In an effort to further understand the perioperative intravascular volume status of major head and neck surgery patients, serum antidiuretic hormone (ADH) and osmolality levels were assessed at four perioperative junctures. Thirty-five major head and neck surgical patients were randomly selected for examination with placement of a central venous pressure monitor. Serum osmolality and serum vaso...

BACKGROUND The central venous pressure (CVP) is essential for assessing the cardiac preload and circulating blood volume in clinic. The invasive CVP measurement by central venous catheter has been reported with various complications. The aim of this study was to develop a new noninvasive method for quantification of CVP by ultrasound. METHODS AND RESULTS Seventy-six patients who had their CVP...

central venous catheterization (cvc) is a commonly performed procedure for venous access. it is associated with several complications. we report a rare case of extra luminal entrapment of guide wire during cvc placement in right jugular vein. we report a case of 28 years old female patient presented in our emergency with history of entrapped guide wire in right side of neck during cvc. x-ray sh...

Pentazocine 30 mg and pethidine 30 mg were given intravenously to two groups of patients receiving general anaesthesia with nitrous oxide, oxygen and halothane. The injections were repeated after 10 minutes. The effects on cardiac output, arterial blood pressure, heart rate and central venous pressure were measured. Both drugs caused a transient fall (approximately 20 per cent) in cardiac outpu...

BACKGROUND Heparinized saline solution is used to prevent occlusion in the arterial catheters and central venous pressure monitoring catheters. Even at low dose, heparin administration can be associated with serious complications. Normal saline solution can maintain patency of arterial catheters and central venous pressure monitoring catheters. OBJECTIVES The current study aimed to compare th...

diagnosis of cardiac tamponade has been mainly based on clinical features and echocardiography. however, ct may be an initial tool for the evaluation of cardiac tamponade because cutting edge ct is increasingly being installed in the emergency room, and presentation of cardiac tamponade can be nonspecific. importantly, ct has better spatial resolution compared with echocardiography. thus, ident...

One hypothesized contributor to vision changes experienced by >75% of International Space Station astronauts is elevated intracranial pressure (ICP). While no definitive data yet exist, elevated ICP might be secondary to the microgravity-induced cephalad fluid shift, resulting in venous congestion (overfilling and distension) and inhibition of cerebrospinal and lymphatic fluid drainage from the...

The upright posture strengthens the coupling between heart period (HP) and systolic arterial pressure (SAP) consistently with a greater contribution of the arterial baroreflex to cardiac control, while paradoxically decreasing cardiac baroreflex sensitivity (cBRS). To investigate the physiological mechanisms that mediate the coupling between HP and SAP in response to different postures, we anal...

To assess fluid responsiveness in patients under spontaneous breathing activity ventilation remains a challenge for intensive care physicians. Much of the knowledge on heart-lung interactions and dynamic indexes of fluid responsiveness may not be useful for these patients. Historically, the most frequently used variables to guide fluid responsiveness on this population have been the static prel...

BACKGROUND The pressure waveform of coronary sinus in human hearts has never been well described. Retrograde cardioplegia perfusion has become a popular method of myocardial protection in recent years, and identification of the pressure waveform of the coronary sinus might help intubate the coronary sinus in retrograde cardioplegia perfusion by differentiating it from that of the right atrium. ...