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Changes in Classical Monitoring: Hemodynamic Monitoring, New Devices, NIRS, etc.

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Anesthesia in Thoracic Surgery

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Abstract

At the present time, the technology and clinical data describing hemodynamic monitoring devices are crucial for anesthesiologists and intensivists caring for patients undergoing thoracic surgical procedures, so that they may better utilize available technology to improve outcomes in this high-risk surgical population.

In theory, monitoring cardiac output (CO) and stroke volume (SV) could offer a more accurate assessment of circulatory state than conventional vital signs. Although invasive monitoring is considered as the reference method, non-invasive monitoring presents the obvious advantage of being associated with fewer complications, at the expanse of accuracy, precision, and step-response change, and might be useful for a broad patient population.

The adequacy of oxygenation is determined by cardiac output, hemoglobin level, partial arterial oxygen pressure, oxygen affinity of hemoglobin and local microcirculatory regulation parameters. Global markers such as mixed/central venous oxygen saturation and lactate levels are used in critically ill patients with impaired tissue oxygen presentation. Techniques such as NIRS can be used for organ perfusion assessment and adequacy of oxygenation.

We review on this chapter several methods for monitoring CO and SV and also we review the importance of using Near-infrared spectroscopy (NIRS) in our thoracic patients.

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Author information

Authors and Affiliations

  1. University Hospital South Manchester, Manchester, UK

    Alberto Hernandez

  2. Acıbadem Mehmet Ali Aydınlar University Hospital, İstanbul, Turkey

    Fevzi Toraman

  3. SBU Yuksek Ihtisas Hospital, Ankara, Turkey

    Aslı Demir

Authors
  1. Alberto Hernandez
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  2. Fevzi Toraman
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  3. Aslı Demir
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Editor information

Editors and Affiliations

  1. Consorcio Hospital General Universitario, Valencia, Spain

    Manuel Granell Gil

  2. Istanbul Medical Faculty, Department of Anaesthesiology, Istanbul University, Istanbul, Turkey

    Mert Şentürk

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Hernandez, A., Toraman, F., Demir, A. (2020). Changes in Classical Monitoring: Hemodynamic Monitoring, New Devices, NIRS, etc.. In: Granell Gil, M., Şentürk, M. (eds) Anesthesia in Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28528-9_18

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  • DOI: https://doi.org/10.1007/978-3-030-28528-9_18

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