use of bedside functional echocardiography for assessment of biventricular filling
and function.
Placement of a PAC requires a large central venous sheath (7F for adult
catheters, 5F for pediatric catheters). Advancing the catheter into the PA
(following waveforms) is a skill that must be mastered and is easiest from the
right IJ or left subclavian position. Placement via the left IJ or right subclavian is
possible, but will often require multiple attempts due to the acute angles the
catheter must traverse. Femoral insertion is possible, but often requires
fluoroscopic guidance. In the pediatric population, PAC’s are often placed in the
cardiac catheterization laboratory. PAC’s are not utilized in neonates due to size
limitations.
marcin
(Marcin)
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