Pulmonary Artery (PA) Catheter Waveforms EXPLAINED!

In this lesson, we are taking a deeper dive into talking about the different waveforms that we see with our PA or Swan-Ganz catheter. There are essentially 4 different waveforms that we can see if we follow the path of the catheter and we will discuss each of them including what actually makes up the waveform and what it represents.

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0:00 Intro
1:29 Right Atrial Pressure (RAP)
7:28 Right Ventricular Pressure
9:41 Pulmonary Artery Pressure (PAP)
11:57 Wedge Pressure (PCWP/PAOP)
14:05 Wrap up

#ICUAdvantage #PAcath #swanganz

[MedicAles-qt]

Nursing student here... working at an ICU in France, these videos helped me a lot... Huge thanks for your work, very well made. ❤

[Sarah-jikf]

Hi Edie, as a med-surg RN who just transferred to the CICU, I just wanted to say thank you for this video and series on PA caths. I also watched the entire hemodynamics series. You’re a great teacher and make heavy ICU concepts so much clearer and approachable. Thank you again!

[liamplaxco]

Hey Eddie, I don't know if you remember my comment from a few months ago, but I told you I was doing a practicum in CVICU for my senior year in nursing school. I have since graduated, but my experience in that unit was incredibly disheartening and frankly awful. A previous instructor I had really inspired me to choose that area, as well as my aspiration to become a CRNA in the future. Being able to shadow him and see how he truly cared for the families and could explain concepts such as ECMO and CRRT to them so effortlessly and passionately really made me KNOW I belonged there and this is where I was supposed to be in life. I wanted to become that nurse that I saw him being.

I binged all of your videos, making painfully in depth notes and studying them all summer long before my practicum, knowing that I still was barely scratching the surface of the nuance of this unit and coming into the practicum fully humble and ready to learn from veteran nurses. What I found in that unit was career focused nurses who cared more for their aspirations than the outcomes of their patients. My preceptor was only two years into her career and had her CCRN, in critical care NP school, and applying to CRNA school soon. I found this to be extremely common, with conversations revolving around how dreadful nursing is and how I chose the worst career. This was so discouraging, I expected to be in a place where the field was constantly pushed forward, and where client outcomes and research was the main focus, and not personal gain and what the career can do for you.

I don't want this experience to change how I care for patients, so I chose to work in a general ICU and focus on becoming a great nurse, instead of making the career choice of jumping into CVICU and rushing for CRNA school. I know that this field can be tiresome and it can and will weigh on a person, but that does not give a valid reason to become heartless and self centered. I wonder if this was an anomaly at this facility or if this has been experienced by you or other nurses. I know it is inevitable to have every person truly care about what they are doing, but I hope to find a better environment than the one I found myself in this last semester.

I appreciate your dedication to this channel and the education of the care related to this area of nursing. Knowing that there are nurses out there like you inspired me to complete my last semester of nursing school despite my bad experiences.

[deviwalton]

Thank you so much! Getting my butt kicked in my flight medic program because of this subject but it finally makes sense ❤

[xiaoyuluciazhang]

really good video! This is the third time I watched this video. every time I watched, I have deeper understanding of PA waveforms. Thanks Eddie! If you see the comment, I was wondering can you make a video explain how PEEP will affect PAP and PAOP. How is it different from spontaneous breathing and ventilated patients.

[stack]

Studying for flight paramedic (FP-C) your videos are really really helping me understand! Thank you 🙏🏽

[roseannamuneshwer]

Great video! I'm finishing up my orientation on a cardiac surgery icu and this was a great refresher! I'll be on my own next week😃

[pearlmiran]

I’ve been looking for ways to explain PA catheters to students and orienteers (I work in a CICU) and I wish this video were around when I were a new icu nurse because you just made it so simple and easy!

[dnyaneshthesia]

Very much simplified and elaborated lecture
Just loved it❤❤

[tellmeofyourhomeworldusul]

Eddie, I love your videos. I am a 23 yr veteran nurse and mostly ICU and clinical research, but as of the past year, I have made the move to Cath Lab as my full-time and I teach at the local university the Saturday critical care clinicals for senior BSN students. I often recommend your videos to my students (not all of them, because some could be overwhelming for a student as they are made for practicing ICU nurses) but I think your explanations of concepts like shock and hemodynamics are in depth but digestible. That being said, I have a lot of trouble in cath lab learning the fluoroscopy of coronary anatomy and was wondering if you had any recommendations for videos or resources that I could look at to help me? It’s something that is new for me as ICU nurses don’t usually read them. After a year in CL, I am feeling so much more comfortable, but I still struggle picking out vessels on fluoroscopy. Do you or anyone else in the comments know of good videos or resources that help with that?

[hadidarvishikhezri]

Eddie, grateful for your time and for providing such super useful videos. ❤️

[CarolineCyr-gk]

Please tell me the best way to differentiate between I PCWP and a dampened PA waveform possibly caused by air or low pressure in the system or a catheter issue or placement issue, like on the sideof a vessel? ? Partial occlusion in system? Kink within system either inside or outside of patient? We have been taught to flush our line to get it to float back into the correct position. We are not allowed to inflate the balloon and do not perform PCWP's on our patients.

[byebye]

Awesome explanations. Thank you very much!! Finally I get it!

[realradster]

This was very helpful! I'll be watching several times. Thank you!

[nicorogervonlohengramm]

Thank you sir! I finally understood PCWP :)

[andreafox]

Thank you so much for these videos, I take my CCP-C test in a couple days and I'm trying not to stress on it. These were a lot of help. Wish me luck! And happy new year!

[brianrawcliffe]

Some resources I have seen say that the CVP/RAP waveform looks more like a wavy line, kind of like and the waveform shown here looks identical to an IABP waveform. Can you explain how to tell the difference if you have both a PAC and an IABP?

[bianca_]

Thank you SO MUCH! I needed a refresh 🙏

[moura]

excellent explanation! thank you so much!

[rachelgarafola]

Don't get me as stupid, but I've been a CNA for 20 something years and I just started working on the ICU floor for a few months. I came from SUR that I've worked sine I was 19.... question.
Can you make a video on these two Wires that clip into the aortic/shoulder and while connected to a machine, you can hear the person's heart beat AND why? Why's the reason for this step during the healing process?? ( I asked a nurse that was caring for a patient like this, but she gave me a very short answer that didn't give me understanding)
Sorry, I'm not great at spelling words if I got a missed spelled in my question