Minimally Invasive Hemodynamic Monitoring
One of the most important goals of caring for critically ill patients is maintenance of adequate organ perfusion; as such, hemodynamic monitoring has become a cornerstone of critical care medicine. The ability to rapidly and accurately obtain and interpret hemodynamic parameters, as well as to manipulate these parameters according to clinical changes, remains a significant part of the intensivist’s practice. The primary parameters of interest to the intensivist are the physiologic markers of preload, afterload, and contractility as well as well as the balance between oxygen delivery (DO2) and utilization. Today the intensivist has a multitude of monitors to assist him in the hemodynamic monitoring of the patient. The pulmonary artery catheter (PAC) remains a popular method for obtaining such important hemodynamic information [1–3]. Some controversy regarding the risks and benefits of PAC use [2, 4] has caused the intensivist to look to other techniques of hemodynamic monitoring [1, 5].
KeywordsCardiac Output Pulmonary Artery Catheter Hemodynamic Monitoring Lithium Chloride Pulse Contour Analysis
Unable to display preview. Download preview PDF.
- 1.Linton DM, Gilon DM (2002) Advances in noninvasive cardiac output monitoring. Ann Cardiac Anesth 5: 141–148Google Scholar
- 4.Cusack RJ, Rhodes A (1997) Pulmonary artery catheter — to use or not to use; that is the question? Clin Intensive Care 11: 117–119Google Scholar
- 13.Von Rueden KT, Turner M (1999) Advances in continuous, noninvasive hemodynamic surveillance. Crit Care Nurs Clin North Am 11: 63–75Google Scholar
- 30.Zacek P, Kunes P, Kobzova E, Dominik J (1999) Thoracic electrical bioimpedance versus thermodilution in patients post open-heart surgery. Acta Medica (Hradec Kralove) 42: 19–23Google Scholar
- 31.Lee TL (1994) Pitfalls of Hemodynamic Monitoring. In: Faust RJ (ed) Anesthesiology Review, 2nd ed, Churchill Livingstone, New York, pp 263–264Google Scholar
- 32.Murray MJ, Coursin DB, Pearl RG, Prough DS (2002) Critical Care Medicine Perioperative Management 2nd Edition Lippincot, Williams & Wilkins, Philadelphia, pp 195–196Google Scholar
- 33.Tsagaropoulou AT, Vasiliadis K, Fessatidis I, Papavasi-Liou E, Spyrou P (2002) Beware Swan-Ganz complications. Perioperative management. J Cardiovasc Surg 43: 467–470Google Scholar
- 42.Laupland KB, Bands CJ (2002) Uility of esophageal Doppler as a minimally invasive hemodynamic monitor: a review Canadian. J Anesth 49: 393–401Google Scholar
- 43.Wesseling KH, deWitt B, Weber AP, et al (1983) A simple device for the continuous measurement of cardiac output. Adv Cardiovasc Phys 5: 1–52Google Scholar
- 44.Chaney JC, Derdak (2002) Minimally invasive hemodynamic monitoring for the intensivist: current and emerging technologies. Crit Care Med 30: 2338–2345Google Scholar
- 48.Wong KL, Hou PC (1996) The accuracy of bioimpedance cardiography in the measurement of cardiac output in comparison with thermodilution method. Acta Anaesthesiology Sin 34: 55–59Google Scholar