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Assessment of Cardiovascular Function by Pressure Waveform Analysis

  • Conference paper
Update 1989

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 8))

Abstract

The physician who takes care of critically ill patients is often faced with the problem of evaluating their effective intravascular volume. In this evaluation, which is a key factor in therapeutic decision-making in critical care, the physician uses parameters such as blood pressure (BP), heart rate (HR), central venous pressure (CVP) and pulmonary artery occlusion pressure (PAOP) as well as urine output and cardiac output when available. Over the last few years we have been studying the changes that occur in the arterial pressure waveform in response to mechanical ventilation as an additional parameter that may further illuminate the cardiovascular status.

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References

  1. Jardin F, Farcot JC, Gueret P, Prost JF, Ozier Y, Bourdarius JP (1983) Cyclic changes in arterial pulse during respiratory support. Circulation 68:266–274

    Article  PubMed  CAS  Google Scholar 

  2. Hug CC (1986) Monitoring. In: Miller RD (ed) Anesthesia, 2nd edn. Churchill Livingstone, New York, pp 434–435

    Google Scholar 

  3. Morgan BC, Martin WE, Hornbein TF, Crawford EW, Guntterworth WG (1966) Hemodynamic effects of intermittent positive pressure respiration. Anesthesiology 27:584–590

    Article  PubMed  CAS  Google Scholar 

  4. Cohn N, Pinkerson AL, Trismani FE (1967) Mechanism of Pulsus Paradoxus in clinical shock. J Clin Invest 46:1744–1755

    Article  Google Scholar 

  5. Coyle JP, Teplick RS, Long MC, Davison JK (1983) Respiratory variations in systemic arterial pressure as an indicator of volume status. Anesthesiology 59:A553 (abstract)

    Google Scholar 

  6. Perel A, Pizov R, Cotev S (1987) The systolic pressure variation is a sensitive indicator of hypovolemia in ventilated dogs subjected to graded hemorrhage. Anesthesiology 67:498–502

    Article  PubMed  CAS  Google Scholar 

  7. Pizov R, Yaari Y, Perel A (1988) Systolic pressure variation is greater during hemorrhage than during sodium nitroprusside induced hypotension in ventilated dogs. Anesth Analg 67:170–174

    Article  PubMed  CAS  Google Scholar 

  8. Pizov R, Yaari Y, Segal E, Perel A (1989) The arterial pressure waveform during acute ventricular failure and synchronized external chest wall compression. Anesth Analg (in press)

    Google Scholar 

  9. Massumi RA, Mason DT, Vera Z, Zellis R, Otero J, Amsterdam EA (1973) Reversed pulsus paradoxus. N Engl J Med 289:1272–1975

    Article  PubMed  CAS  Google Scholar 

  10. Robotham JL, Cherry D, Mitzener W, Rabson JL, Lixfeld W, Bromberger-Barnea B (1983) A re-evaluation of the hemodynamic consequences of intermittent positive pressure ventilation. Crit Care Med 11:783–793

    Article  PubMed  CAS  Google Scholar 

  11. Pinsky MR, Summer W (1983) Cardiac augmentation by phasic high intrathoracic pressure support in man. Chest 84:370–375

    Article  PubMed  CAS  Google Scholar 

  12. Pinsky MR, Marquer J, Martin D, Klein M (1987) Ventricular assist by cardiac cyclespecific increase in intrathoracic pressure. Chest 91:709–715

    Article  PubMed  CAS  Google Scholar 

  13. Mitchell MM, Meath EA, Jones BR, et al (1987) Accurate automated, continuously displayed pulmonary artery pressure measurement. Anesthesiology 67:294–300

    Article  PubMed  CAS  Google Scholar 

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© 1989 Springer-Verlag Berlin Heidelberg

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Perel, A., Segal, E., Pizov, R. (1989). Assessment of Cardiovascular Function by Pressure Waveform Analysis. In: Vincent, J.L. (eds) Update 1989. Update in Intensive Care and Emergency Medicine, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83737-1_64

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  • DOI: https://doi.org/10.1007/978-3-642-83737-1_64

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50879-3

  • Online ISBN: 978-3-642-83737-1

  • eBook Packages: Springer Book Archive

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