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Published in: Intensive Care Medicine 3/2008

01-03-2008 | Year in Review 2007

Year in review in Intensive Care Medicine, 2007. II. Haemodynamics, pneumonia, infections and sepsis, invasive and non-invasive mechanical ventilation, acute respiratory distress syndrome

Authors: Massimo Antonelli, Elie Azoulay, Marc Bonten, Jean Chastre, Giuseppe Citerio, Giorgio Conti, Daniel De Backer, François Lemaire, Herwig Gerlach, Johan Groeneveld, Goran Hedenstierna, Duncan Macrae, Jordi Mancebo, Salvatore M. Maggiore, Alexandre Mebazaa, Philipp Metnitz, Jerme Pugin, Jan Wernerman, Haibo Zhang

Published in: Intensive Care Medicine | Issue 3/2008

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Excerpt

Several devices use pulse pressure to determine stroke volume, with or without calibration. However, pulse pressure can also be influenced by other factors including vascular tone and arterial stiffness. Lamia et al. [1] evaluated the role of arterial stiffness using radial applanation tonometry. This technique extrapolates central aortic pressure from peripheral recordings. Arterial stiffness was determined using a complex analysis of estimated central aortic pressure curve and stroke volume (independently measured by echocardiography). These authors observed that pulse pressure is dependent on stroke volume, and body surface area and, to a lesser extent, to arterial stiffness. In older patients the contribution of arterial stiffness was more prominent. For a given arterial stiffness stroke volume accounts for 49% of stroke volume variability. …
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Metadata
Title
Year in review in Intensive Care Medicine, 2007. II. Haemodynamics, pneumonia, infections and sepsis, invasive and non-invasive mechanical ventilation, acute respiratory distress syndrome
Authors
Massimo Antonelli
Elie Azoulay
Marc Bonten
Jean Chastre
Giuseppe Citerio
Giorgio Conti
Daniel De Backer
François Lemaire
Herwig Gerlach
Johan Groeneveld
Goran Hedenstierna
Duncan Macrae
Jordi Mancebo
Salvatore M. Maggiore
Alexandre Mebazaa
Philipp Metnitz
Jerme Pugin
Jan Wernerman
Haibo Zhang
Publication date
01-03-2008
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 3/2008
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-008-1009-8

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