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Toothpaste, Sea Deeps, and Invasive Pressure Monitoring: Stevin’s Law and Pascal’s Principle

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Physics for Anesthesiologists

Abstract

Stevin’s law and Pascal’s principle are two laws of the so-called statics of fluids. Stevin’s law states that the pressure at any point within a fluid at rest (of a certain density) depends only on the depth of that point: undersea, pressure increases according to this law. Pascal’s principle states that the variation in the pressure applied to an enclosed fluid is transmitted unchanged to each portion of the fluid and to the walls of its container: the Heimlich maneuver and hydraulic car lifts rely on it. There are many applications (and implications) of Stevin’s law and Pascal’s principle in the clinical practice of anesthesia: verify the inflation of a tracheal tube cuff, external cardiac massage, invasive pressure monitoring, zeroing and leveling of pressure transducers, measuring pulmonary artery occlusion pressure, and phleboclysis have all something to do with one or both of these laws.

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References

  1. Srivastava A, Sood A, Joy PS, Mandal S, Panwar R, Ravichandran S, Sarangi S, Woodcock J. Principles of physics in surgery: the laws of mechanics and vectors physics for surgeons-part 2. Indian J Surg. 2010;72:355–61.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Hwang JY, Han SH, Park SH, Park SJ, Park S, SH O, Kim JH. Interrupting gel layer between Double cuffs prevents fluid leakage past tracheal tube cuffs. Br J Anaesth. 2013;111:496–504.

    Article  CAS  PubMed  Google Scholar 

  3. Heffner JE, Hess D. Tracheostomy management in the chronically ventilated patient. Clin Chest Med. 2001;22(1):55–69.

    Article  CAS  PubMed  Google Scholar 

  4. Goyal R, Kumar G, Waghray MR. Endotracheal tube cuff pressure monitoring in peripheral hospitals. Med J Armed Forces India. 2006;62(3):243–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Liu J, Zhang X, Gong W, Li S, Wang F, Fu S, Zhang M, Hang Y. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesth Analg. 2010;111(5):1133–7.

    Article  PubMed  Google Scholar 

  6. Michlig SA. Anaesthetic staff cannot identify extremely high tracheal tube cuff pressures by palpation of the pilot balloon. Br J Anaesth. 2013;111(2):300–1.

    Article  CAS  PubMed  Google Scholar 

  7. Pisano A. Pitfalls from physics: why we can’t “feel” the tube cuff pressure with our fingers. Anesth Analg. 2017;124(4):1368.

    Article  PubMed  Google Scholar 

  8. Magder S. Invasive intravascular hemodynamic monitoring: technical issues. Crit Care Clin. 2007;23:401–14.

    Article  PubMed  Google Scholar 

  9. Szocik JF, Barker SJ, Tremper KK. Fundamental principles of monitoring instrumentation. In: Miller RD, editor. Miller’s anesthesia. 6th ed. Philadelphia: Elsevier Churchill Livingstone; 2005. p. 1191–225.

    Google Scholar 

  10. Aston D, Rivers A, Dharmadasa A. Equipment in anaesthesia and critical care. Banbury: Scion Publishing Limited; 2014. p. 375.

    Google Scholar 

  11. Mark JB, Slaughter TF. Cardiovascular monitoring. In: Miller RD, editor. Miller’s anesthesia. 6th ed. Philadelphia: Elsevier Churchill Livingstone; 2005. p. 1265–362.

    Google Scholar 

  12. Pittman JA, Ping JS, Mark JB. Arterial and central venous pressure monitoring. Int Anesthesiol Clin. 2004;42(1):13–30.

    Article  PubMed  Google Scholar 

  13. Magder S. Central venous pressure monitoring. Curr Opin Crit Care. 2006;12:219–27.

    Article  PubMed  Google Scholar 

  14. Magder S. Central venous pressure: a useful but not so simple measurement. Crit Care Med. 2006;34:2224–7.

    Article  PubMed  Google Scholar 

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Pisano, A. (2017). Toothpaste, Sea Deeps, and Invasive Pressure Monitoring: Stevin’s Law and Pascal’s Principle. In: Physics for Anesthesiologists. Springer, Cham. https://doi.org/10.1007/978-3-319-57330-4_8

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  • DOI: https://doi.org/10.1007/978-3-319-57330-4_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57329-8

  • Online ISBN: 978-3-319-57330-4

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