Document Detail


Radial to femoral arterial blood pressure differences during liver transplantation.
MedLine Citation:
PMID:  16029225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This observational study compared femoral and radial arterial blood pressure in 72 patients undergoing liver transplant surgery. Simultaneous femoral and radial arterial blood pressures, cardiac index, core temperature and vasoconstrictor therapy were recorded at seven time points during the operation. No significant differences between radial and femoral pressures were found at the start of surgery. Femoral and radial systolic arterial blood pressures were statistically significantly different during liver reperfusion (mean (SD) arterial pressure = 92 (22) mmHg vs. 76 (22) mmHg, p < 0.01). Mean arterial blood pressures showed no statistically significant differences throughout the study. Vasoconstrictor drug administration was associated with a larger systolic pressure difference between femoral and radial arteries (28 (24) mmHg in patients being given vasoconstrictor drugs vs. 9 (19) mmHg in patients not needing vasoconstrictors during reperfusion, p < 0.001). In conclusion, differences in systolic arterial blood pressure occur between femoral and radial arterial monitoring sites during liver reperfusion, and in particular in patients being given vasoconstrictor therapy. Thus, if femoral arterial monitoring is not available, clinicians should rely on mean rather than systolic arterial pressure measurements from a radial artery catheter during liver transplantation.
Authors:
D Arnal; I Garutti; J Perez-Peña; L Olmedilla; I G Tzenkov
Related Documents :
21421595 - Effects of lowering dialysate sodium on flow-mediated dilatation in patients with chron...
1782375 - Role of hepatic artery in haemodynamics in normal and cirrhotic livers in rats.
7959205 - Respiratory function after injection sclerotherapy of oesophageal varices.
6051805 - The effects of stimulation of the hepatic nerves, infusions of noradrenaline and occlus...
2225715 - Effects of caffeine on baroreflex activity in humans.
11043915 - Gastric tonometry and intramucosal ph--theoretical principles and clinical application.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  60     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-20     Completed Date:  2005-08-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  766-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia and Reanimation, Hospital General Universitario, Gregorio Marañón, Madrid, Spain. darnal@gmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure* / drug effects
Blood Pressure Determination / methods
Cardiac Output
Female
Femoral Artery / physiopathology*
Humans
Liver Transplantation*
Male
Middle Aged
Monitoring, Intraoperative / methods
Radial Artery / physiopathology*
Vasoconstrictor Agents / pharmacology
Chemical
Reg. No./Substance:
0/Vasoconstrictor Agents

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


Previous Document:  Differences between brain and rectal temperatures during routine critical care of patients with seve...
Next Document:  A review of an anaesthetic led vascular access list.