PMID- 2379397
OWN - NLM
STAT- MEDLINE
DCOM- 19900912
LR  - 20190706
IS  - 0090-3493 (Print)
IS  - 0090-3493 (Linking)
VI  - 18
IP  - 8
DP  - 1990 Aug
TI  - Hemodynamic status susceptible to slowing of heart rate during thermodilution 
      cardiac output determination in anesthetized patients.
PG  - 841-4
AB  - To identify hemodynamic variables that might indicate susceptibility to slowing 
      of heart rate (HR) and to mean arterial pressure (MAP) decrease caused by cold 
      injectate during thermodilution (TD) cardiac output determination, we measured 
      hemodynamic variables in 32 anesthetized patients undergoing major surgery. A 
      total of 608 cardiac output determinations were evaluated for any relationship 
      between the magnitude of HR decreases and basal hemodynamic variables. The 
      magnitude of HR decrease was pronounced in low cardiac index (CI), low mean 
      pulmonary artery pressure (MPAP), and high systemic vascular resistance index 
      (SVRI). Although there was some decrease in MAP associated with cold injectate, 
      neither changes in SVRI nor those in the other hemodynamic variables correlated 
      with the decreases in MAP. These results suggest that decreased CI and MPAP 
      associated with elevated SVRI may be more susceptible to slowing of HR during 
      cardiac output determination by TD in anesthetized patients.
FAU - Nishikawa, T
AU  - Nishikawa T
AD  - Department of Anesthesiology, University of Tsukuba, Ibaraki, Japan.
FAU - Dohi, S
AU  - Dohi S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Crit Care Med
JT  - Critical care medicine
JID - 0355501
RN  - IY9XDZ35W2 (Glucose)
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Anesthesia, General
MH  - Blood Pressure
MH  - *Cardiac Output
MH  - Cold Temperature
MH  - Female
MH  - Glucose/administration & dosage
MH  - *Heart Rate
MH  - *Hemodynamics
MH  - Humans
MH  - Injections
MH  - Male
MH  - Middle Aged
MH  - *Thermodilution/methods
MH  - Vascular Resistance
EDAT- 1990/08/01 00:00
MHDA- 1990/08/01 00:01
CRDT- 1990/08/01 00:00
PHST- 1990/08/01 00:00 [pubmed]
PHST- 1990/08/01 00:01 [medline]
PHST- 1990/08/01 00:00 [entrez]
AID - 10.1097/00003246-199008000-00009 [doi]
PST - ppublish
SO  - Crit Care Med. 1990 Aug;18(8):841-4. doi: 10.1097/00003246-199008000-00009.