Swan·Ganz Lab

Float the catheter, read the waveform, commit to a diagnosis. · Back to TropOnTop

Case 1/23Done 0/23Diagnoses 0/0Strips 0/0
Cases0 of 23 complete
Catheter positionBalloon down
RARVPAWEDGE
Insertion depth20cm

↑↓ advance or withdraw · B balloon · R record · F freeze. Typical right IJ depths: RA 20 cm, RV 30 cm, PA 40 cm, wedge 50 cm.

Transducer height0cm

Level with the phlebostatic axis. Drag to see what mis-levelling does to the study.

Right atrium
HR68MAP86SpO₂98%
4
mean mmHg
callipers a 4 · v 3 · x descent 2 · y descent 2 mmHg
Pressure worksheet0 of 4 sites
SitePressure (mmHg)
Right atriumRA
mean
Right ventricleRV
systolic / end-diastolic
Pulmonary arteryPA
systolic / diastolic (mean)
Pulmonary wedgePCWP
mean
Derived indices

Still needed: 4 more sites and oximetry and haemoglobin. Fick output, resistances, PAPi and cardiac power unlock once the study is complete.

Commit a diagnosisBlinded

32-year-old marathon runner with exertional breathlessness and a normal echo, referred to exclude pulmonary hypertension. No murmurs, no oedema.

A teaching simulator. Every waveform, worksheet value and derived index is generated from one parameter set per case, so the tracing and the numbers can never disagree — but the cases are constructed, not real patients, and nothing here is clinical guidance.
Swan-Ganz Lab