TY - JOUR
T1 - Studies in Clinical Shock and Hypotension
T2 - The Value of Bedside Hemodynamic Observations
AU - Cohn, Jay N.
AU - Luria, Myron H.
PY - 1964/12/7
Y1 - 1964/12/7
N2 - Hemodynamic studies have been performed at the bedsides of 50 patients with hypotension or clinical shock. Data important to the management of the patient were obtained quickly and with minimal discomfort. In a number of cases cited, hemodynamic and clinical improvement could be related to the employment of therapeutic approaches suggested by the studies but not considered on clinical grounds. Particularly important were observations of femoral-arterial pressure significantly higher than sphygmomanometer cuff pressures, recognition of heart failure, therapeutic application of blood volume expansion, and individualization of the choice of vasopressor drug. Proper management of the hemodynamic abnormality of hypotension and shock requires an assessment of the circulatory status of the individual patient.
AB - Hemodynamic studies have been performed at the bedsides of 50 patients with hypotension or clinical shock. Data important to the management of the patient were obtained quickly and with minimal discomfort. In a number of cases cited, hemodynamic and clinical improvement could be related to the employment of therapeutic approaches suggested by the studies but not considered on clinical grounds. Particularly important were observations of femoral-arterial pressure significantly higher than sphygmomanometer cuff pressures, recognition of heart failure, therapeutic application of blood volume expansion, and individualization of the choice of vasopressor drug. Proper management of the hemodynamic abnormality of hypotension and shock requires an assessment of the circulatory status of the individual patient.
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U2 - 10.1001/jama.1964.03070230027007
DO - 10.1001/jama.1964.03070230027007
M3 - Article
C2 - 14214490
AN - SCOPUS:0005919308
SN - 0098-7484
VL - 190
SP - 891
EP - 896
JO - JAMA: The Journal of the American Medical Association
JF - JAMA: The Journal of the American Medical Association
IS - 10
ER -