2003Critical CareOpen access

Can we predict pulmonary wedge pressure from central venous pressure in hepatic transplantation?

FS Machado, ACKB Amaral, GL Büchele, ACB Sogayar, HMC DiBenedetto, GL Oliveira, MC Souza, CJ Fernandes, V Michels, E Silva, E Knobel

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Abstract

Volume infusion is the main therapeutic option to optimize preload and tissue oxygen supply in distributive shock. Pulmonary capillary wedge pressure (Pw) has been used as the most important variable to predict preload in unstable hemodynamic patients. However, most patients are not monitored with pulmonary artery catheters, making central venous pressure the preload variable of choice. The literature has shown a moderate correlation between Pw and central venous pressure (CVP) in septic patients. As far as we know there are no data about this correlation in the postoperative period of hepatic transplantation.

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What this paper is about

Volume infusion is the main therapeutic option to optimize preload and tissue oxygen supply in distributive shock. Pulmonary capillary wedge pressure (Pw) has been used as the most important variable to predict preload in unstable hemodynamic patients. However, most patients are not monitored with pulmonary artery catheters, making central venous pressure the preload variable of choice. The literature has shown a moderate correlation between Pw and central venous pressure (CVP) in septic patients. As far as we know there are no data about this correlation in the postoperative period of hepatic transplantation.

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Available abstract

Volume infusion is the main therapeutic option to optimize preload and tissue oxygen supply in distributive shock. Pulmonary capillary wedge pressure (Pw) has been used as the most important variable to predict preload in unstable hemodynamic patients. However, most patients are not monitored with pulmonary artery catheters, making central venous pressure the preload variable of choice. The literature has shown a moderate correlation between Pw and central venous pressure (CVP) in septic patients. As far as we know there are no data about this correlation in the postoperative period of hepatic transplantation.

Key concepts: Medicine, Pulmonary wedge pressure, Central venous pressure, Intensive care medicine, Wedge (geometry), Liver transplantation, Pulmonary arterial pressure, Cardiology

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