Skip to main content
  • 139 Accesses

Abstract

Pulmonary vascular pressure measurements throughout the world are made with the Swan-Ganz catheter, which was introduced in 1970 [1], This catheter is balloon-tipped, which allows placement in the pulmonary artery without fluoroscopic control and measurement successively of right atrial pressure (Pra), right ventricular pressure (Prv), pulmonary artery pressure (Ppa) and occluded Ppa (Ppao). It has two fluid-filled lumens, one for measurement of Ppa and Ppao, and one for the measurement of Pra and injection of saline into the right atrium for the measurement of pulmonary blood flow (Q) by thermodilution. It has a thermistor at the tip for measurement of blood temperature in the pulmonary artery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Swan HJC, Ganz W, Forrester JS et al (1970) Catheterization of the heart in man with use of a flow-directed catheter. N Engl J Med 283:447–451

    Article  PubMed  CAS  Google Scholar 

  2. Naeije R (1996) Pulmonary vascular function. In: AJ Peacock (ed) Pulmonary Circulation: A Handbook for Clinicians. Chapman & Hall Medical 2:13–27

    Google Scholar 

  3. Naeije R, Lipski A, Abramowicz M et al (1994) Nature of pulmonary hypertension in congestive heart failure. Effects of cardiac transplantation. Am J Respir Crit Care Med 147:881–887

    Google Scholar 

  4. Zidulka A, Hakim TS (1985) Wedge pressure in large vs small pulmonary arteries to detect pulmonary venoconstriction. J Appl Physiol 59:1329–1332

    PubMed  CAS  Google Scholar 

  5. Cope DK, Grimbert F, Downey JM, Taylor AE (1992) Pulmonary capillary pressure: a review. Crit Care Med 20:1043–1055

    Article  PubMed  CAS  Google Scholar 

  6. Mélot C, Vermeulen F, Maggiorini M et al (1997) Site of pulmonary vasodilation by inhaled nitric oxide in microembolic lung injury. Am J Respir Crit Care Med 156:75–85

    PubMed  Google Scholar 

  7. Abdel Kafi S, Mélot C, Vachiéry JL et al (1998) Partitioning of pulmonary vascular resistance in primary pulmonary hypertension. J Am Coll Cardiol 31:1372–1376

    Article  Google Scholar 

  8. Cournand A, Bloomfield RA, Lanson HD (1945) Double lumen catheter for intravenous and intracardiac blood sampling and pressure recording. Proc Soc Exp Biol Med 60:73–75

    PubMed  CAS  Google Scholar 

  9. Elzinga G, Piene H, de Jong JP (1980) Left and right ventricular pump function and consequences of having two pumps in one heart. Circ Res 46:564–574

    Article  PubMed  CAS  Google Scholar 

  10. Furuno Y, Nagamoto Y, Fujita M et al (1991) Reflection as a cause of mid-systolic deceleration of pulmonary flow wave in dogs with acute pulmonary hypertension: comparison of pulmonary artery constriction with pulmonary embolisation. Cardiovasc Res 25:118–124

    Article  PubMed  CAS  Google Scholar 

  11. Nakayama Y, Nakanishi N, Sugimachi M et al (1997) Characteristics of pulmonary artery pressure waveform for differential diagnosis of chronic pulmonary thromboembolism and primary pulmonary hypertension. J Am Coll Cardiol 29:1311–1316

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Italia

About this paper

Cite this paper

Naeije, R. (1999). Pulmonary Haemodynamics in the Intensive Care Unit. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2145-7_62

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2145-7_62

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0051-3

  • Online ISBN: 978-88-470-2145-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics