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Less invasive indicators of changes in thermodilution cardiac output by ventilatory changes after cardiac surgery
European Journal of Anaesthesiology, 09/11/09
Breukers R–M et al. – A fall in COmf is more sensitive than a rise in SVV, which is more sensitive than systolic pressure variation and pulse pressure variation, in tracking a fall in COtd during continuous (and not cyclic) increases in intrathoracic pressure, in mechanically ventilated patients after cardiac surgery. This suggests a reduction in biventricular preload as the main factor in decreasing cardiac output and increasing SVV with PEEP.
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