| Hemodynamic status susceptible to slowing of heart rate during thermodilution cardiac output determination in anesthetized patients. | |
| | |
MedLine Citation:
|
PMID: 2379397 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
To identify hemodynamic variables that might indicate susceptibility to slowing of heart rate (HR) and to mean arterial pressure (MAP) decrease caused by cold injectate during thermodilution (TD) cardiac output determination, we measured hemodynamic variables in 32 anesthetized patients undergoing major surgery. A total of 608 cardiac output determinations were evaluated for any relationship between the magnitude of HR decreases and basal hemodynamic variables. The magnitude of HR decrease was pronounced in low cardiac index (CI), low mean pulmonary artery pressure (MPAP), and high systemic vascular resistance index (SVRI). Although there was some decrease in MAP associated with cold injectate, neither changes in SVRI nor those in the other hemodynamic variables correlated with the decreases in MAP. These results suggest that decreased CI and MPAP associated with elevated SVRI may be more susceptible to slowing of HR during cardiac output determination by TD in anesthetized patients. |
| | |
Authors:
|
T Nishikawa; S Dohi |
Related Documents
:
|
16924327 - Volume management in critically ill patients: new insights. 933277 - Reaction to indigo carmine. 8200327 - Plasma norepinephrine kinetics are unaltered in chronically undernourished adult subjects. 19660617 - Cardiac physical diagnosis in the digital age: an important but increasingly neglected ... 10585047 - Bosentan prevents hypoxia-reoxygenation-induced pulmonary hypertension and improves pul... 2688407 - The simultaneous occurrence of renal artery stenosis and an aldosteronoma in a patient ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Critical care medicine Volume: 18 ISSN: 0090-3493 ISO Abbreviation: Crit. Care Med. Publication Date: 1990 Aug |
Date Detail:
|
Created Date: 1990-09-12 Completed Date: 1990-09-12 Revised Date: 2008-11-21 |
Medline Journal Info:
|
Nlm Unique ID: 0355501 Medline TA: Crit Care Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 841-4 Citation Subset: AIM; IM |
Affiliation:
|
Department of Anesthesiology, University of Tsukuba, Ibaraki, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Anesthesia, General* Blood Pressure Cardiac Output* Cold Temperature Female Glucose / administration & dosage, diagnostic use Heart Rate* Hemodynamics* Humans Injections Male Middle Aged Thermodilution* / methods Vascular Resistance |
| Chemical | |
Reg. No./Substance:
|
50-99-7/Glucose |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: APACHE II scoring in the injured patient.
Next Document: Inhibition of platelet aggregation by granulocytes stimulated during experimental trauma.