Critical Care Conference Session A

The Heart of Hemodynamics

March 28, 2014

8:00 a.m. - Noon

Burtness Auditorium, Santa Barbara Cottage Hospital


Download flyer / registration form 


Course Description:

For over 100 years clinicians have used physical assessment to determine volume status and cardiac function, despite clear research showing this method of assessment is inadequate and at times misleading. In this program, the concept of occult hypoperfusion will be presented and how it can be avoided by using stroke volume optimization. Hemodynamic therapies to optimize stroke volume, ranging from fluids, pressors and inotropes to microcirculation improvement will be presented. Methods of measurement are also presented, illustrating how newer, non- invasive methods are available and used in practice.


Course Objectives:

  • Describe why stroke volume optimization can improve patient outcome
  • Discuss the limitations of physical assessment and blood pressure 
  • Discuss the issue of whether current non-invasive measures of cardiac output 
are ready to be used to replace the pulmonary artery catheter
  • Describe how occult hypoperfusion can occur in the presence of normal vital 
signs and urine output

Course Instructor:

Tom Ahrens, PhD, RN, FAAN


Course Coordinators:

Patti Wicklund, RN, BSN, CCRN

Christine Block RN, MSN, CCRN


Provider approved for 3.5 contact hours by the California Board of Nursing, Provider #00252.



Registration is not complete until payment is received.


CHS Employees:  Free.  Register through HealthStream.


CHS Travelers: Fee: $50.  Register through HealthStream. Forward check for $50 - payment to Education Department.


NON-CHS Employees: Fee $50.  Complete registration form .   Make check  payable to CHS Education Department and mail to Education Department, Cottage Health System, PO Box 689, Santa Barbara, CA  93102-9985