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Harry L. Bush, Jr, MD; Jack B. Huse, MD; Willard C. Johnson, MD; Edward T. O'Hara, MD; Donald C. Nabseth, MD

Arch Surg. 1981;116(12):1517-1524.

Abstract
• A retrospective case review of 34 men was undertaken to evaluate the relationship between preoperative volume loading and renal function before, during, and after abdominal aortic aneurysm surgery. Volume expansion was guided by either central venous pressure (CVP) in 12 patients or pulmonary artery wedge pressure (PAWP) measurements in 22 patients. Statistically significant differences (P <.05) were noted between the two groups where greater preoperative volume loading and urine output were associated with lower postoperative serum creatinine and renal function indices in the PAWP group. The age range, vascular risk factors, aneurysm size, and preoperative renal function were similar. The data indicate that (1) PAWP is a more accurate monitor for volume expansion than CVP and (2) when volume replacement is optimal, abdominal aortic aneurysm surgery is not associated with postoperative renal insufficiency.

(Arch Surg 1981;116:1517-1524)

Author Affiliations
From the Department of Surgery, Tufts University School of Medicine, Boston and the Boston Veterans Administration Medical Center.

Footnotes
Accepted for publication Aug 17, 1981.

Read at the 29th scientific meeting of the International Cardiovascular Society, Dallas, June 11, 1981.

Reprint requests to Boston Veterans Administration Medical Center, 150 S Huntington Ave, Boston, MA 02130 (Dr Bush).

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