[The use of Opticath in the correct measurement of the pulmonary capillary wedge pressure].
The Authors assess the utility of the on-line monitoring of SvO2 during 156 measurements of pulmonary capillary wedge pressure (PCWP) done on 52 Intensive Care Unit patients. The measurement was always right when the SvO2 increased more than 90%. The Authors found a good correlation between the SvO2 monitored during the measurement of the PCWP and the saturation of pulmonary capillary blood measured by cooximeter. These data suggest that the complex procedure to confirm the reliability of the measurement recommended by Gardner can be simplified by the observation of the trend of SvO2 on the monitor oximetrix. This allows to obtain saving time for the staff, saving blood for the patients, reduction of risk for the transmission of infective diseases due to the handling of blood and guarantees a further routinary control of reliability on the measure of PCWP.
Tulli
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U.O. Anestesia e Rianimazione, USL n. 18, Presidio Ospedaliero di Empoli, Firenze.
Romagnoli
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Pratesi
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Vitale
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GG
Pacciani
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Giannoni
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Pappagallo
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D002407:Catheterization, Swan-Ganz / Q000379:methods*; D006801:Humans; D010092:Oximetry; D011669:Pulmonary Wedge Pressure
L'uso dell'Opticath nella corretta misura della pressione di incuneamento (PCWP).