The influence of the respiration on the circulation in man: With special reference to pressures in the right auricle, right ventricle, femoral artery and peripheral veins

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    • Comparison of two sites of inflow pressure measurement during retrograde cerebral perfusion

      2001, Journal of Cardiothoracic and Vascular Anesthesia
      Citation Excerpt :

      This study did not address the effects of subclavian venous valves, which are located approximately 1 inch distal to the junction of the subclavian vein and IJV. The physiology of these valves has received little attention, although Lauson et al31 showed that venous pressure fluctuations secondary to coughing dissipate in the axillary veins secondary to competent subclavian valves damping the retrograde pressure wave. The role of these valves during RCP has been overlooked in prior clinical studies with the exception of Ganzel et al,22 who placed occluding cuffs inflated to 60 mmHg around the upper arms to minimize flow diversion by way of the subclavian veins.

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    This work was carried on under a contract, recommended by the Committee on Medical Research, between the Office of Scientific Research and Development, and Columbia University, with the collaboration of New York University. Additional support was provided by the Commonwealth Fund.

    1

    From the Department of Physiology of New York University College of Medicine and the Department of Medicine of the College of Physicians and Surgeons, Columbia University, and the Chest Service (Columbia University Division) of Bellevue Hospital, New York City.

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