caa a22 4500 475751906 CHVBK 20180406123526.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/PL00010039 doi (NATIONALLICENCE)springer-10.1007/PL00010039 Does Central Venous Pressure Reflect the Circulating Blood Volume for the Decrement of Compliance Just After Esophagectomy? [Elektronische Daten] [Satoru Motoyama, Michihiko Kitamura, Satoshi Kibira, Hiroyuki Suzuki, Shuichi Kamata, Reijiro Saito, Keisuke Kimura, Shinichi Sasaki, Kousei Taguchi, Manabu Okuyama, Mamoru Miura, Jun-ichi Ogawa] This study investigates whether the pressure parameters obtained from the Swan-Ganz catheter (SGC) accurately reflect the circulating blood volume just after en bloc resection of the thoracic esophagus with regional lymph node dissection. It is well known that this operation induces severe hemodynamic changes and although the pressure parameters obtained from the SGC are an accepted means of monitoring circulating blood volume, we have often experienced a discrepancy between the SGC data and the clinical state. We examined the pressure parameters and diameter of the inferior vena cava (IVC) and left ventricle (LV), and the central venous compliance using SGC and echocardiography in ten patients who underwent esophagectomy for esophageal cancer. The central venous pressure, pulmonary arterial mean pressure, and pulmonary artery wedged pressure were significantly increased just after the operation compared with the preoperative levels, while the diameters of the IVC and LV decreased just after the operation. The compliances of the IVC decreased significantly just after the operation. The hemodynamic shift to the third space after esophagectomy induces decrement of the compliances of IVC. As the CVP does not always reflect the circulating blood volume, measuring the diameter of the IVC using echocardiography is extremely useful for monitoring circulating blood volume just after esophagectomy.: Springer-Verlag Tokyo, 2000 Key Words: central venous pressure, central venous diam-eter, central venous compliance, circulating blood volume, esophagectomy nationallicence Motoyama Satoru Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Kitamura Michihiko Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Kibira Satoshi Second Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Suzuki Hiroyuki Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Kamata Shuichi Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Saito Reijiro Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Kimura Keisuke Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Sasaki Shinichi Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Taguchi Kousei Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Okuyama Manabu Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Miura Mamoru Second Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Ogawa Jun-ichi Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut https://doi.org/10.1007/PL00010039 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00010039 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Motoyama Satoru Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Kitamura Michihiko Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Kibira Satoshi Second Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Suzuki Hiroyuki Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Kamata Shuichi Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Saito Reijiro Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Kimura Keisuke Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Sasaki Shinichi Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Taguchi Kousei Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Okuyama Manabu Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Miura Mamoru Second Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut NATIONALLICENCE 700 1- Ogawa Jun-ichi Second Department of Surgery Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer