Document Detail


[Diagnostic and therapeutic importance of right-heart catheterization during operations on the lungs and in the early postoperative period in elderly patients]
MedLine Citation:
PMID:  1014236     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pressure in the right heart (CVP) was measured at different stages of lung resection and during the first postoperative days in 74 aged patients, operated upon for various pulmonary affections. Pneumonectomy was performed in 33 patients, partial resection--in 31, thoracotomy--in 10. The pressure was measured by catheterization of the right heart, using the Valdman apparatus. No complications relative to catheterization of the right heart were noted. Intraoperative observations over CVP dynamics with due account of other hemodynamic indices, general patient's state and the operative stage provide for additional valuable data of the state of a patient operated upon. During the first days after pneumo- and lobectomy CVP was found to be decreased compared with initial values, that seems to be related with hypovolemia. Studies on the circulating blood volume and its components, carried out in 18 patients, have proved the presence of hypolvolemia in patients under consideration. These investigations make it possible to recommend continous catheterization of the right heart for early recognition of hemodynamic disturbances and a simultaneous use of the catheter for infusion of medical drugs.
Authors:
E A Sokolov
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vestnik khirurgii imeni I. I. Grekova     Volume:  117     ISSN:  0042-4625     ISO Abbreviation:  Vestn. Khir. Im. I. I. Grek.     Publication Date:  1976 Oct 
Date Detail:
Created Date:  1977-03-21     Completed Date:  1977-03-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0411377     Medline TA:  Vestn Khir Im I I Grek     Country:  USSR    
Other Details:
Languages:  eng     Pagination:  9-12     Citation Subset:  IM    
Vernacular Title:
Diagnosticheskoe i lechebnoe znachenie zondirovaniia pravykh otdelov serdtsa vo vremia operatsiĭ na legkikh i v rannem posleoperatsionnom periode u bol'nykh pozhilogo vozrasta
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Central Venous Pressure
Female
Heart / physiopathology
Heart Catheterization*
Humans
Lung Diseases / physiopathology,  surgery*
Male
Middle Aged
Pneumonectomy
Postoperative Care*
Time Factors

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


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