Pneumoperitoneum and PAFCs…

Joris JL, Noirot DP, Legrand MJ, Jacquet NJ, & Lamy ML. Hemodynamic changes during laparoscopic cholecystectomy. Anesthesia & Analgesia 1993;76: 1067-1071.

RHH Journal Club. June 20th, 2013. Dr Ramya Sriraman

Full-text article (if available)

Haemodynamic changes reported during gynaecological laparoscopy in earlier studies include an increase in mean arterial blood pressure, a decrease in cardiac output, and an increase in systemic vascular resistance. The authors hypothesized that peritoneal insufflation for laparoscopic cholecystectomy would result in more significant haemodynamic changes.

Read more…

Advertisements

The origin of DO2 and the magic 600….

Shoemaker WC, Appel PL, Kram HB, Waxman K, & Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. CHEST Journal  1988; 94: 1176-1186.

RHH Journal Club. June 13th, 2013. Dr Andy Cruikshanks

Full-text article (if available)

Does the targeting of supranormal oxygen delivery reduce mortality in high-risk surgical patients?

Read more…

A tale of IVC, CO & the magical 15 degrees…

Lees MM, Taylor SH, Scott D & Kerr MG. A study of cardiac output at rest throughout pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology 1967; 74: 319-328.

RHH Journal Club. December 22nd, 2012. Dr Maneka Braganza

No free full-text available

To describe the overall pattern of change in cardiac output during pregnancy .

Read more…