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PA Catheter Education Project

This course provides a comprehensive, clinically focused introduction to pulmonary artery catheterization. It covers when to use a PAC, when to avoid it, and how to perform the procedure safely and accurately using both traditional and modified Seldinger techniques. Real-world cases paired with live waveform demonstrations help learners build confidence in interpreting hemodynamics and applying PAC data to complex clinical scenarios.

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Course Objectives

By the end of the course, learners will be able to:

Clinical Indications & Safety

  • Identify key indications, contraindications, and complications of PAC use.

  • Manage complications effectively and recognize when PAC placement should be avoided.

Anatomy & Technical Skills

  • Understand the anatomy of the PAC, cardiac chambers, and pulmonary arteries essential for accurate catheter placement.

  • Perform PAC placement.

  • Use troubleshooting strategies for common placement challenges.

Hemodynamic Monitoring & Waveform Interpretation

  • Understand the principles of hemodynamic monitoring and the parameters obtained through a PAC.

  • Recognize normal and abnormal waveforms in the RA, RV, PA, and PAOP positions.

  • Interpret pulmonary artery occlusion pressure (PAOP) and its relationship to left atrial pressure.

  • Apply techniques to overcome common waveform and positioning difficulties.

Advanced Hemodynamics & Calculations

  • Calculate cardiac output using thermodilution and understand its advantages, disadvantages, and limitations.

  • Calculate cardiac output using direct and indirect Fick principles, and recognize limitations of each method.

  • Interpret mixed venous oxygen saturation values and understand their clinical utility and limitations.

Real-World Application

  • Integrate PAC waveforms, cardiac index changes, and SvO₂ data into real-world clinical scenarios to guide diagnosis and management.

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