scholarly journals Comparison of Hemodynamic Data obtained from a Pulmonary Artery Catheter vs. Esophageal Doppler during Liver Transplantation

2004 ◽  
Vol 47 (2) ◽  
pp. 211 ◽  
Author(s):  
Bon Nyeo Koo ◽  
Jong Yoep Kim ◽  
Kyung Bong Yoon ◽  
Sun Joon Bae ◽  
So Young Ban ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Esophageal Doppler

scholarly journals Uncalibrated Stroke Volume Variations Are Able to Predict the Hemodynamic Effects of Positive End-Expiratory Pressure in Patients with Acute Lung Injury or Acute Respiratory Distress Syndrome after Liver Transplantation

2009 ◽  
Vol 111 (4) ◽  
pp. 855-862 ◽  
Author(s):  
Matthieu Biais ◽  
Karine Nouette-Gaulain ◽  
Alice Quinart ◽  
Stéphanie Roullet ◽  
Philippe Revel ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Pulmonary Artery ◽  
Stroke Volume ◽  
Pulmonary Artery Catheter ◽  
Pulse Pressure ◽  
Pulse Pressure Variation ◽  
Distress Syndrome ◽  
Pressure Variation ◽  
Positive End Expiratory Pressure ◽  
Induced Changes

Background Positive end-expiratory pressure (PEEP) may reduce cardiac output and total hepatic blood flow after liver transplantation. Pulse pressure variation is useful in predicting the PEEP-induced decrease in cardiac output. The aim of the study was to examine the relationships between stroke volume variations (SVV) obtained with the Vigileo monitor (Edwards Lifesciences, Irvine, CA), and the hemodynamic effects of PEEP. Methods Over 2 yr, patients presenting an acute lung injury or an acute respiratory distress syndrome in the 72 h after liver transplantation were prospectively enrolled. Patients were monitored with a pulmonary artery catheter (stroke volume) and with the Vigileo system (stroke volume and SVV). Measurements were performed in duplicate, first during zero end-expiratory pressure and then 10 min after the addition of 10 cm H2O PEEP. Results Twenty-six patients were included. Six patients were excluded from analysis. On PEEP, SVV and pulse pressure variation increased significantly and stroke volume decreased significantly. PEEP-induced changes in stroke volume measured by pulmonary artery catheter were significantly correlated with SVV (r = 0.69; P < 0.001) and pulse pressure variation on zero end-expiratory pressure (r = 0.66, P < 0.001). PEEP-induced decrease in stroke volume measured by pulmonary artery catheter > or = 15% was predicted by an SVV > 7% (sensitivity = 100%, specificity = 80%) and by a pulse pressure variation > 8% (sensitivity = 80%, specificity = 100%). PEEP-induced changes in stroke volume measured by pulmonary artery catheter and Vigileo device were correlated (r = 0.51, P < 0.005). Conclusions SVV obtained with Vigileo monitor is useful to predict decrease in stroke volume induced by PEEP. Moreover, this device is able to track changes in stroke volume induced by PEEP.

Traditional monitoring of cardiac output with pulmonary artery catheter vs. PiCCO during liver transplantation: interchangeable?

2013 ◽  
Vol 30 ◽  
pp. 48-48
Author(s):  
Monge A.L. Vilchez ◽  
Álvarez-Cagigas I. Tranche ◽  
Peña J. Perez ◽  
Arnal L. Olmedilla ◽  
Martínez I. Garutti
Keyword(s):  
Liver Transplantation ◽  
Cardiac Output ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter

BIOIMPEDANCE HEMODYNAMICS COMPARED TO PULMONARY ARTERY CATHETER MONITORING DURING LIVER TRANSPLANTATION

1990 ◽  
Vol 70 (Supplement) ◽  
pp. S384
Author(s):  
B D Spiess ◽  
K J Tuman ◽  
R J McCarthy ◽  
A D Ivankovich
Keyword(s):  
Liver Transplantation ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter

scholarly journals Perforation of the Right Ventricle Induced by Pulmonary Artery Catheter at Induction of Anesthesia for the Surgery for Liver Transplantation: A Case Report and Reviewed of Literature

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Maria Auxiliadora-Martins ◽  
Erick Apinagés dos Santos ◽  
Daniel Adans Wenzinger ◽  
Gil Cezar Alkmim-Teixeira ◽  
Gerardo Cristino de M. Neto ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Pulmonary Artery Catheter ◽  
Venous Pressure ◽  
Pulseless Electrical Activity ◽  
Technical Difficulty ◽  
Meld Score ◽  
Pericardial Window ◽  
The Right

We report a case of a 45-year-old male patient diagnosed with liver cirrhosis by hepatitis C and alcohol, with a Child-Pugh score C and a model for end-stage liver disease (MELD) score of 27, and submitted to liver transplantation. The subject underwent insertion of the pulmonary artery catheter (PAC) in the right internal jugular vein, with technical difficulty concerning catheter advance. There was sudden hypotension, increase in central venous pressure (CVP), and decrease inSvO215 minutes after the PAC had been inserted, followed by cardiorespiratory arrest in pulseless electrical activity (PEA), which was promptly assisted with resuscitation. Pericardiocentesis was performed without success, so the individual was subjected to a subxiphoid pericardial window, which led to output of large amounts of blood as well as PEA reversal to sinus rhythm. Sternotomy was performed; rupture of the apex of the right ventricle (RV) was detected, and suture of the site was accomplished. After hemodynamic stabilization, the patient was transferred to the ICU, where he developed septic shock and, despite adequate therapy, died on the eighteenth day after ICU admission.

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