Clinical review: Interpretation of arterial pressure wave in shock states View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2005-12

AUTHORS

Bouchra Lamia, Denis Chemla, Christian Richard, Jean-Louis Teboul

ABSTRACT

In critically ill patients monitored with an arterial catheter, the arterial pressure signal provides two types of information that may help the clinician to interpret haemodynamic status better: the mean values of systolic, diastolic, mean and pulse pressures; and the magnitude of the respiratory variation in arterial pressure in patients undergoing mechanical ventilation. In this review we briefly discuss the physiological mechanisms responsible for arterial pressure generation, with special focus on resistance, compliance and pulse wave amplification phenomena. We also emphasize the utility of taking into consideration the overall arterial pressure set (systolic, diastolic, mean and pulse pressures) in order to define haemodynamic status better. Finally, we review recent studies showing that quantification of respiratory variation in pulse and systolic arterial pressures can allow one to identify the mechanically ventilated patients who may benefit from volume resuscitation. More... »

PAGES

601

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/cc3891

DOI

http://dx.doi.org/10.1186/cc3891

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032179348

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16356245


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