Physicians are being called on with increasing frequency to initiate resuscitation of the severely injured patient. The medical literature is confusing regarding the best way that this can be done. A study was undertaken to evaluate simultaneously four common, easily measured indexes—blood pressure, pulse rate, central venous pressure, and pulmonary artery pressure. A shock-trauma model employing laboratory-bred beagle dogs was developed. Results indicate that the best single index is pulmonary artery pressure. Certain physiologic principles make central venous pressure an unreliable index.
(JAMA 237:242-244, 1977)
Hartong JM, Dixon RS. Monitoring Resuscitation of the Injured Patient. JAMA. 1977;237(3):242–244. doi:10.1001/jama.1977.03270300046004
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