The significance of central venous pressure and cardiac output measurements in shock

Riordan, Jan; McLay, W D S; Walters, G.

doi:10.1136/pgmj.45.526.506

Cited by 9 publications

(3 citation statements)

References 9 publications

(6 reference statements)

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“…In spite of wide fluctuations, H amosh and C ohn [8] found a significant correlation between right atrial pressure and left ven tricular end-diastolic pressure. In this study as in previous one [16], CVP measurements were found helpful in assessing the course of the disease. Little reliance was placed on the initial value, which did not show any consistent pattern for the various clinical groups (table I), although 'vasoreactive' cases with high vascular resistance tended to have high CVP.…”

Section: Discussionsupporting

confidence: 56%

Clinical Appraisal of Shock Following Acute Myocardial Infarction

Mir¹,

Rees²,

Yahya³

et al. 1974

Cardiology

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An attempt has been made to define clinically recognizable forms of cardiogenic shock. ‘Vasoreactive’ shock, characterized by a cold and sweaty skin, oliguria and moderate to gross mental dysfunction, was managed by reducing the vascular resistance with phenoxybenzamine. ‘Vasolytic’ shock, suggested by a grey or flushed facies, slightly reduced urinary output, and mild to moderate mental impairment, was treated with aramine. Patients with clinical features between these two extremes (‘intermediate’ group) were initially treated according to the most prominent clinical features. Further management was based on the assessment of easily measurable parameters such as central venous pressure, acid-base status, arterial pressure, temperature, etc. The mortality rate of the entire group of 31 patients was 42%.

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Section: Discussionsupporting

confidence: 56%

Clinical Appraisal of Shock Following Acute Myocardial Infarction

Mir¹,

Rees²,

Yahya³

et al. 1974

Cardiology

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show abstract

“…Alternatively a plastic catheter can be passed from a peripheral vein into the superior vena cava, connected to a saline manometer, and the pressure determined relative to a particular point. Both methods have advantages and disadvantages, but both are satisfactory when used properly in appropriate circumstances (Riordan, McLay, and Walters, 1969). It is important to realize that different reference points may be used, and allowance must be made for this when comparing values quoted by different authors.…”

mentioning

confidence: 99%

“…Sometimes it is necessary to raise the central venous pressure to levels which are considered to be abnormally high, before improvement begins. Then, as cardiac function improves, the pressure falls possibly to levels as low as the original (Riordan et al, 1969), thus emphasizing the importance of not interpreting central venouspressure measurements in isolation but always with due regard to the other prevailing haemodynamic conditions. Recurrent episodes of circulatory failure due to haemorrhage or uncontrolled sepsis sometimes occur, and continuous monitoring of the central venous pressure greatly facilitates the management of such patients.…”

mentioning

confidence: 99%