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Treatments and procedures 

Treatments and procedures
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date: 17 September 2019

This chapter describes the indications for, and technique of, central venous cannulation. It outlines the interpretation of the central venous waveform and describes the central line bundle used in intensive care to reduce the rate of central line infection. There is controversy around the safety and clinical benefit of the pulmonary artery floatation catheter (PAFC). It continues to be used in the cardiac intensive care unit as the only device that can assess intrathoracic pressures, cardiac output and SvO2 simultaneously. This chapter outlines the indications for the use of the PAFC, its safe insertion, and the interpretation of its results. The chapter also outlines the use of non-invasive cardiac output monitoring, including pulse contour analysis, thoracic bioimpedance, and the oesophageal Doppler.

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