Central Venous Pressure. Its Clinical Use and Role in by W. J. Russell

By W. J. Russell

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45, 173-178. Brobmann, G. , Klano, Η. , Breecher, G. A. and Jacobson, Ε. D. (1971). ' Am. J. , 220, 12-15. Burnard, E. D. and James, L. S. (1963). ' / . , 62, 815-826. , Dyrda, I. and Lepage, G. (1970). ' Am. J. Cardiol, 25, 523-528. Carey, J. , Möhr, P. , Brown, R. S. and Shoemaker, W. C. (1969). ' Ann. , 170,910-921. — Brown, R. , Möhr, P. , Monson, D . , Yao, S. T. and Shoemaker, W. C. (1967). 'Cardiovascular Function in Shock. ' Circulation, 35, 327-338. , Milch, R. and Lajos, T. Z. (1973).

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However, if a good baseline for the central venous pressure can be established and myocardial function is normal, a rise will effectively warn of impending pulmonary oedema (Andersen and Klebe, 1968b). The management of acute pulmonary oedema in over-load or myocardial failure must be directed at reducing left atrial pressure. , 1970), or improving cardiac performance by cardiotonic drugs. Digoxin would seem to be the drug of choice (Visscher et ai, 1956) and would not alter mean systemic or pulmonary pressures.

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