인공심폐기분리시 우심실과 좌심실충만압의 상호작용에 관한 연구

Other Titles
Studies on the relationship of right and left ventricular filling- pressures during- the period of cardiopulmonary bypass weaning
Authors
박이태유영선
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Issue Date
1987
Citation
Keimyung Medical Journal, Vol.6(1) : 102-107, 1987
Abstract
The period of terminating cardiopulmonary bypass is one of the high-risk periods because it possesses a great deal of hemodynamic changes, This transition must be carefully controlled because a poorly performed transition can injure the patient. We inserted balloon-tipped thermo-dilution catheter in 12 patients who underwent valve replacement for evaluation of the hemodynamic changes and defining the reliable hemodynamic criteria of cardiopulmonary bypass weaning with the aid of cardiac output computer. In 7 patients, cardiopulmonary bypass weaning was uneventful at first attempt. The mean cardiac index was 2.73±0.32/min/m²and the mean CVP/PCWP ratio was 0.59±0.15. In 5 patients, at the first attempt of cardiopulmonary bypass weaning, the mean cardiac index was 1.74±0.20/min/m²and the amen CVP/PCWP ratio was 1.33±0.36. So cardiopulmonary bypass was resumed and the abnormal hemodynamic finding were corrected, then the cardiac index was resumed and the abnormal hemodynamic findings were corrected, then the cardiac index was 2.62±0.36/min/M²CVP/PCWP ratio was 0.83±0.05. These data suggest that the relationship between right and left ventricular filling pressures, the CVP/PCWP ratio, may be a more valuable guide during cardiopulmonary bypass weaning than the individual right and left ventricular filling pressures.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/14467
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
2. Keimyung Medical Journal (계명의대 학술지) > 1987
Keimyung Author(s)
박이태; 유영선
File in this Item
6-102.pdf(341.97 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE