Chest ACCP Career Connection
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Connors, A.
Right arrow Articles by Martin, L
Right arrow Search for Related Content
PubMed
Right arrow Articles by Connors, A., Jr
Right arrow Articles by Martin, L

Chest, Vol 98, 1200-1206, Copyright © 1990 by American College of Chest Physicians

ARTICLES

Hemodynamic status in critically ill patients with and without acute heart disease

AF Connors Jr, NV Dawson, PK Shaw, HD Montenegro, AR Nara and L Martin
Department of Medicine, Case Western Reserve University, Cleveland.

Physicians have been urged to reduce the use of the pulmonary artery catheter. However, there are no guidelines to help the clinician make the decision to use or withhold invasive monitoring in the individual patient. This study was designed to examine the accuracy of physician estimates of cardiac function in a spectrum of patients with hemodynamic instability to determine whether differences in accuracy among subgroups would suggest subgroups of patients who could be managed without invasive measurements. Physician estimates of cardiac index were found to be sufficiently accurate in patients without acute heart disease that initial management without invasive monitoring may be appropriate in selected cases. However, due to the general inaccuracy of physician estimates, efforts to improve the accuracy of clinical judgments of cardiac function and hemodynamic status should be pursued with vigor in patients both with and without acute cardiac dysfunction.


This article has been cited by other articles:


Home page
 Am J Crit CareHome page
M. G. Iregui, D. Prentice, G. Sherman, L. Schallom, C. Sona, and M. H. Kollef
Physicians' Estimates of Cardiac Index and Intravascular Volume Based on Clinical Assessment Versus Transesophageal Doppler Measurements Obtained by Critical Care Nurses
Am. J. Crit. Care., July 1, 2003; 12(4): 336 - 342.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
F. Stephan, A. Flahault, N. Dieudonne, J. Hollande, F. Paillard, and F. Bonnet
Clinical evaluation of circulating blood volume in critically ill patients--contribution of a clinical scoring system{{dagger}}
Br. J. Anaesth., June 1, 2001; 86(6): 754 - 762.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
Editorial I: The utility of pulmonary artery catheterization
Br. J. Anaesth., October 1, 2000; 85(4): 501 - 503.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1990 by the American College of Chest Physicians.