Clinical significance of pulmonary artery occlusion pressure

被引:42
作者
Pinsky, MR [1 ]
机构
[1] Div Coib Care Med, Pittsburgh, PA 15261 USA
关键词
bedside measurements; pulmonary hemodynamics; left ventricular performance; critically ill patients; pulmonary artery occlusion pressure; pulmonary vascular status;
D O I
10.1007/s00134-002-1616-8
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Ppao values are routinely used to assess pulmonary vascular status and LV performance. Regrettably, under many common clinically relevant conditions, even when Ppao values are measured accurately, Ppao values at baseline and in response to therapy often reflect an inaccurate measure of cardiovascular status. Results and conclusions: Thus, caution should be used when applying measures of Ppao in determining therapy if changes in RV volume, hyperinflation, or LV diastolic compliance are simultaneously occurring.
引用
收藏
页码:175 / 178
页数:6
相关论文
共 5 条
[1]   FACTORS CONTRIBUTING TO REVERSIBLE PULMONARY HYPERTENSION OF PATIENTS WITH ACUTE RESPIRATORY FAILURE STUDIED BY SERIAL OBSERVATIONS DURING RECOVERY [J].
ABRAHAM, AS ;
COLE, RB ;
GREEN, ID ;
HEDWORTH.RB ;
CLARKE, SW ;
BISHOP, JM .
CIRCULATION RESEARCH, 1969, 24 (01) :51-&
[2]  
FISHMAN AP, 1985, HDB PHYSL 3, V1, P93
[3]   MEDICAL THERAPY OF ACUTE MYOCARDIAL-INFARCTION BY APPLICATION OF HEMODYNAMIC SUBSETS .1. [J].
FORRESTER, JS ;
DIAMOND, G ;
CHATTERJEE, K ;
SWAN, HJC .
NEW ENGLAND JOURNAL OF MEDICINE, 1976, 295 (24) :1356-1362
[4]   MISLED BY THE WEDGE - THE SWAN-GANZ CATHETER AND LEFT-VENTRICULAR PRELOAD [J].
RAPER, R ;
SIBBALD, WJ .
CHEST, 1986, 89 (03) :427-434
[5]   DISTRIBUTION OF BLOOD FLOW IN ISOLATED LUNG - RELATION TO VASCULAR + ALVEOLAR PRESSURES [J].
WEST, JB ;
DOLLERY, CT ;
NAIMARK, A .
JOURNAL OF APPLIED PHYSIOLOGY, 1964, 19 (04) :713-+