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- W2384354706 abstract "Objective To observe the impact of right ventricular function on system circulation,right ventricular functions were mornitored in 264 patients receiving orthotopic liver transplantation using Edwards Vigilance Monitor as a guide for perioperative volume therapy.Methods Continuous cardiac output(CCO),Right ventricular end-diastolic volume(REDV),System vascular resistance(SVR),Pulmonary vascular resistance(PVR),Cardiac stroke volume(SV),Right ventricular ejection fraction(REF),Invasive mean arterial blood pressure(MABP),Central venous pressure(CVP),Mean pulmonary arterial pressure(MPAP),and Pulmonary artery wedge pressure(PAWP)were mornitored using improved Swan-Ganz tube at the following time points:Pre-anhepatic phase,30 mins after anhepatic phase started,30mins,60mins and 120mins after neohepatic phase started,the end of surgery.Results Compared with those in Pre-anhepatic phase,CVP,MPAP,PAWP,REDV,CCO,SV and REF in anhepatic phase decreased significantly(P0.01),SVR and PVR increased significantly(P0.05);compared with those in anhepatic phase,CVP,MPAP and REDV in neohepatic phase increased significantly(P0.01),PAWP decreased significantly(P0.01);30 mins after neohepatic phase started,SVR declined to the levels significantly lower than those in anhepatic phase(P0.05);CCO,SV,PVR and REF increased to the levels significantly higher than those in anhepatic phase(P0.05).Conclusion Changes in right ventricular function could be detected by improved Swan-Ganz tube,which is of great importance for adjustment of heart function,maintenance of relatively stable hemodynamics,guide of perioperative volume therapy." @default.
- W2384354706 created "2016-06-24" @default.
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- W2384354706 date "2010-01-01" @default.
- W2384354706 modified "2023-09-24" @default.
- W2384354706 title "Right ventricular function monitoring in liver transplantation surgery" @default.
- W2384354706 hasPublicationYear "2010" @default.
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