Journal
ADVANCES IN PHYSIOLOGY EDUCATION
Volume 39, Issue 4, Pages 267-271Publisher
AMER PHYSIOLOGICAL SOC
DOI: 10.1152/advan.00050.2015
Keywords
hemorrhage; venous return; circulation; Guyton
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Venous return is a major determinant of cardiac output. Adjustments within the venous system are critical for maintaining venous pressure during loss in circulating volume. This article reviews two factors that are thought to enable the venous system to compensate during acute hemorrhage: 1) changes in venous elastance and 2) mobilization of unstressed blood volume into stressed blood volume. We show that mobilization of unstressed blood volume is the predominant and more effective mechanism in preserving venous pressure. Preservation of mean circulatory filling pressure helps sustain venous return and thus cardiac output during significant hemorrhage.
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