Minimally invasive haemodynamic monitoring

被引:35
作者
Hofer, Christoph K. [1 ]
Cecconi, Maurizio [2 ]
Marx, Gernot [3 ]
della Rocca, Giorgio [4 ]
机构
[1] Triemli City Hosp, Inst Anaesthesiol & Intens Care Med, Dept Transversal Med, CH-8063 Zurich, Switzerland
[2] St George Hosp, Dept Intens Care, London, England
[3] Rhein Westfal TH Aachen, Univ Hosp Aachen, Dept Intens Care, Aachen, Germany
[4] Univ Udine, Azienda Osped Univ Udine, Dept Anaesthesia & Intens Care, I-33100 Udine, Italy
关键词
cardiac output; FloTrac; LiDCO; NICO; oesophageal Doppler; PiCCO; preload measurement; CARDIAC-OUTPUT MEASUREMENT; PULSE-CONTOUR ANALYSIS; ARTERY OCCLUSION PRESSURE; FLUID RESPONSIVENESS; TRANSPULMONARY THERMODILUTION; CLINICAL-EVALUATION; SURGERY; VOLUME; PRECISION; AGREEMENT;
D O I
10.1097/EJA.0b013e3283300d55
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Different minimally invasive haemodynamic monitoring techniques are commercially available today and in the recent years they have proved adequate in replacing the pulmonary artery catheter under certain clinical conditions. Moreover, several of these techniques provide additional new parameters primarily related to preload assessment. Therefore, in order to be used in daily clinical practice, the diversity of minimally invasive haemodynamic monitoring requires knowledge of the different techniques, the different parameters provided by the devices and their clinical validity. The aim of the present article is to review the most widely used minimally invasive cardiac output monitoring techniques; emphasize the new parameters available for preload assessment; and propose a modular stepwise monitoring concept. Eur J Anaesthesiol 26:996-1002 (C) 2009 European Society of Anaesthesiology.
引用
收藏
页码:996 / 1002
页数:7
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