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

Chamos, C; Vele, L; Hamilton, M; Cecconi, M (2013) Less invasive methods of advanced hemodynamic monitoring: principles, devices, and their role in the perioperative hemodynamic optimization. Perioperative Medicine, 2 (19). ISSN 2047-0525 https://doi.org/10.1186/2047-0525-2-19
SGUL Authors: Hamilton, Mark Cecconi, Maurizio

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Abstract

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.

Item Type: Article
Additional Information: © 2013 Chamos et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Minimally invasive monitoring, Pulse pressure analysis, Lithium dilution, Transpulmonary thermodilution, Oesophageal doppler, Gas rebreathing, Transthoracic bioimpendance, Goal-directed therapy
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: Perioperative Medicine
ISSN: 2047-0525
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Dates:
DateEvent
17 September 2013Published
PubMed ID: 24472443
Web of Science ID: 24472443
Go to PubMed abstract
URI: http://sgultest.da.ulcc.ac.uk/id/eprint/107168
Publisher's version: https://doi.org/10.1186/2047-0525-2-19

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