Invasive Hemodynamic Monitoring In The Postoperative Period Of Cardiac Surgery.

dc.creatorDragosavac, D
dc.creatorAraújo, S
dc.creatorCarieli, M do C
dc.creatorTerzi, R G
dc.creatorDragosavac, S
dc.creatorVieira, R W
dc.date1999-Aug
dc.date2015-11-27T12:19:49Z
dc.date2015-11-27T12:19:49Z
dc.date.accessioned2018-03-29T00:53:58Z
dc.date.available2018-03-29T00:53:58Z
dc.identifierArquivos Brasileiros De Cardiologia. v. 73, n. 2, p. 129-38, 1999-Aug.
dc.identifier0066-782X
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/10752182
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/194485
dc.identifier10752182
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1294718
dc.descriptionTo assess the hemodynamic profile of cardiac surgery patients with circulatory instability in the early postoperative period (POP). Over a two-year period, 306 patients underwent cardiac surgery. Thirty had hemodynamic instability in the early POP and were monitored with the Swan-Ganz catheter. The following parameters were evaluated: cardiac index (CI), systemic and pulmonary vascular resistance, pulmonary shunt, central venous pressure (CVP), pulmonary capillary wedge pressure (PCWP), oxygen delivery and consumption, use of vaso-active drugs and of circulatory support. Twenty patients had low cardiac index (CI), and, 10 had normal or high CI. Systemic vascular resistance was decreased in 11 patients. There was no correlation between oxygen delivery (DO2) and consumption (VO2), p = 0.42, and no correlation between CVP and PCWP, p = 0.065. Pulmonary vascular resistance was decreased in 15 patients and the pulmonary shunt was increased in 19. Two patients with CI < 2 L/min/m2 received circulatory support. Patients in the POP of cardiac surgery frequently have a mixed shock due to the systemic inflammatory response syndrome (SIRS). Therefore, invasive hemodynamic monitoring is useful in handling blood volume, choice of vasoactive drugs, and indication for circulatory support.
dc.description73
dc.description129-38
dc.languageeng
dc.languagepor
dc.relationArquivos Brasileiros De Cardiologia
dc.relationArq. Bras. Cardiol.
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectCardiovascular Surgical Procedures
dc.subjectCatheterization, Swan-ganz
dc.subjectFemale
dc.subjectHemodynamics
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMonitoring, Physiologic
dc.subjectPostoperative Period
dc.subjectRetrospective Studies
dc.titleInvasive Hemodynamic Monitoring In The Postoperative Period Of Cardiac Surgery.
dc.typeArtículos de revistas


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