Cardiogenicadvanced8 min
CPO and PAPi both crashed
Handover
INTERMACS 1, second inotrope, pressor climbing. MAP 56, CO 2.1, RA 18, PCWP 26. CPO 0.26 W. PAPi 0.78. Both ventricles have left the building. Another micro-titration is not a plan. This is an MCS conversation that should have started an hour ago.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · MCS escalated
- · MAP ≥ 65
- · CPO ≥ 0.6 W