Measurement of arterial pressure after cardiopulmonary bypass with long radial artery catheters
| Autor: | Eddy Cruz, Evert N.R. Rulf, Wolf Rating, Yvon L.J.M. Deryck, King Siphanto, A. Van Der Woerd, Ronald M. Schepp, Hans Rijsterborg, Omar Prakash, Mark M. Mitchell |
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| Rok vydání: | 1990 |
| Předmět: |
Adult
medicine.medical_specialty Brachial Artery Systole Subclavian Artery Hemodynamics Blood Pressure law.invention Diastole law Monitoring Intraoperative medicine.artery Internal medicine Catheterization Peripheral medicine Cardiopulmonary bypass Humans Prospective Studies Coronary Artery Bypass Radial artery Aorta Subclavian artery Cardiopulmonary Bypass business.industry Equipment Design Blood Pressure Monitors Surgery Cardiac surgery Radius Catheter Anesthesiology and Pain Medicine Blood pressure Heart Valve Prosthesis cardiovascular system Cardiology Aortic pressure Regression Analysis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiothoracic Anesthesia. 4:19-24 |
| ISSN: | 0888-6296 |
| DOI: | 10.1016/0888-6296(90)90441-h |
| Popis: | Radial arterial pressure can significantly underestimate central aortic pressure in the postcardiopulmonary bypass (post-CPB) period. At the study institution, routine monitoring of perioperative arterial pressure in adult patients undergoing cardiac surgery is performed with a long radial artery catheter with the distal end positioned in the subclavian artery. In 68 patients presenting for elective cardiac surgery, both a conventional short radial artery catheter and a contralateral long radial artery catheter were placed. Analysis of radial and subclavian arterial pressures post-CPB in the first 47 patients showed average maximum differences of 7 mm Hg systolic and 4 mm Hg mean. In 15% of patients, the differences were clinically significant (greater than 20 mm Hg systolic and/or greater than 14 mm Hg mean). In 28 patients, central aortic pressure was measured post-CPB, and subclavian artery pressure was found to be an excellent estimator of central aortic pressure. There were no significant complications related to using long radial artery catheters in the 68 patients who were followed prospectively. Monitoring subclavian arterial pressure by percutaneous insertion of a long radial artery catheter provides a reliable estimation of central aortic pressure, even in patients with significant radial artery-to-central aortic pressure gradients post-CPB. |
| Databáze: | OpenAIRE |
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