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Intravascular Devices in the ICU

  • Danisa Daubenspeck
  • Aalok KachaEmail author
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

Intravascular devices are widely used in the intensive care unit, both for monitoring and access. They may be useful for managing hemodynamics in critically ill patients in order to maintain organ perfusion. This need has prompted the development of several different devices to assist in the assessment of hemodynamic variables. For many years the most common monitor used was the pulmonary artery catheter although several studies have called its utility into question. This has prompted the development of newer, less invasive devices. A monitoring device is only as valuable as the skill of the clinician who is interpreting the data. The decision to place any intravascular monitor must require an assessment of the individual patient as well as a practitioner who is comfortable interpreting the data and applying it to specific treatment algorithms.

Keywords

Central venous catheter Pulmonary artery catheter Cardiac output monitoring Pulse contour analysis devices 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Anesthesia and Critical CareUniversity of ChicagoChicagoUSA
  2. 2.Section of Critical Care Medicine, Department of Anesthesia and Critical CareUniversity of ChicagoChicagoUSA

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