Portal hypertension
BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7300.1492 (Published 16 June 2001) Cite this as: BMJ 2001;322:1492Where is evidence for 5% dextrose and pulmonary artery catheter?
- Joseph Osterwalder, head of emergency department (znala@ms1.kssg.ch)
- Kantonsspital, CH-9007 St Gallen, Switzerland
- Groote Schuur Hospital, Cape Town, South Africa
- Department of Surgery, Queen's Medical Centre, Nottingham NG7 2UH
EDITOR—In their clinical review of portal hypertension Krige and Beckingham have given recommendations for treatment.1 They claim that variceal bleeding due to portal hypertension should initially be treated with rapid infusions of 5% dextrose and colloid solution, and they advise against saline infusion as it may aggravate ascites. Furthermore, they recommend using a pulmonary artery catheter for monitoring patients who are haemodynamically unstable, are elderly, or have concomitant cardiac or pulmonary disease.
The authors have …
Log in
Log in using your username and password
Log in through your institution
Subscribe from £173 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£38 / $45 / €42 (excludes VAT)
You can download a PDF version for your personal record.