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Journal ArticleDOI

A bedside index assessing the reliability of pulmonary artery occlusion pressure measurements during mechanical ventilation with positive end-expiratory pressure

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TLDR
The bedside determination of the ΔPpao/ΔPpa ratio should identify the cases in which Ppao measurements are not valid more reliably than lateral chest x-ray film, thus avoiding misleading interpretations of P pao during PEEP ventilation.
About
This article is published in Journal of Critical Care.The article was published on 1992-03-01. It has received 87 citations till now. The article focuses on the topics: Positive end-expiratory pressure & Pulmonary wedge pressure.

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Citations
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Book ChapterDOI

Invasive Hemodynamic Monitoring

P. Rogers
TL;DR: There is little data to support which interventions should be performed and which are unnecessary in the ICU, and many physicians using these interventions, have little understanding of the monitors and are often unable to apply the data to problem-solving.
Book ChapterDOI

Le cathéter artériel pulmonaire

TL;DR: Les mesures qui peuvent ainsi etre obtenues sont les mesures des pressions intravasculaires, la mesure du debit cardiaque and the mesure de the saturation veineuse melee en oxygene.
References
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Journal ArticleDOI

Distribution of blood flow in isolated lung; relation to vascular and alveolar pressures.

TL;DR: The left lung from a dog was removed, ventilated with negative pressure, and perfused with venous blood to establish pulmonary arterial, venous, and alveolar pressures that could be varied over a large range.
Journal ArticleDOI

Influence of positive end expiratory pressure on left ventricular performance

TL;DR: It is concluded that decreased cardiac output during PEEP is mediated by a leftward displacement of the interventricular septum, which restricts left ventricular filling.
Journal ArticleDOI

Pulmonary artery occlusion pressure: clinical physiology, measurement, and interpretation.

TL;DR: This review focuses on the clinical physiologic aspects of the wedge pressure determination, the technical principles of measurement, and the practical application of the information Pw provides.
Journal ArticleDOI

Estimating left ventricular filling pressure during positive end-expiratory pressure in humans

TL;DR: Methods of estimating LV filling pressure using Ppao measurements under conditions in which increases in Ppc were the primary determinants of differences in the two measurements were examined.
Journal ArticleDOI

Correlation of pulmonary wedge and left atrial pressures. A study in the patient receiving positive end expiratory pressure ventilation.

TL;DR: Measurements of net left atrial pressure and stroke work indicated that high levels of PEEP resulted in left ventricular failure, which may have been due to reduced coronary flow secondary to an elevated myocardial interstitial pressure with high level PEEP.
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