PMID: 1209211Jan 1, 1975Paper

Pulmonary artery pressure measurements in surgical patients

Scandinavian Journal of Thoracic and Cardiovascular Surgery
M B Sorensen

Abstract

In 23 patients, Swan-Ganz catheters for the measurement of the pulmonary artery pressure (PAP) were introduced on the day before elective vascular surgery. The following parameters were measured: pulmonary artery mean pressure (PAMP), pulmonary capillary wedge pressure (PCWP), pulmonary artery end-diastolic pressure (PAED), central venous pressure (CVP), arterial blood pressure (BP), pulse, plasma colloid osmotic pressure (COP) and blood volume. Pre-operatively, resting pressures and pressures during exercise and fluid infusion were measured. Continuous pressure measurements were made during induction of anaesthesia and operation and during the first 24 postoperative hours. The pre-operative PAP was an important parameter among those contra-indicating operation, particularly so in 5 patients, in 3 of whom the ultimate decision was made as a direct consequence of PAP. In one case, a sudden marked increase in PAP preceded all other signs of severe deterioration in the patient's condition by some 7 hours. In the period of apnoea immediately prior to and during endotracheal intubation, PAP and CVP rises were as marked as during the pre-operative exercise test. This exercise was strenuous, and the exercise PAP is thought to give per...Continue Reading

References

Jan 1, 1973·Annals of Surgery·F CerraT Z Lajos
Nov 1, 1972·Archives of Surgery·J B Sharefkin, J D MacArthur
Aug 27, 1970·The New England Journal of Medicine·H J SwanD Chonette
Nov 1, 1970·Annals of Surgery·L H Cooperman, H L Price
Jul 11, 1967·The American Journal of Physiology·K A GaarA C Guyton
Nov 1, 1969·The Journal of Clinical Investigation·J N CohnI M Khatri
Jul 1, 1949·Journal of Applied Physiology·H K HELLEMSL DEXTER

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Citations

Jan 1, 1978·Acta Anaesthesiologica Scandinavica·M B SørensenH C Engell
Jan 1, 1978·Acta Anaesthesiologica Scandinavica·M B Sørensen, H C Engell
Jun 1, 1983·The British Journal of Surgery·D G KnightM G Walker
Feb 1, 1981·Scandinavian Journal of Clinical and Laboratory Investigation·N E Bille-BraheH C Engell
Oct 1, 1980·Acta Pharmacologica Et Toxicologica·N E Bille-BraheM B Sørensen

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