Document Detail


Central hemodynamics during reamed intramedullary nailing of unilateral tibial fractures.
MedLine Citation:
PMID:  10780605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Intramedullary nailing of a long-bone fracture results in intravasation of bone marrow contents into the right atrium and pulmonary vascular bed and, therefore, may alter cardiac and pulmonary hemodynamics. METHODS: Central hemodynamic changes were recorded in 12 healthy adults with a unilateral simple tibial fracture undergoing intramedullary nailing. The patients were cannulated with a pulmonary artery catheter. Reamed intramedullary nailing was performed during general anesthesia. Preoperative and immediate postoperative hemodynamic variables were compared and intraoperative changes studied. RESULTS: During the operation, the right ventricular preload as represented by central venous pressure and the right ventricular afterload as presented by mean pulmonary arterial pressure increased significantly. Preoperative and postoperative arterial oxygen tension values demonstrated hypoxia. Abnormal pulmonary shunting and increased oxygen consumption were observed as well. CONCLUSION: Changes in cardiac and pulmonary hemodynamics are already present after the trauma and before the reamed intramedullary nailing procedure.
Authors:
I Helttula; M Karanko; E Gullichsen
Related Documents :
3490745 - Mr imaging of the central pulmonary arterial tree in conotruncal malformation.
19092645 - Significance of central aortic stiffness in cardiovascular disease.
9012395 - Transesophageal echocardiography during removal of central venous catheter associated w...
7373385 - A new catheter for detection and treatment of venous air embolism. technical note.
10653255 - Cyanoacrylate glue as an alternative to an additional suture line in the repair of type...
16849025 - Repeated arterial thrombosis as a complication of carboplatin-based chemotherapy.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  48     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-05-19     Completed Date:  2000-05-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  704-10     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of Turku, Finland. ilmo.helttula@tyks.fi
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure
Bone Nails*
Central Venous Pressure
Female
Fracture Fixation, Intramedullary / methods*
Hemodynamics / physiology*
Humans
Intraoperative Period
Male
Middle Aged
Oxygen Consumption
Prospective Studies
Pulmonary Circulation / physiology
Stroke Volume / physiology
Tibial Fractures / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Treatment of humeral shaft delayed unions and nonunions with humeral locked nails.
Next Document:  Analysis of pulmonary fat embolism in blunt force fatalities.