A Simple Method for Changing an Umbilical Artery Catheter

PEDIATRICS ◽  
1974 ◽  
Vol 53 (1) ◽  
pp. 109-110
Author(s):  
Michael A. Heymann
Keyword(s):  
Blood Pressure ◽  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Umbilical Artery ◽  
Blood Gases ◽  
Simple Method ◽  
Arterial Blood ◽  
Diagnostic Cardiac Catheterization ◽  
Catheter Tip ◽  
Umbilical Arterial Catheter

Umbilical arterial catheterization has become common in the management of sick new-born infants. In addition, the umbilical artery is often used during diagnostic cardiac catheterization for retrograde arterial studies and for monitoring arterial blood pressure and blood gases during the procedure. Many infants with congenital heart disease referred for cardiac catheterization, already have an umbilical arterial catheter in place. The catheter tip may be placed in a variety of positions, usually in the lower aorta below the renal arteries, and cannot be advanced up the aorta as the portion of catheter outside the abdominal wall is not sterile. The catheter can simply be withdrawn and replaced by a new catheter using standard aseptic techniques.

Validity of Neonatal Blood Pressure Obtained By The Manometric Method

PEDIATRICS ◽  
1973 ◽  
Vol 52 (2) ◽  
pp. 293-296
Author(s):  
Rosemary D. Leake ◽  
Paul R. Williams ◽  
William Oh
Keyword(s):  
Blood Pressure ◽  
Neonatal Intensive Care ◽  
Umbilical Artery ◽  
Neonatal Intensive Care Units ◽  
Arterial Blood ◽  
Direct Recording ◽  
Blood Pressures ◽  
Manometric Method ◽  
Neonatal Blood ◽  
Precise Relationship

In neonatal intensive care units where direct arterial blood pressures obtained via a transducer are unavailable, a fluid-filled spinal manometer has been used. The latter method is practical and convenient although its validity has not been confirmed. This study is designed to establish the precise relationship between the blood pressure obtained by the manometric method and by direct recording via the arterial transducer. Materials and Methods Eleven infants with umbilical artery catheters in place 1 to 2 cm above the diaphragm were selected for the study. In all instances, the arterial catheters were placed for clinical management of various illnesses.

scholarly journals Rhythmic Breath Holding and Its Effect on Arterial Blood Pressure and Its Correlation With Blood Gases

2020 ◽  
Author(s):  
Bharti Bhandari ◽  
Manisha Mavai ◽  
Yogendra Raj Singh ◽  
Bharati Mehta ◽  
Omlata Bhagat
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiovascular System ◽  
Arterial Blood Pressure ◽  
Blood Gases ◽  
Total Power ◽  
Breath Holding ◽  
Single Episode ◽  
Arterial Blood ◽  
Maximum Inspiration

A single episode of breath-holding (BH) is known to elevate the blood pressure, and regular breathing exercise lowers the blood pressure. This prompted us to investigate how a series of BH epochs would affect the cardiovascular system. To observe arterial blood pressure (ABP) and heart rate (HR) changes associated with a series of “BH epochs” following maximum inspiration and maximum expiration and find the underlying mechanisms for the change by autonomic activity. Thirty-five healthy young adults were instructed to hold their breath repetitively, for 5 minutes, in two patterns, one following maximum inspiration and other following maximum expiration. ABP and ECG (for Heart Rate Variability) were continuously recorded at rest and during both the maneuvers. Capillary blood gases (BG) were zanalyzed at baseline and at the breakpoint of the last epoch of BH. ABP rose significantly at the breakpoint during both the maneuvers. No change in HR was observed. There was significant fall in PO2 from 94.7 (4.1) mmHg at baseline to 79.1 (9.0) mmHg during inspiratory and 76.90 (12.1) mmHg during expiratory BH. Similarly, SPO2 decreased from 96.3 (1.9) % at baseline to 95.4 (1.5) % and 94.5 (2.7) % during inspiratory and expiratory BH, respectively. Rise in PCO2 from 39.5(3.1) mmHg at baseline to 42.9 (2.7) mmHg and 42.1 (2.8) mmHg during inspiratory and expiratory BH respectively was observed. There was no significant correlation between blood gases and arterial blood pressure. Among HRV parameters, a significant decrease in SDNN, RMSSD, HFnu, total power and SD1/SD2 and the significant increase in LFnu, LF/HF and SD2 were observed during both BH patterns. Rhythmic BH patterns affect the cardiovascular system in similar way as a single episode of BH. Sympathetic overactivity could be the postulated mechanism for the same. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(8):492-498.

scholarly journals Preliminary Experience With a Combination of Dexmedetomidine and Propofol Infusions for Diagnostic Cardiac Catheterization in Children

2009 ◽  
Vol 14 (2) ◽  
pp. 106-112
Author(s):  
Punkaj Gupta ◽  
Joseph D. Tobias ◽  
Sunali Goyal ◽  
Martin D. Miller ◽  
Michael M. De Moor ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Continuous Infusion ◽  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Initial Experience ◽  
Suitable Alternative ◽  
Diagnostic Cardiac Catheterization ◽  
Prolonged Sedation ◽  
Spontaneously Breathing ◽  
In Infants And Children

No specific regimen has been universally accepted as ideal for procedural sedation during cardiac catheterization in infants and children. In this paper, we retrospectively describe our preliminary experience with a continuous infusion of dexmedetomidine and propofol for sedation during cardiac catheterization in children with congenital heart disease. The short-half life of these two drugs creates a potential for easier titration, quicker recovery and less prolonged sedation-related adverse effects. This combination was not only able to limit the dose of either drugs, but was also very stable from cardio-respiratory standpoint. There were no adverse effects noted in our two patients. This initial experience showed that the combination of propofol and dexmedetomidine as a continuous infusion may be a suitable alternative for sedation in spontaneously breathing children undergoing cardiac catheterization.

scholarly journals Characterization of the withdrawal phase in a swine controlled intestinal donation after circulatory death model

2014 ◽  
Vol 37 (5) ◽  
pp. 331 ◽  
Author(s):  
Mingxiao Guo ◽  
Linlin Li ◽  
Chunlei Lu
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Intestinal Mucosa ◽  
Circulatory Arrest ◽  
Ventilatory Support ◽  
Blood Gases ◽  
Donation After Cardiac Death ◽  
Time To Death ◽  
Arterial Blood

Purpose: Transplantation of donation after cardiac death (DCD) intestine has higher rates of organ failure and complications. Fortunately, this is less grievous in a subclass of DCD called controlled (CDCD), those with irreversible but incomplete brain injury. The aim of the paper is to establish a CDCD porcine model which is closely mimicking human CDCD scenario, and investigate the physiologic changes from withdrawal of ventilatory support to circulatory arrest. Method: Ten domestic crossbred pigs were anesthetized and ventilated with room air. Once all baseline data was taken, atracurium besilate (0.9 mg/kg, 3×ED95) was administered and the ventilator was discontinued while the animal was under deep anesthesia to establish the porcine CDCD model. Meanwhile, heparin (150~200 U/kg) was administered after discontinuation of the ventilator. The time to death and the changes of arterial blood gases and hemodynamic parameters were monitored every 5 minutes until circulatory arrest. In addition, histopathology, ultrastructures (via electron microscope) and expression of tight junction proteins of intestinal mucosa were observed at the baseline and the time of death. Result: The mean time to death was approximately (21.8±3.12 min. Within 5 minutes of removal of the ventilator, there was a hyperdynamic period. Systolic blood pressure and heart rate quickly increased to 118.5±10.4 mmHg and 108.2±4.94 bpm, respectively. Blood pressure and heart rate then reduced rapidly until circulatory arrest. Moreover, the PaO2 quickly dropped to 17.4±3.13 mmHg, the blood gases throughout the apneic time showed a rapid hypercapnia and acidosis. In addition, warm ischemia damaged intestinal mucosa and reduced TJ proteins expression. Conclusion: A new swine CDCD model, simulating three stages of “withdrawal of ventilation, systemic anticoagulation and determination of death”, which closely mimics the human DCD scenario and can thus be used in studies related to organ transplantation, was successfully established.

scholarly journals Subarachnoidally administered hyperbaric morphine, buprenorphine, methadone, and 10% dextrose on cardiopulmonary function and behavior in horses

2006 ◽  
Vol 36 (5) ◽  
pp. 1444-1449
Author(s):  
Cláudio Corrêa Natalini ◽  
Renata Lehn Linardi ◽  
Alexandre da Silva Polydoro
Keyword(s):  
Blood Pressure ◽  
Body Temperature ◽  
Respiratory Rate ◽  
Motor Impairment ◽  
Blood Gases ◽  
Behavioral Changes ◽  
Control Group ◽  
Arterial Blood Gases ◽  
Arterial Blood ◽  
And Behavior

The study was done to compare the heart rate, arterial blood pressure, arterial blood gases, respiratory rate, body temperature, and behavior after subarachnoid administration of hyperbaric morphine (MorphineD10), buprenorphine (BuprenorphineD10), methadone (Methadone D10), and 10% dextrose (D10) in conscious horses. Six adult horses were studied. Treatments were administered into the lombo-sacral subarachnoid space through an epidural catheter, MorphineD10 at 0.01mg kg-1, BuprenorphineD10 at 0.001mg kg-1, MethadoneD10 at 0.01mg kg-1, and 10% dextrose as a control group. The results showed that there are minimum changes in heart and respiratory rate, blood gases, blood pressure, and body temperature after subarachnoid administration of hyperbaric opioids in horses. No sedation and nor motor impairment or behavioral changes occur.

Cardiovascular response to arousal from sleep under controlled conditions of central and peripheral chemoreceptor stimulation in humans

2004 ◽  
Vol 96 (3) ◽  
pp. 865-870 ◽  
Author(s):  
Denise M. O'Driscoll ◽  
Guy E. Meadows ◽  
Douglas R. Corfield ◽  
Anita K. Simonds ◽  
Mary J. Morrell
Keyword(s):  
Blood Pressure ◽  
Arterial Blood Pressure ◽  
Mean Arterial Blood Pressure ◽  
Cardiovascular Response ◽  
Blood Gases ◽  
Arterial Blood Gases ◽  
Peripheral Chemoreceptor ◽  
Healthy Men ◽  
Arterial Blood ◽  
Hypercapnic Hypoxia

The cardiovascular response to an arousal occurring at the termination of an obstructive apnea is almost double that to a spontaneous arousal. We investigated the hypothesis that central plus peripheral chemoreceptor stimulation, induced by hypercapnic hypoxia (HH), augments the cardiovascular response to arousal from sleep. Auditory-induced arousals during normoxia and HH (>10-s duration) were analyzed in 13 healthy men [age 24 ± 1 (SE) yr]. Subjects breathed on a respiratory circuit that held arterial blood gases constant, despite the increased ventilation associated with arousal. Arousals were associated with a significant increase in mean arterial blood pressure at 5 s ( P < 0.001) and with a significant decrease in the R-R interval at 3 s ( P < 0.001); however, the magnitude of the changes was not significantly different during normoxia compared with HH (mean arterial blood pressure: normoxia, 91 ± 4 to 106 ± 4 mmHg; HH, 91 ± 4 to 109 ± 5 mmHg; P = 0.32; R-R interval: normoxia, 1.12 ± 0.04 to 1.02 ± 0.05 s; HH, 1.09 ± 0.05 to 0.92 ± 0.04 s; P = 0.78). Mean ventilation increased significantly at the second breath postarousal for both conditions ( P < 0.001), but the increase was not significantly different between the two conditions (normoxia, 5.35 ± 0.40 to 9.57 ± 1.69 l/min; HH, 8.57 ± 0.63 to 11.98 ± 0.70 l/min; P = 0.71). We conclude that combined central and peripheral chemoreceptor stimulation with the use of HH does not interact with the autonomic outflow associated with arousal from sleep to augment the cardiovascular response.

Sign in / Sign up

Export Citation Format

Share Document