| Interpretation of blood pressure signal: physiological bases, clinical relevance, and objectives during shock states. | |
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MedLine Citation:
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PMID: 21153400 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Achievement of a mean blood pressure (MBP) target is one of the hemodynamic goals to ensure an adequate blood perfusion pressure in critically ill patients. Arterial catheter allows for a continuous and precise monitoring of arterial pressure signal. In addition to giving a precise MBP monitoring, analysis of the blood pressure wave provides information that may help the clinician to interpret hemodynamic status. The interpretation of BP wave requires the understanding of simple principles. In this review, we first discuss the physiological mechanism responsible for arterial pressure generation. We then emphasize the interpretation of the static indexes and the dynamic indexes generated by heart-lung interactions derived from arterial pressure wave. Finally, we focus on MBP value as a therapeutic target in critically ill patients. We discuss the recommended target MBP value by reviewing available data from experimental and clinical studies. |
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Authors:
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J-F Augusto; J-L Teboul; P Radermacher; P Asfar |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-12-10 |
Journal Detail:
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Title: Intensive care medicine Volume: - ISSN: 1432-1238 ISO Abbreviation: - Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7704851 Medline TA: Intensive Care Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Laboratoire HIFIH, IFR 132, Université d' Angers et service de réanimation médicale et médecine hyperbare, CHU Angers, 4, rue Larrey, 49933, Angers Cedex 9, France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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