Document Detail


Utility and application of pulmonary artery catheterization in aortic and aortoiliac disease.
MedLine Citation:
PMID:  3730969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine how useful pulmonary artery catheterization is in abdominal aortic surgery and which patients are most likely to benefit from the procedure, the author studied 28 patients with aneurysms and 22 with obstructive disease. Patients with multiple risk factors, except those with leaking aneurysms, were assessed before operation by pulmonary artery catheterization and volume loading (15 ml of 5% albumin/kg over 12 hours). All patients who underwent operation were assessed and monitored by pulmonary artery catheterization, beginning immediately postoperatively. In 26 patients the procedure made a substantial contribution to assessment or care of their condition, not suggested by the usual clinical and technical modalities. In four patients the proposed surgery was affected; it was cancelled in one, delayed in two and replaced by a lesser procedure in one. Two other patients, thought to have unacceptable cardiac function, were considered suitable for operation after catheterization was done. Eleven patients with suboptimal cardiac index and 2 with volume overload were recognized early after surgery. Two patients with oliguria following repair of a ruptured aneurysm had optimal cardiac indices and renal perfusion assured by pulmonary artery catheterization, which helped to identify unsuspected pulmonary hypertension in three patients, bleeding in one and intestinal infarction in one. Twenty-seven patients were challenged before surgery with 5% albumin and their response was analyzed. In 7 there was no response to the colloid challenge and they suffered much more morbidity than the 20 patients who had a positive hemodynamic response to challenge.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
K C Grant
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  29     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1986 Jul 
Date Detail:
Created Date:  1986-09-17     Completed Date:  1986-09-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  256-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Albumins / diagnostic use
Aortic Diseases / surgery*
Evaluation Studies as Topic
Heart Catheterization*
Humans
Male
Monitoring, Physiologic
Postoperative Period
Pulmonary Artery*
Chemical
Reg. No./Substance:
0/Albumins

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


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