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Pulmonary Artery Pressure Monitoring in Acute Burn Management
John C. German, MD;
Patricia A. Allyn, RN;
Robert H. Bartlett, MD
AMA Arch Surg. 1973;106(6):788-791.
Abstract
Pulmonary artery pressure (PAP) was measured for two to five days in ten patients with extensive burns. The PAP is low immediately after burn and rises during fluid resuscitation. The PA systolic pressure, 25 to 40 mm Hg during resuscitation of most burn patients, correlates with pulmonary vascular resistance and interstitial pulmonary fluid. The PA diastolic pressure, 10 to 20 mm Hg during burn resuscitation, correlates with left atrial pressure, hence left ventricular function. Higher levels indicate fluid overload. Some patients with smoke inhalation damage may develop gross pulmonary edema with normal PA diastolic pressure.
Pulmonary artery pressure is a much more sensitive indicator of blood volume, cardiac function, and smoke-induced pulmonary edema than central venous pressure.
Author Affiliations
Orange, Calif
From the Department of Surgery, University of California, Irvine; and Burn Unit, Orange County Medical Center, Orange, Calif.
Footnotes
Accepted for publication March 2, 1973.
Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 19, 1973.
Reprint requests to Director of Burn Unit, Orange County Medical Center, 101 City Dr, Orange, CA 92668 (Dr. Bartlett).
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