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P J Bolton

Publications and source records attributed to P J Bolton.

7 recordsLinked to original sources
PubMed1994

Understanding modes of mechanical ventilation.

Caring for patients receiving mechanical ventilation may be new to you, but it's almost certain that you'll be seeing them more often in the future. The modes of ventilation and assessment parameters discussed here will help you meet the special needs of these challenging patients.

Adult↗
PubMed1993

Management of intraoperative right ventricular failure with pulmonary artery balloon counterpulsation.

There are many etiologic factors that contribute to the development of right ventricular failure. However, the clinical manifestations and treatment modalities parallel whether the causative factor is from intraoperative complications or cardiovascular pathology. When adequate preload and pharmacologic support fail to enhance right ventricular function, the placement of a pulmonary artery balloon catheter for counterpulsation may be required. Currently, the pulmonary artery balloon catheter requires intraoperative placement. However, further research and refinements may allow peripheral placement of the catheter, using a smaller sized balloon. A case study is presented of a patient requiring intraaortic and pulmonary artery balloon counterpulsation for intraoperative right ventricular failure, after a mitral valve replacement.

Adult↗
PubMed1982

Pregnancy after surgical correction of tetralogy of Fallot.

Forty pregnancies have been documented in 27 patients with surgically corrected tetralogy of Fallot. Infertility was uncommon and there were no premature births and few abortions or small-for-dates babies; this suggests that surgery that corrects cyanosis improves the outcome of pregnancy by correcting the fetal environment. Pregnancy was well tolerated and there were no serious cardiac complications. Thirty of the 31 infants examined were normal, the one abnormal infant having pulmonary atresia. A patient with no major residual defects after surgery for tetralogy of Fallot may be reassured that pregnancy will be well tolerated and that delivery may be managed in the normal manner.

Female↗