To run infusion with CVP or not... That tis the question.. - page 2

So, this past week some coworkers of mine had gotten into a heated debate as to whether or not it's okay to run an infusion of something other than NS (3%, sedation, etc.) with your CVP line if... Read More

  1. by   tcvnurse
    Quote from Ruby Vee
    Yes, some pretty famous big name teaching hospitals still do thermodilution cardiac outputs.
    Ha ha ha yeah I work at one. Didn't know tip someone came from Mayo to our place that it was done any different.
  2. by   Ruby Vee
    Quote from offlabel
    Our Edwards device gives CO's every 2 minutes which, for cardiac output, is for all practical purposes real time. But that is way overkill in any other setting besides the CVOR and immediate post op hearts. And we don't use them nearly as often as we use to. As to the accuracy, even assuming the old catheters are, in perfect conditions more accurate, the difference in numbers are not clinically significant, ie, it's not enough of a difference to change the therapy, especially given the variability between different operators of the injectate catheters.

    I still say, all things, including cost (which it isn't) being equal, I'd choose the CCO for what I do for a living. Very sick hearts and lungs benefit from having the continuous SvO2 as well.

    Your results may vary.
    You can prefer whichever system you like, but you have to work with the system provided by your facility.
  3. by   offlabel
    Quote from Ruby Vee
    You can prefer whichever system you like, but you have to work with the system provided by your facility.
    We have both.
  4. by   Ruby Vee
    Quote from offlabel
    We have both.
    Then you are indeed fortunate. Are there any policies to address who gets which system?
  5. by   offlabel
    Quote from Ruby Vee
    Then you are indeed fortunate. Are there any policies to address who gets which system?
    Not a matter of policy, it is what the objectives are for the particular patient. If a PA pressure is all that is needed to asses cardiac function, the CCO catheter is way overkill, so we use the standard Swan.

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