Competency information
Details
Perform cardiac monitoring and make accurate pressure and haemodynamic measurements appropriate to the procedure, acting on any adverse changes
Considerations
- Left heart diagnostic catheterisation
- Correct annotation of the recording
- Evidence-based best practice with respect to cardiac catheterisation
- Major classes of cardiac drugs and mechanisms of action and uses, and significant side effects and manifestations
- The Vaughan Williams classification of drugs and modes of action, current and appropriate procedural medications, their actions and justification
- Types of drugs commonly administered during cardiac catheter procedures, such as anticoagulation, anti-arrhythmics and anti- anginals
- When medication is needed during cardiac catheterisation
- Normal pressure ranges within the heart and great vessels
- Anatomy and physiology of the coronary circulation
- Influence of coronary arteries on cardiac rhythm
- Identification and evaluation of coronary lesions using a variety of techniques
- Choice, design, construction, application and use of guide wires, balloon catheters and stents
- Techniques for the introduction of catheters, etc
- Angioplasty and stenting techniques and equipment
- The indications for drug-eluting stents and the long-term pharmacological requirements for patients with implanted drug-eluting stents
- Role of pressure measurement during procedures
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 | Outcome The trainee should produce evidence of completion of immediate or advanced life support training before undertaking any of the learning outcomes. |
| # 2 | Outcome Plan, prepare, set up and undertake cardiac physiological role for percutaneous coronary intervention (PCI) |
| # 3 | Outcome Plan, prepare, set up and undertake cardiac physiological role for intra-aortic balloon pump (IABP) |
| # 4 | Outcome Plan, prepare, set up and undertake cardiac physiological role for rotablation |
| # 5 | Outcome Plan, prepare, set up and undertake cardiac physiological role for flow wire |