0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Hemodynamic Characteristics of Patients with Hypothermia Due to Occult Infection and Other Causes

D. LYNN MORRIS, M.D.; HENRY F. CHAMBERS, M.D.; MARY GAYLE MORRIS, R.N.; and MERLE A. SANDE, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to Merle A. Sande, M.D.; Medical Service, Room 5 H 22, San Francisco General Hospital, 1001 Potrero Avenue; San Francisco, CA 94110.


San Francisco, California


© 1985 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1985;102(2):153-157. doi:10.7326/0003-4819-102-2-153
Text Size: A A A

Eighty-five consecutive patients with hypothermia were prospectively evaluated to assess clinical and laboratory data that would differentiate those patients with hypothermia caused by severe infection and bacteremia and those with hypothermia of other causes. Thirty-two patients had hemodynamic monitoring, allowing us to assess hemodynamic differences between the two groups. Clinical characteristics, including admission temperature, leukocyte count, mean arterial pressure, pulse rate, respiratory rate, arterial pH, and pulmonary capillary wedge pressure, did not distinguish between the two groups. However, patients with infection with bacteremia had lower calculated systemic vascular resistances (486.0 ±125.0 compared with 1759.9 ±331.0 dynes s cm-5;p = 0.001) and higher cardiac indices (7.1 ±1.9 compared with 2.8 ±0.7 L/min m2; ñ = 0.006) than patients without severe infections. Thus, our data suggest that hemodynamic characteristics are different in patients with infection-related hypothermia and patients with hypothermia associated with other causes, and appear to depend on the underlying disease.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Journal Club
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)