By K. Chen, X. Shen
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J Pediatr 1980;96:274–276. 42. Connors AF Jr, Speroff T, Dawson NV, et al. The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. JAMA 1996;276:889–897. 43. Robin ED. Death by pulmonary artery ﬂow-directed catheter. Time for a moratorium? Chest 1987;92:727–731. 44. Sandham JD, Hull RD, Brant RF, et al, and the Canadian Critical Care Clinical Trials Group. A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients.
In situations of either increased VO2 (220 mL/min/m2) or anemia (80 g/L), the curve is shifted upward. In all three situations, a fall in mixed venous saturation from 75% to 65% represents a relative decrease in cardiac index of approximately 40% (assuming all other variables remain constant). However, in the case of mild baseline hypoxia (arterial oxygen saturation 90%), the shape of the curve changes, such that the same drop in mixed venous saturation now represents a fall in cardiac index of 50%.
Voltage sensing electrodes are placed epithoracically, in the position of standard electrocardiographic electrodes. A correction factor is applied to account for parallel conductance outside the heart. Several methodologic problems exist, such as interindividual and cardiac phase variabilities, along with the need to calibrate absolute stroke volume with another invasive method; however, this may be a promising new technique. To date this method has not been evaluated in children. 25 × Z 0 where L is thoracic segment length, VET is ventricular ejection time, dZ/dt max is maximum rate of impedance change, and Zo is transthoracic baseline impedance.
[Article] Dexmedetomidine and propofol total intravenous anesthesia for airway foreign body removal by K. Chen, X. Shen