Abstract
Central to the role of the intensivist is the maintenance of adequate organ perfusion to ensure sufficient oxygen delivery, thereby mitigating sequelae of oxygen deficit. There is a strong body of evidence underlining the importance of goal directed haemodynamic therapy in which interventions are manipulated to achieve predetermined flow-derived parameters. The oesophageal Doppler monitor (ODM) is a minimally invasive cardiac output monitor that provides continuous, real-time haemodynamic measurements and imaging of descending aortic blood flow. The ODM has been well validated against the established thermodilution technique and demonstrates good reliability. It has been pivotal in broadening the application of flow-based monitoring and its use has been associated with improved patient outcomes, principally in the perioperative setting. This chapter explores the scientific principles that underpin the ODM, its clinical applications, and the evidence supporting (or contesting) the use of this innovative clinical tool.
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Additional Resources
The Deltex Medical website (http://www.deltexmedical.com/) provides excellent educational training resources for the use and interpretation of CardioQ-ODM monitors.
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Lacey, J., Mythen, M. (2019). Oesophageal Doppler. In: Pinsky, M.R., Teboul, JL., Vincent, JL. (eds) Hemodynamic Monitoring. Lessons from the ICU. Springer, Cham. https://doi.org/10.1007/978-3-319-69269-2_27
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DOI: https://doi.org/10.1007/978-3-319-69269-2_27
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