Less invasive methods of advanced hemodynamic monitoring: principles, devices, and their role in the perioperative hemodynamic optimization

Perioperative Medicine

Maurizio Cecconi²  Mark Hamilton²  Liana Vele³  Christos Chamos¹ 

[1] Senior clinical fellow in cardiac anaesthesia, St George’s Healthcare NHS Trust, London, UK;Consultant and honorary senior lecturer in anaesthesia and intensive care medicine, St George’s Healthcare NHS Trust, London, UK;Specialist registrar in anaesthesia, Croydon Health Services NHS Trust, London, UK

关键词: Goal-directed therapy;    Transthoracic bioimpendance;    Gas rebreathing;    Oesophageal doppler;    Transpulmonary thermodilution;    Lithium dilution;    Pulse pressure analysis;    Minimally invasive monitoring;   

Others  :  816367
DOI  :  10.1186/2047-0525-2-19

 received in 2013-05-15, accepted in 2013-08-30,  发布年份 2013

【 摘 要 】

The monitoring of the cardiac output (CO) and other hemodynamic parameters, traditionally performed with the thermodilution method via a pulmonary artery catheter (PAC), is now increasingly done with the aid of less invasive and much easier to use devices. When used within the context of a hemodynamic optimization protocol, they can positively influence the outcome in both surgical and non-surgical patient populations. While these monitoring tools have simplified the hemodynamic calculations, they are subject to limitations and can lead to erroneous results if not used properly. In this article we will review the commercially available minimally invasive CO monitoring devices, explore their technical characteristics and describe the limitations that should be taken into consideration when clinical decisions are made.

【 授权许可】

   
2013 Chamos et al.; licensee BioMed Central Ltd.

【 图 表 】

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