Hemodynamic monitoring of patients undergoing abdominal aortic surgery

Cohen, Jordan L.; Wender, Ronald H.; Maginot, Andre; Cossman, David V.; Treiman, Richard L.; Foran, Robert F.; Levin, Phillip M.; Angelis, John De; Treiman, Gerald S.

doi:10.1016/0002-9610(83)90367-7

Cited by 15 publications

(2 citation statements)

References 7 publications

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“…The keys to a better outcome in the management of ruptured aneurysms are early diagnosis, aggressive resuscitation and emergent operation with prompt achievement of proximal control (23), a correct surgical technique and finally, intensive postoperative management (26,27). …”

Section: Resultsmentioning

confidence: 99%

Emergency Aorto-Iliac Aneurysm Surgery with Low Mortality and Morbidity

Knol

Ceuppens

2002

Acta Chirurgica Belgica

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A retrospective review of urgently operated aortic or iliac aneurysms over a 13 1/2 year period identified 51 patients (50 male, one female). In our consecutive series, 45 patients underwent an emergency operation for an abdominal aortic aneurysm (AAA) and six patients for an iliac aneurysm (IA). Mean age was 69 years. All patients had prominent symptoms: acute low abdominal pain or low back pain in 20 patients, shock in six patients, shock and pain in 25 patients. Free rupture was found in 28 cases, retroperitoneal rupture in 14 cases, fissurisation in seven and arterio-venous fistulisation in two cases. All reconstructions were done by the same vascular surgeon using Dacron prostheses. Intra-operative mortality rate was 3.9% (n = 2), 30-day mortality was 21.6% (n = 11) and cumulative hospital mortality was 23.5% (n = 12). The morbidity was 59%.

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Section: Resultsmentioning

confidence: 99%

Emergency Aorto-Iliac Aneurysm Surgery with Low Mortality and Morbidity

Knol

Ceuppens

2002

Acta Chirurgica Belgica

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“…This offers a physiologic approach to optimizing cardiac performance. Initially restricted to the coronary care unit in patients with acute myocardial infarction and pump failure [1], the use of the PAC extended the boundaries of cardiology and quickly became widely used in the critical care setting [2] and even in the cardiac [3] and noncardiac [4] surgical setting to monitor volume status and optimize "hemodynamics." It has served as a potent research tool in cardiology and critical care in defi ning the hemodynamic alterations in many critical disease states.…”

Section: Invasive Hemodynamic Monitoring: Catheter Basedmentioning

confidence: 99%

Invasive monitoring in patients with heart failure

Husain¹,

Pamboukian²,

Tallaj³

et al. 2009

Curr Cardiol Rep

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The syndrome of heart failure is characterized by symptoms that are relatively insensitive and nonspecific. Physical diagnosis may be unreliable even in the hands of experienced clinicians, despite the presence of significantly elevated filling pressures or a significantly depressed cardiac output. Instrumentation and devices such as the insertion of a pulmonary artery catheter and the implantable hemodynamic monitor have a major role in the diagnosis and management of cardiovascular disease. They provide a means of measuring intracardiac pressures for point-in-time measurements (cardiac catheterization), short term in an acute situation (insertion of a pulmonary arterial catheter), and, more recently, a long-term assessment increasing our understanding of the nuances of the hemodynamic derangements associated with heart failure and other conditions. With improved ability to accurately assess and monitor filling pressures, clinicians can more precisely adjust therapy with the goal of improving patient symptoms and possibly outcomes.

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