Therapeutic and diagnostic interventions in critically ill patients

                                                ARK



                                  Central venous catheterization

•              v. subcl : good fixation, less frequent infection

•              v. jugularis: easy access in Swan Ganz canullation

•              v femoralis: high flow, more infection

                                  Jak zjist jednoduchou poruchu ?

                                     metabolická acidosa, MAC

                                                MAL





                                          Cardial pacing

Indikation

Symptomatic bradyarrythmias

•     AV blockade  III degree

•     bifascicular blockade, Mobitz    II in myocardial infarction

•     (sinus bradycardia)

•     AV disociation

•     -torsade points





                         Intra Aortic Balloon Pump (IABP) Counterpulsation

                                            Chest tube

                                           Bronchoscopy

                                             Imagining

                                     percutaneous tracheostomy