Right Heart Volumetric Monitoring: Measuring Preload in the Critically Injured Patient
作者:
Karen Safcsak,
Loren Nelson,
期刊:
AACN Clinical Issues: Advanced Practice in Acute and Critical Care
(OVID Available online 1999)
卷期:
Volume 10,
issue 1
页码: 22-31
ISSN:1079-0713
年代: 1999
出版商: OVID
关键词: hemodynamic monitoring;oxygen delivery;positive end-expiratory pressure;preload;right ventricular end-diastolic volume;pulmonary artery catheter;pulmonary artery occlusion pressure;trauma
数据来源: OVID
摘要:
Accurate assessment of preload status is a major concern in the resuscitation of the critically injured patient. Of the three physiologic determinants of stroke volume, preload is the variable thai is most frequency influenced hy an insult or intervention or both in the trauma patient. In the critically injured patient, clinicians focus on the preload status to restore and maintain intravascular volume in attempts to optimize cardiac output and oxygen delivery. Untill recently, efforts to measure and optimize ventricular preload have focused on intracardiac filling pressures (central venous pressure and pulmonary artery occlusion pressure). The purpose of this review is to discuss the application of volumetric measurements that provide a more accurate means of determining recruitable ventricular preload in the critically injured patent
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