| Non-invasive monitoring of cardiac output changes during aortic cross-clamping for infrarenal reconstruction--a new technique using suprasternal Doppler-derived cardiac output. | |
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MedLine Citation:
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PMID: 1397338 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There is a significant morbidity and mortality associated with elective infrarenal aortic reconstruction. To examine the value of continuous cardiac output monitoring for predicting those at risk, 40 consecutive patients were monitored using Doppler-derived cardiac output. The anaesthetist was blind to all information from the monitor and managed the patients using standard techniques. In 28 patients there were no observed changes, while in seven, cardiac output rose after aortic cross-clamping. In five patients a fall in cardiac output occurred after cross-clamping. No cardiac events or cardiac deaths occurred in the 35 patients who showed a rise or no change in cardiac output. However, there were three cardiac events, including one cardiac death in the group of five patients in whom a fall in cardiac output was observed. It would appear that intraoperative non-invasive Doppler-derived cardiac output monitoring successfully predicts high-risk patients who would perhaps benefit from more intensive pre-, peri- and postoperative care. |
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Authors:
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J N Davies; C J Ranaboldo; M Nevin; J Norman; M M Crosse; J H Webster; A D Chant |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular surgery Volume: 6 ISSN: 0950-821X ISO Abbreviation: Eur J Vasc Surg Publication Date: 1992 Sep |
Date Detail:
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Created Date: 1992-11-04 Completed Date: 1992-11-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8709440 Medline TA: Eur J Vasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 467-70 Citation Subset: IM |
Affiliation:
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Royal South Hampshire Hospital, Southampton, U.K. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aorta, Abdominal / surgery*, ultrasonography Cardiac Output* Constriction Female Humans Male Middle Aged Monitoring, Intraoperative / methods* Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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