Swan Ganz Numbers: presented by Dr. Gallagher's Neighborhood

A detailed look at the all important ratio between systemic and pulmonary artery pressures. When the ratio's good (say, 5 systemic to every 1 pulmonary), then you have a good Starling curve. When the ratio's bad (say 2 systemic to 1 pulmonic) then the Starling curve is bad

[@MrLincoln07]

Been an IR RN for 12 years and am transitioning to the Cath lab...this is a great educational video ..Thanks and Cheers from NYC!!

[@hiuwong6746]

Thank you for explaining this so well, I was pulling my hair for the past few days trying to understand the purpose of PAPs

[@LY43537]

Thank you for breaking this down and explaining it from a physiologic stand point. Much appreciate it!

[@vivianfox3794]

Thank you for this, it’s very concise and informative

[@brandonmerrill6557]

God bless you- cardiac nurse

[@danyjamal6471]

Thank you for your magnificent video. During swan ganz placement do you have any recommendations to increase the likelihood of placing the catheter in the pulmonary artery? 1. Should you thread the catheter slowly? 2. Should you place the patient supine or upright?

[@thefarmingnurse]

Can we get this video updated with a clearer camera?

[@Emily-ok5sh]

I'm trying to determine the necessity of this. I was informed of the RHC, but not keeping this device in my body for over three days

[@mikewest9017]

Excellent Presentation!

[@husnihassan9037]

How's my heart? Doc: Ok.

[@maardavid]

Thanks! Beautiful video!

[@DrGallaghersNeighborhood]

Efkharisto!

[@drgaganvelayudhan1733]

Thanks for the video. The concept of the ratio was very useful. My queries. So if the ratio is maintained and patient is hypotensive giving more fluids should help? Likewise if the ratio is bad inotropes or mechanical supports would be necessary?

[@drgaganvelayudhan1733]

What would be case if both were combined. Say a patient with preexisting LV dysfunction with significant blood loss during surgery? How would these pressures and corresponding ratios look like?

[@masimo_spo2]

I like my ratio swan numbers at all the time

[@stormofbrain]

Dr. Gallagher Thank you for the video. Could I ask you a little bit to understand more? If the ratio systemic/pulmonic is bad then the starling curve is bad...meaning even increase volume the cardiac output would not increase? Anything else? Any advice on topic I could read? Thank you very much

[@DrGallaghersNeighborhood]

That's basically it, you keep loading and loading and the heart just plain can't pump it out so the heart overfills. Good luck and thanks for the question.

[@vector222]

Not a great talk, unfortunately. Needs some differentiation vis a vis the fact that pressure is not synonymous with filling because compliance is variable. Any swan talk nowadays needs to include concepts like RV luxury perfusion in diastole, post vs pre-capillary pulmonary hypertension, interventricular dependence, how PAD is only a rough surrogate for wedge pressure, continuous vs cold injectate cardiac output measurement, complications, limitations, etc

[@DrGallaghersNeighborhood]

Vector222 is absolutely right. Make that video and post the link to it here and I will direct them to that video. Thank you!

[@grangrampa832]

Great video very informative!

[@durdaanaosuagwu8587]

Thank you, Not sure how you got the ratio? Can you explain?

[@joestevenson5568]

PAP:ABP

[@poppadoc5614]

Nice presentation thank you sir.

[@estherdelarosa9016]

Need clarity on how to calculate the ratio…

[@kellycracraft3229]

Thank you for your video. The amount of times you said "ok" I found to be a little distracting, but overall good material.

[@DrGallaghersNeighborhood]

You are correct, I said OK too many times. I will try to improve that in future videos.

[@mallorylemman4467]

Omg same. After the 5000th " ok" I felt my eye twitch lol

[@md2rn2np2broadcaster]

I didn't even notice. Thank you Doc. Now for the CCRN

[@husnihassan9037]

Give him a break. Imagine the number of times he had to do rounds, give and receive reports, etc. "Ok" is pretty ingrained.

[@asharamachandra1780]

@@DrGallaghersNeighborhood thank you Dr. Gallagher for the video. You sounded great.

[@LukeWorsfold-j8u]

can you say "ok" a few more times...?

[@fleekpharma189]

Politically correct.

[@virginiah9967]

Ok!

[@eeroth42]

Ok

[@david1913]

ok ok ok ok ok ok ok ok ok ok ok

[@johnpalmer330]

This has been incredibly helpful during my transition to CVICU. Thank you!

[@cathimoore7788]

Hi John!!! You're in CVICU now? PM me on FaceBook! Dr Moore

[@DigitalAndInnovation]

@4:57 "Oops stupid me I gave a bunch of Neo" priceless

[@mohammadghani6835]

Very nice presentation. Thank you, Sir.

[@outdaridhh8045]

Please,clearly explain and point to specific figures

[@saralucas1]

Ok

[@marcoontiveros2464]

so good, thanks