Case #1 -  A 65 year old man with COPD who required intubation for respiratory failure. He was placed on an assist-control mode. Shortly after intubation he developed hypotension and a Swan-Ganz catheter was inserted at the bedside, but a PCWP could not be obtained. 

  SD Mean 02 Sat.  
RA (mmHg) 4 .76 CO (L/m) 5.7
RV (mmHg) 45/0 .76 SVR (units) 11.6 (930)
PA (mmHg) 45/20 28 .77 PVR (units) ?
PCWP (mmHG)     ? ?        
BP (mmHG) 90/60 70     

 

FI02 pH P02 02 Sat. PC02
ABG .35 7.44 110 .99 34
Mixed Venous 7.38 44 .77 4 2
AV-02 Diff (Vol%)  4.4

What is the problem, and what would you do to correct it?      Answer