How the blood move

 Patient Monitoring

Low Risk High Risk

ASA Surgery

Blood Pressure
SpO2
ECG Advanced
Monitoring Devices
 Teknologi Pengukuran CO
Invasif

Swan Ganz

Thermodilusi
Semi Invasif

Pulse Contour
Analysis
Lainnya

Echocardiography
Non Invasif

Doppler
Quick Guide to Cardiopulmonary Care: Edwards Lifesciences,
Critical Care-Global; 2012
Swan Ganz
 Swan Ganz
Pengukuran Cardiac Output
dengan menggunakan teknik
termodilusi

Gold Standard
 Dilution

Indicator
Thermodilution
dilution

PiCCO LiDCO
 PiCCO
Mengukur Cardiac Output dengan teknik Termodilusi dan
Pulse Contour Analysis

semi invasif
 LiDCO

Mengukur cardiac output dengan

indikator dilution (Lithium)
dan Pulse Contour Analysis
Parameter Hemodinamik
Parameter Volumetrik Termodilusi
 Edema Paru

Nilai Normal Parameter Volumetrik

Hidrostatik-Osmotik
Pulse Contour Analysis
Echocardiography
Echocardiography

dapat melihat:
ejection fraction,
TAPSE, RVEDV,
fungsi sistolik dan
diastolik LV-RV,
kelainan katup
Doppler

USCOM
 Doppler
transesofageal dan
transtorakal
USCOM

Pediatric Department
-
Operator Dependent
Bioimpedance & Bioreactance
Persiapan Alat Hemodinamik
Pengaruh Tubuh terhadap zero point
Square Wave Test
 pengukuran preload

Static Dinamis
CVP, PaOP,
RVEDV
Spontaneous Control
breathing breathing

PLR SVV
IVC PPV
End expiratory occlusion SPV
High Outcome
Risk
Passive Leg Raising (PLR)
Stroke Volume
Variation
Stroke Volume
Variation
Pulse Pressure
Variation
Sistolic pressure
Variation
Terimakasih