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Introduction to the Human Patient Simulator for CV Physiology

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Introduction to the Human Patient Simulator for CV Physiology

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    1. Introduction to the Human Patient Simulator for CV Physiology Tammy Euliano, MD Associate Professor of Anesthesiology and OB/Gyn Affiliate Associate Professor of Physiology Associate Parent of 3 Pediatric Individuals

    2. Anatomic Models Blinking eyes with pupil reactivity Palpable pulses and heart sounds Breathing with sounds & chest movement Airway Urine output

    3. Cardiovascular Model

    4. Cardiovascular Reflex Control: Baroreceptor

    5. Baroreflex

    6. Introduction to the HPS Models Monitored Parameters Blood Pressure Dependencies Evaluation of Hypotension

    7. Monitored Parameters ECG Blood pressure (NIBP vs ABP) Central Venous Pressure (CVP) Cardiac Output (CO)

    8. Blood Pressure Monitoring Non-invasive blood pressure (NIBP) Korotkoff sounds Automated cuff

    9. Arterial Blood Pressure

    10. Monitored Parameters ECG Blood pressure (NIBP vs ABP) Central Venous Pressure (CVP) Cardiac Output (CO)

    11. Central Venous Pressure Pressure in an intrathoracic vein (invasive) Indirect measure of preload Affected by many things other than vascular volume

    12. Central Venous Cannulation

    13. CVP Estimates Preload

    14. Central Venous Catheter A atrial contraction C tricuspid closure and ventricular contraction V ventricular fillingA atrial contraction C tricuspid closure and ventricular contraction V ventricular filling

    15. Central Venous Pressure Affected by Breathing (ventilator vs spontaneous) Valsalva maneuver Changes in cardiac compliance Valve problems Etc., etc, etc

    16. Monitored Parameters ECG Blood pressure (NIBP vs ABP) Central Venous Pressure (CVP) Cardiac Output (CO)

    17. Cardiac Output Measured using a Pulmonary Artery Catheter (Swan-Ganz) Using the Thermodilution technique

    18. Cardiac Output Curves

    19. Introduction to the HPS Cardiovascular Model Monitored Parameters Blood Pressure Dependencies Evaluation of Hypotension

    20. Starlings Law of the Heart AKA Frank-Starling mechanism The heart pumps what it receives Otto Frank, Hermann Straub, Ernest StarlingOtto Frank, Hermann Straub, Ernest Starling

    21. Evaluation of Hypotension

    22. Evaluation of Hypotension: Baroreflex Effects

    23. Evaluation of Hypotension

    24. Afterload

    25. Evaluation of Hypotension: Cardioviz Demo

    26. Evaluation of Hypotension

    27. Resources Cardioviz s/w http://www.cs.brown.edu/courses/cs092/2003/cardioviz/download.htm My email: TEuliano@ufl.edu

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